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Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
1
Population-based Maternal and Child Health Survey
Mawlamyinegyun Township
Joint Initiative on Maternal, Newborn and Child Health
Jan 2013
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
2
Population-based Maternal and Child Health Survey
Mawlamyinegyun Township
Jan 2013
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
3
ABBREVIATIONS
ASEAN Association of Southeast Asian Nations BCC Behaviour Change Communication
DPT Diptheria Pertussis Tetanus
ESEA East Asia and South-East Asia
HMIS Health Management Information System
ICPD International Conference on Population and Development
IOM International Organization for Migration
IPs Implementing Partners
KPC Knowledge, Practice and Coverage
LHV Lady Health Visitor
JIMNCH Joint Initiative on Maternal, Newborn and Child Health
MDG Millennium Development Goals
MICS Multiple Indicator Cluster Survey
MMR Maternal Mortality Rate
MMRD Myanmar Marketing Research and Development
NCHS National Centre for Health Statistics
ORT Oral Rehydration Therapy
PHC Primary Health Care
PONREPP Post-Nargis Recovery and Preparedness Plan
PPS Probability Proportionate to Size
PR IV Post-Nargis Periodic Review IV
PSUs Primary Sampling Units
SPSS Statistical Package for Social Sciences
TB Tuberculosis
TBA Traditional Birth Attendant
TCG Tripartite Core Group
UN United Nations
UNICEF United Nations Children’s Fund
UNOPS United Nations Office for Project Services
WHO World Health Organization
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
4
Acknowledgements
Myanmar Marketing Research and Development (MMRD) Company Limited would like to thank all the
persons involved in this study, especially colleagues from the United Nations Office for Project Services
(UNOPS), colleagues from the United Nations Children Fund (UNICEF), and Sophie Alexander from the
Perinatal Epidemiology and Reproductive Health Unit of the Ecole de Santé Publique.
Lastly and not the least, MMRD would like to express appreciation for the time and effort of the
volunteers and the implementing partners in completing the field data collection in six townships in
the delta region. Without their indispensable work, this report would not have been possible.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
5
Contents
Executive Summary .................................................................................................................................... 6
1. Background ........................................................................................................................................... 11
2. Methodology ........................................................................................................................................ 12
2.1. Survey Objectives ......................................................................................................................... 12
2.2. Study Design................................................................................................................................. 12
2.3. Study population .......................................................................................................................... 12
2.4. Sampling Design and Size ............................................................................................................. 12
2.5. Sampling frame and Selection of Clusters ................................................................................... 13
2.6. Questionnaires ............................................................................................................................. 13
2.7. Validity ......................................................................................................................................... 14
2.8. Data Collection Method ............................................................................................................... 14
2.9. Data Collection Process and Quality Control ............................................................................... 15
2.10. Data entry and Analysis ............................................................................................................. 15
2.11. Ethical Consideration ................................................................................................................. 15
2.12. Time Frame ................................................................................................................................ 16
2.13. Research Limitations .................................................................................................................. 16
3. Findings ................................................................................................................................................. 18
3.1. Demographic data ........................................................................................................................ 18
3.2. Maternal Health ........................................................................................................................... 20
3.2.1. Obstetric History ..................................................................................................................... 20
3.2.2. Migration................................................................................................................................. 22
3.2.3. Antenatal Care ........................................................................................................................ 23
3.2.4. Delivery and Newborn Care .................................................................................................... 28
3.2.5. Post-Partum Period ................................................................................................................. 30
3.2.6. Contraceptive .......................................................................................................................... 31
3.3. Under five ........................................................................................................................................... 32
3.3.1. Breastfeeding and food supplementary ................................................................................... 32
3.3.2. Immunization .......................................................................................................................... 33
3.3.3. Vitamin A Module ................................................................................................................... 35
3.3.4. Care of Illness .......................................................................................................................... 35
3.3.5. Growth Monitoring and child anthrometry ............................................................................ 39
4. Conclusion and recommendation ........................................................................................................ 40
Annnex-1 List of Tables ............................................................................................................................ 45
Annex- 2 Questionnaire in English ........................................................................................................... 84
Annex- 3 Questionnaire in Myanmar .................................................................................................... 109
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Executive Summary
Goal 5 of the Millennium Development Goals1 aims to reduce the number of maternal deaths per
100,000 births by three-quarters between 1990 and 2015. Goal 4 aims to reduce under five mortality
by two-thirds in 2015. In order to achieve these millennium goals, Myanmar requires not only
strengthening the quality of its existing maternal and child health services but also increasing the
coverage area of the services.
The Joint Initiative for Maternal, Newborn and Child Health (JIMNCH) plan for the 11 most affected
townships in the delta region was approved by Tripartite Core Group2 in December 2008 following
Cyclone Nargis. The three-year JIMNCH’s objective is to increase access to essential maternal and child
health services through strengthening and coordination of health systems, capacity building, referral
systems and improved community education and outreach. JIMNCH is currently being implemented in
six affected townships, including Mawlamyinegyun, under a joint partnership approach between
respective Township Health Departments and service implementing partners.
International Organization for Migration (IOM) is responsible for technical and financial support for the
implementation and monitoring of the activities of the JIMNCH in Mawlamyinegyun township.
This survey is a cross sectional quantitative study which aims to understand and measure knowledge,
practices and coverage of health behaviours and services specifically related to maternal and child
health in the implementing project areas. The study population was mothers residing in
Mawlamyinegyuntownship who have under five children. As a survey tool for household data
collection, the JIMNCH structured questionnaire was developed based on four established
questionnaires: the Multiple Indicator Cluster Survey (MICS) 2009-10, the Post-Nargis Periodic Review
IV, the Demographic and Health Survey, and the KPC 2000+. The total sample size was 900 households
for Mawlamyinegyun township, which included 30 households with under five mothers per village in
30 villages.
For the maternal health status, 69.1 per cent of women had antenatal care provided by skilled health
personnel3, and 60 per cent of those women had at least four visits of antenatal care. During the
antenatal care visit, at least three activities including blood pressure, weight measurement, abdominal
examination, blood test, urine sample, and vitamin B and iron supplements were given to 87.5 per cent
of the women. At least two tetanus toxoid injections during pregnancy were given to 92.4 per cent of
the women.
The delivery by a health professional or skilled attendant was experienced by 46.9 per cent of
mothers while 31.9 per cent of mothers experienced institutional delivery in a hospital or healthcare
centre.In breastfeeding, timely initiation of breastfeeding as defined by those who immediately
breastfed their infants was fond in 96.7 per cent of the population while 98.7 per cent breastfed within
1Millennium Summit, New York (2000)
2 The Tripartite Core Group (TCG) included the Government of the Union of Myanmar, ASEAN and United Nations partners.
3 Defined as either a medical doctor, nurse, midwife, or lady health visitor
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
7
24 hours after birth. Exclusive breast feeding was reported in 74.4 per cent of children of 0- 5 months
(under 6 months of age).
In the immunization profile of under five children, the coverage of DPT (completed DPT 3) was 86.3 per
cent, Measles 1 was 71.6 per cent, and fully immunized children (DPT 3 and Measles 1) was 68.4 per
cent. Vitamin A supplementation of under five was reported in 87.7 per cent of the children.
Use of oral rehydration therapy (ORT) was found to treat children with diarrhoea was found in 67.8 per
cent of cases. Children with coughs in the last two weeks who were treated with antibiotics was 36.4
per cent.
In terms of the nutritional profile of children between six and fifty-nine months of age, the prevalence
of underweight children was 38.3 per cent, with a breakdown of those moderately underweight at
32.6 per cent and severely underweight at 5.7 per cent . The prevalence of children wasting was 11.2
per cent, with a breakdown of those moderately wasting at 9.4 per cent and severely wasting at 1.6
per cent. The prevalence rate of children stunting was 35.5 per cent, with a breakdown of those
moderately stunting at 25.2 per cent and severely stunting at 10.3 per cent
Although many indicators concerning with mother and child health were extractable from the
questionnaire, limitations such as missing, incomplete or inappropriate data recorded in the
questionnaires may affect the final statistics and analysis. For example, missing or incorrect nutritional
data on children’s height and weight was found in 27.6 per cent of the questionnaires and therefore
excluded. The final analysis was done only on answers that were deemed complete.
The major findings for Mawlamyinegyun township are listed in the following table of summary of
findings (Table. A), and the Key indicators in comparison with those of PR IV 4 (July 2010) which was
done in Nargis-affected delta region as a reference in Table. B.
4
The PR IV is the final Periodic Review exercise undertaken under the TCG mandate. Data for the PR IV was collected from 3 May to 29
May 2010 representing the same 30 Cyclone Nargis-affected townships mainly in delta region. As in previous Periodic Reviews I, II and III,
the fourth monitored the status of Cyclone Nargis-affected households on a number of dimensions in the two years since the disaster,
looking at the worst-affected areas. The purpose of this monitoring was to show change or progress in affected areas that can inform
decisions on developing, evaluating or adjusting assistance strategies. Findings are primarily presented grouped by the PONREPP themes
of Healthy Lives, Productive Lives and Protected Lives.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table. A Summary of Findings
MATERNAL HEALTH INDICATORS Per cent
Antenatal care (ANC) coverage;
- one or more visits
- At least four times
95.5
60.1
Proportion of pregnant women vaccinated against TT2+ 94.8
Mothersreceivingiron tablets during most recent pregnancy 91.1
Proportion of births attended by;
- Skilled personnel
- Trained AMW
- TBA
46.9
7.7
40.9
Deliveries
- Home deliveries
- Institutional deliveries
68.1
31.9
Percentage of women who received at least 2 PNC visits within 6 weeks of delivery.
(by Skilled Birth Attendants)
36.5
Mother received vitamin A within 6 weeks after birth: 61.3
Maternal knowledge of two or more valid danger signs:
- during pregnancy
- during delivery
- during post partum period
- In newborn
21.7
42.9
45.4
30.7
CHILD HEALTH INDICATORS
Breastfeeding
Child put to breast within first hour of birth 96.9
Child put to breast within first 24 hours of birth 100
Continued breastfeeding 6-23 months 26.4
Exclusive breastfeeding among 0-5 months of age 74.4
Growth Monitoring(Under five)
Children with growth monitoring card (seen) 6.4
Children who received de-worming in the last 6 months. 52
Child Anthropometry (6-59 months)
Prevalence of wasted children 11.0
Prevalence of underweight children 38.3
Prevalence of stunted children 35.5
Immunization
Children with vaccination card (seen) 52.2
Proportion of 12-23 month olds vaccinated against DPT3. (by card) 86.3
Proportion of 12-23 month olds vaccinated against DPT3. (by card + recall) 79.7
Proportion of 12-23 month olds vaccinated against measles. (by card) 71.6
Proportion of 12-23 month olds vaccinated against measles. (by card + recall) 80.8
Child with complete immunization coverage before their first birthday (by card) 67.4
Child receiving no immunizations 1.6
The child aged 6-11 months old received vitamin A 9.3
The child aged 12-59 months old received vitamin A 78.5
Care of illness
Proportion of children 0-59 months with diarrhoea receiving appropriate oral rehydration
therapy
67.8
Child with diarrhoea given zinc tablets 1.7
Proportion of children 0-59 months with pneumonia who treated with antibiotics 36.4
Maternal knowledge of two or more diarrhoea danger signs of children 34.3
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Maternal knowledge of two or more severe signs of ARI 28.7
Maternal knowledge of two or more danger signs to seek treatment in children 37.4
When the child got diarrhoea, he/she was given food.
- Stopped feeding
-More than usual
- Less than usual
6.6
4.1
56.2
FAMILY PLANNING HEALTH INDICATORS
Contraceptive prevalence 79.5
Main form of contraception -Injectable 66.8
WATER INDICATORS
Main source of drinking water
-Surface water
- Dug Well/pond
- Piped water
-Improve Water Source*
52.7
29.7
10.1
25.2
Percentage of population who treated drinking water 98.0
The most common method of treating drinking water is - strain it through a cloth 87.4
* Including piped water, protected well and protected spring
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
10
NA=not applicable
5 ,
6recorded
7Weight for height, among 6-59 months
Table-B Key Indicators in Comparison
Key Indicators JIMNCH 2013
PR IV
2010
Numerator Denominator Per cent Per cent
Maternal Health
Proportion of births attended by skilled
personnel
188 401 46.9 41
Per centage of pregnant women who
received antenatal care at least four
times
230 383 60.1 NA
Per centage of pregnant women who
received antenatal care at least four
times by health professional
165 383 43.1 NA
Proportion of delivery in health facilities
(NOT at home)
128 401 31.9 14
Proportion of pregnant women who
received at least 2 tetanus toxoid
380 401 94.8 77
Contraceptive Prevalence Rate 590 742 79.5 NA
Under five Health
Immunization
Proportion of 12-23 montholds
vaccinated against DPT3
82 95 86.35 78
Proportion of 12-23 month olds
vaccinated against Measles
68 95 71.66 89
Care of illness
Proportion of children 0-59 months with
diarrhoea receiving oral rehydration
therapy
82 121 67.8 55
Proportion of children under 0-59
months with pneumonia who treated
correctly with antibiotics
47 129 36.4 NA
Breastfeeding
Proportion of 0-6 montholds (under 6
months of age) who were exclusively
breastfed
87 117 74.4 31
Nutrition
Proportion of malnourished children
between 6-59 months
(Global Acute Malnutrition)
75 682 11.07 NA
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
11
1. Background
Myanmar was severely struck by Cyclone Nargis in 2 May 2008, especially in its south-western delta
region. The total population of more than seven millions of mainly rural people was affected by the
storm and many lost family members, homes and livelihoods8. Billions of dollar were lost due to huge
damage caused by it. Among the affected population, the children and mothers of various ages were
no exception. Cyclone Nargis severely impacted the health system and its capacity to deliver essential
services. At the same time, the status of maternal and child health in Myanmar was in poor state for
many decades which simply needed for improvement urgently.
In December 2008 the Tripartite Core Group (TCG) approved the Health PONREPP later known as the
Joint Initiative on Maternal, Newborn and Child Health (JIMNCH) plan for the 11 most affected
townships by the Cyclone Nargis. The three year JIMNCH’s main objective was to increase access to
essential maternal and child health services, through strengthening and coordination of health
systems, capacity building, referral systems and improved community education and outreach, which is
also in line with the Government of Myanmar’s National Health Plan’s objective to achieve “health for
all” using a primary health care approach and increasing the quantity and quality of medical services
human resources. JIMNCH is currently being implemented in six affected townships, including
Mawlamyinegyun, under a joint partnership approach between respective Township Health
Departments and service implementing partners.
Mawlamyinegyun township is one of the most affected areas by the Cyclone Nargis. The population of
Mawlamyinegyun is primarily rural, living in 109 village tracts. IOMis responsible for technical and
financial support to implementation and monitoring of the activities of the Health JIMNCH Joint Work
Plan for Mawlamyinegyun.Based on the Organization’s past experience, Mawlamyinegyun township
profile, and the assessment, the following have been identified as the most pressing gaps in the
delivery of and access to health services in Mawlamyinegyun which include:
• Skills and capacity of health workers, including skilled birth attendants, and adequacy of
health coverage, including immunization, particularly in remote areas
• Availability of essential medical equipment and supplies, prohibitively high costs of
referrals, medical services and supplies, and transportation to health facilities
JIMNCH achieves its aim by assisting township health personnel, basic health staff and village health
committees in establishing quality maternal, newborn and child health care system. Key interventions
include: 1) at the township level - JIMNCH improves Township coordination, monitoring and
supervision mechanism; and builds basic health staff capacity; 2) at the rural health centre level -
JIMNCH ensures accessibility of essential maternal and child health care services as well as strengthens
coordination, monitoring and supervision mechanism; 3) at the community level- JIMNCH empowers
communities to actively plan, access and monitor health services and practices through the
revitalization of village health committees, supporting committee members to participate in rural
health centre meetings, and provision of emergency referral funds.
8Tripartites Core Group: Post-Nargis Periodic Review IV (July 2010)
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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2. Methodology
2.1. Survey Objectives
Theobjectives of thecommunity-based maternal and child health survey include reference to JIMNCH
key indicators (Table-B). The survey objectives are:
1. To set township-specific baseline and to assess the progress of result indicators disaggregated
by gender and socio-economic status
2. To measure yearly results and impact for 2011/2012
3. To use as a community-based resource for triangulation with other surveys and data sources
2.2. Study Design
It is evaluative study design.
2.3. Study population
This survey aims to understand and measure knowledge, practices and coverage of health behaviours
and services specifically related to maternal and child health. Hence, the study population is mothers
who have under five year old children and are residing in Mawlamyinegyun Township.
2.4. Sampling Design and Size
Sample size for the Community-based Maternal and Child Health was calculated to be 900 households.
Key indicator used to calculate the sample size was proportion ofunder five children with diarrhoea
receiving oral rehydration therapy. The following formula was used to estimate sample size for the
indicator:
N= D��α2×�×����×�.��2×�× h
�
N= Total sample size (883.8 ~ 900)
Zα2=
3.84 (confidence level of 95per cent)
d=Accuracy desired= 10per cent= 0.10
D= Design effect= 1.75
P= Proportion of the total population upon which the indicator, r, is based (0.046)
r= Predicted or anticipated prevalence (coverage rate) of the indicator (0.55)
nh= Average household size (4.5)
1.1 is the factor necessary to raise the sample size by 10per cent for non-response
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
13
Based on Post-Nargis Periodic Review 4, proportion of under five children with diarrhoea receiving oral
rehydration therapy is estimated as 55per cent. And for the proportion of the total population on
which the key indicator is based, is under-2 population size (0.046), after considering resource
availability.
The resulting number of households from this exercise is883.8 households which is the sample size
needed, however, it is decided to cover 900 households. The average cluster size is determined as 30
households which imply a total of 30 clusters for the community-based maternal and child health
survey.
2.5. Sampling frame and Selection of Clusters
Updated list of villages with their population sizeswas obtained through Township Health Department
and used as sampling frame for the selection of clusters. In urban area, wards were defined as primary
sampling units (PSUs), and in rural areas, villages were defined as PSUs. They were selected from the
sampling domain by using systematic PPS (probability proportional to size) sampling procedure. Within
each cluster, 30 households were selected randomly and motherfrom each household were selected to
interview about herself, about the household, and all of her children of under five age.
The list of villages studied and sample of household of Mawlamyinegyun as followed Table. 1 (Annex-
1).
2.6. Questionnaires
Structured questionnaires, developed based on four established questionnaires, namely
1) MICS9(Multiple Indicator Cluster Survey) 2009-10,
2) Post-Nargis Periodic Review IV10
,
3) Demographic and Health Survey Methodology11
and
4) KPC 2000+ modules12
were used for data collection.
9Ministry of National Planning and Economic Development and Ministry of Health, Myanmar, 2011. Myanmar Multiple Indicator Cluster
Survey 2009-2010 Final Report. Nay Pyi Taw, Myanmar.Ministry of National Planning and Economics Development and Ministry of Health,
Myanmar.
10
Tripartite Core Group (TCG), Periodic Review IV, July 2010.
11
ICF International. 2011. Demographic and Health Surveys Methodology - Questionnaires:
Household, Woman’s, and Man’s. MEASURE DHS Phase III: Calverton, Maryland, USA.
http://www.measuredhs.com/publications/publication-DHSQ6-DHS-Questionnaires-and-Manuals.cfm
12
Population Council, 2007.Knowledge, Practice and Coverage Baseline Survey.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
14
The questionnaire is made up of three components:
1) Woman’s background, including
� Marital status
� Education
� Past obstetric history
� Under five children listing (dead or alive)
2) Questionnaire for household, including
� Household characteristics
� Water and sanitation
� Migration
� Household expenditure
3) Questionnaire for mothers, including
� Antenatal care
� Delivery and immediate newborn care
� Postpartum care
� Contraceptive prevalence
4) Questionnaire for under five children, including
� Breastfeeding
� Immunization
� Vitamin A module
� Care of illness
� Growth monitoring and anthropometry
The full version of the Questionnaire set in English and Myanmar language are in the Annex- 2 and -3.
2.7. Validity
Questionnaires in Myanmar version mostly contain questionnaires from Myanmar Multiple Indicator
Cluster Survey (2009-2010) which have already been pre-tested and modified. Other questionnaires in
Myanmar have been referenced from reliable sources13
and have been repeatedly checked by
technical experts from respective departments under the Ministry of Health, who are also members of
survey technical working group.
2.8. Data Collection Method
After being approved by the Ethics Committee for Human Research, initial preparation meetings were
held with Township Health Department in order to plan for enumerator training and data collection
process. All interviews were administered by trained enumeratorswho have satisfactory education
13
Refer to 2.6 Questionnaires
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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credentials. IOM’s health team members, school teachers and local volunteers from other NGOs such
as Myanmar Red Cross Association and Myanmar Maternal and Child Welfare Association were act as
enumerators. Structured survey questionnaires were administered by trained enumerators after
explaining about the objectives of the survey and receiving the respondents’verbal consent.
Enumerators and supervisors clarified any issues or concerns the respondents have, regarding the
survey. Each interview took about 60 minutes at maximum for each respondent.
In single township, there were 6 data collector teams, with 3 enumerators in each team, making total
of 18 members. One supervisor for two teams and total 3 supervisors in a township studied.
2.9. Data Collection Process and Quality Control
A short training including field practice, with the support from Township Health Department, was
providedto the supervisors and enumerators. Training included survey objectives, interviewing
techniques, contents of the questionnaires, anthropometry measurements, and mapping and listing
teams and households. All enumerators were required to adopt the same approach in explaining the
survey, phrasing particular questions, and recording the responses. They were particularly trained to
avoid asking leading questions when phrasing the questionnaires to the respondents and reading out
the answer responses.Datawas collected at the randomly chosen villages as planned,with assigned
team supervisors who were responsible for overseeing the whole data collection process, including on-
the-spot verification of completed questionnaire submitted by the enumerators. If the response was
not clear or incomplete, the respondents asked again to clarify their response.
2.10. Data entry and Analysis
Enumerators checked completed survey questionnaires for accuracy in the field, so that any missing
information could be gathered before the data collection team left the village. Then completed survey
questionnaires were reviewed by the supervisors. Data was cleaned, entered and analyzed by the data
processing team using Statistical Package for the Social Sciences (SPSS) version 13. The nutritional
status on children was analyzed with ENA for SMART version 114
software programme. The result of
nutritional status was based on the National Centre for Health Statistics (NCHS)(1977) standard. In
calculation of wealth index quintile for some cross tabulations, the syntax of MICS was applied.
For checking of data quality, a team of six members and for the data entry five members was used.
One data processing manager closely monitored the whole process. Then frequencies, cross
tabulations and association of key variables as appropriate for analysis were performed by three
members.
2.11. Ethical Consideration
Ethical clearance was obtained from the Ethics Committee for Human Research. Enumerators were
required to explicitly explain about the study in order to obtain the respondents’informed consent
14Nutrisurvey (2007)
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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before beginning the survey. Respondents’ confidentiality was assured by omitting names or any
information that could be in anyway used for identification when the results of survey were published
or shared among different stakeholders. More importantly, enumerators were trained to ask the
questionnaires with sensitivity and respect. The respondents were also informed that they had the
right to discontinue the interview at anytime or choose not to answer any part from the survey.
Enumerators were instructed to refrain from helping respondents neither to answer any questions nor
to give any kind of coercion to answer questions. Moreover, respondents were encouraged to discuss
any problems they encountered during the interview process with the supervisor or the enumerator.
2.12. Time Frame
The duration of the survey was four weeks. The field team started data collection at 7.11.12 and ended
their work at 18.11.12 in Mawlamyinegyun township (total 12 days). The field team composed of 30
enumerators with five field supervisors.
2.13. Research Limitations
Volunteer data collectors: With the sample population of 5,400 households in diverse geographical
area in six townships of delta region and the aid of many IPs involved, this survey relied on the effort of
a large number of local volunteers in the data collection procedure. The volunteers were from various
educational backgrounds, experience in survey procedure and knowledge on the concerned subject of
the study. They were extensively trained by the survey team trainers before going to the field area, but
the level of completeness of the answers in the questionnaires varied due to their backgrounds and
experience. Inconsistent or unclear answers were found during the data cleaning and checking of the
questionnaires by the data processing team of MMRD.
Supervision of the questioning process: Duringchecking of the answered questionnaire set, it was
found that at least 27.6 per cent (260/942) of the data of under five children (6-59 months) in question
number 121 on malnutrition status was missing either the measurement of height or weight without
any appropriate reason. There were many claims that the children were too young to take
measurements on their height or weight. It reflected the need to strengthen the supervision of the
completeness of the data collection process in a similar follow up study.
Calculation of nutritional status: When doing the calculation for the nutritional status of under five
children, it was not possible to use the ‘age’ data collected by the field staff which was recorded to the
nearest full year, not in months. This caused inaccuracy in calculating the exact nutritional status which
required the actual age, at least in total months of the child and its weight and height in standing or
lying down position. The analysis had to use the survey date, the day of data collection and the child’s
recorded birth date (not included exact ‘day’ again, so all the birth date of each child was assumed as
15th
of respective month) to calculate the child’s age to get the nutritional status of that particular
child. The child’s birth date in the questionnaire was also likely estimation by the mother in many of
the cases. Even a couple of months in the wrong estimation of the age of child may have some
considerable effect or change in calculation of the child’s nutritional status.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Indefinite explanation of some topics in questionnaire set: In the questionnaire set, certain questions
were repeatedly asking about the death of the children in different approach without exploring the
specific time of occurrence, such as in question number 7, 8, and 16. On the other hand, some were
focused on enquiring the ‘living’ or ‘alive status’ or ‘both died and alive’ of the children that a woman
of under five having or had (in the past), such as in question number 6, 7, 8, 9, 10, 11, 16, 17, 18 and
19. Some of the questions concerning with the age of the particular child, again appeared in later part
in question number 87, 88. Nonetheless, there may have a better reason or intention in order to get
the data more confirmed by repeatedly asking more or less similar question, as a result, more
inconsistent data entry was achieved. Because of the importance of how constantly understood by the
enumerator and respondent alike in defining a word, ‘born alive but later died’ (question number 7), or
‘children later died’ (question number 8) which had some impact on the end result of the data output.
Although some question numbers which may have some good linkage to each other, it could not be
properly checked for its logical association between those sub-set of questions concerning with the
under five death or live birth later died because of the inconsistency of data collected. As a result,
some of the tables mentioned had limitations in their usefulness. Reliability of the findings was also in
doubt. At the same time, regarding to the words defined in certain numbers of the questions, for
instance, in question number 7, 18, 49, 55, 64, 74 and 78, some observable differences between
English version and Myanmar version of the question set were noticed. These discrepancies also
affected the interpretation and understanding of the respective topic.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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3. Findings
3.1 Demographic data
3.1.1 Sample size (Table. 2)
The total sample size was 900 mothers with under five children in thirty studied villages.
3.1.2 Age (Table. 3)
The majority 68.5 per cent of the respondent mothers were between twenty and thirty-four years old.
Another27 per cent of respondent mothers were older, between thirty-five and forty-four years old.
Only 2.1 per cent were in their teens and 2.4per cent were over forty-five years old.
3.1.3 Marital Status (Table. 4)
The majority 96.9 per cent of the mothers were married, while widowed or separated mothers were at
2.9 per cent. Divorced mothers were only at 0.2 per cent of the population.
3.1.4 Education (Table. 5)
Primary level education was received by 59.6 per cent of the mothers. Another 20 per cent had
attended middle/high school. Around 6 per cent of the mothers had never attended to school.
3.1.5 Wealth Index Quintile (Table. 6)
The wealth index quintile15
for surveyed households was calculated based on the questionnaires items
on household characteristics (question number 20, 21, 22, 23, 24, 25, 29, and 30), and those for water
and sanitation (question number 31, and 37). (Total of 10 questions)
3.1.6 Household members (Table. 7)
The majority 43.6 per cent of the mothers had a household size of four to five members. About 22.6
per cent and 24.2 per cent of the mothers respectively had households of either two to three
members, or six to seven members. Less than 10 per cent of the mothers had large households with
more than eight members.
15
Principal components analysis was performed by using information on the ownership of household goods and amenities (assets) to
assign weights to each household asset, and obtain wealth scores for each household in the sample (The assets used in these calculations
were as follows: persons per sleeping room, types of floor, roof, wall, type of cooking fuel used, electricity radio, television, mobile
phone, land line phone, refrigerator, ownership of watch, bicycle, motorcycle, boat/animal drawn cart, car, motorized boat/trawlargyi,
source of drinking water used, type of sanitation facility). Each household was then weighted by the number of household members, and
the household population was divided into five groups of equal size, from the poorest quintile to the richest quintile based on the wealth
score of households they are living in. The wealth index is assumed to capture the underlying long term wealth through information on
the household assets, and is intended to produce a ranking of households by wealth, from poorest to richest. The wealth index does not
provide information on absolute poverty, current income or expenditure levels, and the wealth scores calculated are applicable for only
for the particular data set they are based on. Further information on the construction of the wealth index can be found in Rutstein and
Johnson, 2004, and Filmer and Pritchett, 2001. (Footnote from MICS Report 2009-2010, page 10)
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
19
3.1.7 Water
3.1.7.1 Main source of drinking water (Table. 8. a. b)
Among all household surveyed, more than half 52.7 per cent got the main source of water from surface
water (including river, stream, dam, lake, canal, irrigation channel). Other main sources of drinking
water were from, dug well/pond (both protected and unprotected) (29.7 per cent), piped water (10.1
per cent) (including piped into dwelling, compound, yard or plot, public tap/standpipe, tube well
borehole etc.), rain water collection (5.2 per cent), water from spring (0.2 per cent) (both protected or
unprotected)and other sources (2.1 per cent) such as tanker-tuck, cart with small tank/drum or bottle
water (Figure-1). In other words, a forth25.2 per cent of the households got their drinking water mainly
from ‘Improved water source’, which included various types of piped water, protected dug well/pond
and protected spring. The majority 74.8 per cent of the sample households got it from ‘Unimproved
water source’. All the various types of water source not recognized as improved water source were
labeled as ‘Unimproved water source’.
Figure-1 Main Source of drinking water
Table.8.a Main Source of drinking water
Main source of drinking water Numerator Denominator per cent
Dug well/pond 267 900 29.7
Rainwater Collection 47 900 5.2
Piped water 91 900 10.1
Surface water 474 900 52.7
Water from spring 2 900 0.2
Other sources 19 900 2.1
TOTAL 900 900 100
30%
5%
10%
53%
0% 2%
Main Source of Drinking water
Dug well/pond
Rainwater Collection
Piped water
Surface water
Water from spring
Other sources
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.8.b Type of Main Source of Drinking water
Main source of drinking water
Numerator Denominator Percent
Improved water source 227 900 25.2
Unimproved water source 673 900 74.8
3.1.7.2 Treated drinking water and Methods used (Table. 8. c. d)
The majority 98 per cent of the households reported that they treat the water for safer drinking.
Among them, the most commonly observed type of method used was strain it through a clot in 87.4
per cent. The second commonest was letting the water stand and settle in 50.7 per cent. Boiling was
seen in 36.2 per cent. Other less common methods were addingalum (38.2 per cent), bleach/chlorine
(4.8 per cent), use water filter, solar disinfection, lime, abate powder, ceramic filter, and water purifier
etc.
3.2 Maternal Health
3.2.1 Obstetric History
3.2.1.1 Frequency of Pregnancy (Table. 9. a. b)
The prevalence of women having under five who reported being pregnant once, two to four times or
more than five times was 29.1 per cent, 53.4 per cent, and 17.4 per cent respectively.
The association between the number of pregnancies and the educational level of the respondent was
seen in Table.7.b. In sum, women who reported having five or more pregnancies were more likely to
have never attended school or to have only completed primary level education.
3.2.1.2 Child delivered (Table. 10)
The majority 53.4 per cent of mothers delivered two to four times, another 29.1 per cent of mothers
delivered only once, and 17.4 per cent of mothers delivered five times or more.
3.2.1.3 Frequency of Abortion (Table. 11)
The majority 85.8 per cent of mothers reported that they never had an abortion. Another 13.7 per cent
of the women reported that they had aborted once or twice while 0.4 per cent reported they had
aborted three to four times.
3.2.1.4 Number of living children (Table. 12)
The majority 54.1 per cent of mothers had between two to four children who were under five years old
and 35.3 per cent of mothers had one child under five. Mothers with more than five children in range
were found in 10.6 per cent of the households.
3.2.1.5 Alive birth that died (Table. 13)
The occurrence of a live birth that died within a few minutes or hours of the delivery was reported by
28.4 per cent of the mothers.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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3.2.1.6 Number of children died (Table. 14. a. b)
The majority 66.8 per cent of mothers experienced the death of a child, while 31.3 per cent of mothers
experienced the death of between two to four children. Only 2 per cent of mothers experienced the
death of five or more children.
The association between the number of child deaths and demographic data was shown in Table.12.b.
3.2.1.7 Total children under five died (Table. 15)
Of the under five mortality rate, 78.3 per cent of the deaths were of infants below six months of age.
Nearly 40 per cent were from either neonatal (Less than one month) or one to five month of age.
Another 13 per cent between twelve to twenty-three months of age, and 4per cent between thirty-six
to forty-seven months of age.There was no death between twenty-four to thirty-five or forty-eight to
fifty-nine months group. (Figure. 2)
Figure -2 Total children under five died by age group and sex
3.2.1.8 Total number of children in household (Table. 16)
The majority 53.2per cent of the mothers had between two to four children in a household while 29
per cent of mothers had only one child in the household. Mothers with more than four children made
up 17.8 per cent of the respondents.
3.2.1.9 Single or twins born (Table. 17)
The majority 98.7 per cent of all children born were individual while 1.3 per cent twins.
3.2.1.10 Sex of child born (Table. 18)
Of all children born, boys made up 48.8 per cent while girls made up 51.2 per cent.
30.0
50.0
0
10.0
0
10.0
0
46.2
30.8
7.7
15.4
0 00
0%
10%
20%
30%
40%
50%
60%
<1 month
(neonatal)
1-5 months 6-11 months 12-23 months 24-35 months 36-47 months 48-59 months
Total children under five died by age group and sex
Boy
Girl
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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3.2.1.11 Child still alive or not (Table. 19)
Only2.1 per cent of born children were not alive at the moment, while 97.9 per centof children were
reported to be alive.
3.2.1.12 Live birth in past 2 years (Table. 20)
The occurrence of live births in past two years reported by mothers was found to be 44.8 per cent.
3.2.1.13 Total children under five (alive) (Table. 21)
The number of living children in a household was fairly evenly spread among the age groups. Around
20 per cent of children were either from the twenty-four to thirty-five months or thirty-six to forty-
seven months age group. Around 17 per cent of living children were in the twelve to twenty-three
months and forty-eight to fifty-nine months age groups, respectively. Households with infants below
six months and six to eleven months made up 11.1 per cent each of the sample.
3.2.1.14 Children under five, whether living with mother or not (Table. 22)
All 100 per cent of the under five children lived with their mother at the moment of survey.
3.2.2 Migration
3.2.2.1 Household lived in this village before Nargis (Table. 21. a. b)
The majority 92.2 per cent of the respondents were native villagers while 7 per cent of the mothers
had moved to the village from somewhere else. Out of those moved to this village, 86 per cent were
had a history of moving from another village, the rest had stayed two different villages after Nargis.
3.2.2.2 Months or years moved here (Table. 22)
Of the mothers were not natives of the village, 57.8 per cent had lived there for two years or less, 26.6
per cent had lived there for three years and 15.6 per cent had lived there for four years.
3.2.2.3 Whether want to stay here or not (Table. 23)
The majority 97.9 per cent of the mothers stated that they would like to stay in the village/ward. Only
2 per cent said they would like to move to a new place.
Table. 21 Total children under-five (alive) by age group and sex
Children under-five
(alive)
Gender of child TOTAL
Boy Girl
Count Percent Count Percent Count Percent
0-5 months 56 11.1 61 11.1 117 11.1
6-11 months 54 10.7 67 12.2 121 11.5
12-23 months 94 18.6 88 16.0 182 17.3
24-35 months 98 19.4 125 22.8 223 21.1
36-47 months 119 23.5 111 20.2 230 21.8
48-59 months 85 16.8 97 17.7 182 17.3
TOTAL 506 100 549 100 1,055 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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3.2.2.4 Household have household registration document (Table. 24)
The majority 80.8 per cent of mothers had a household registration document while 19.2 per cent did
not have it or did not know if they had it.
3.2.2.5 The main language spoken (Table. 25)
In 96 per cent of the households, the main language spoken was Bamar (Myanmar). Other reported
languages were 4 per cent Kayin (Karen).
3.2.3 Antenatal Care
3.2.3.1. To go to health care: (Table. 26)
The majority 97.8 per cent of mothers knew that they should seek antenatal health care when they are
pregnant.
3.2.3.2. Caretaker of antenatal care: (Table. 27. a. b. c)
Mothers of under five who have ever visited skilled personnel for antenatal care recalled that they
were treated most commonly by a nurse or midwife at 62.1 per cent in their last pregnancy. Doctors
and lady health visitors were much less common at 16.2 and 11.7 per cent respectively. However, this
means 69.1 per cent of women with under five have received antenatal care with health professional
or skilled personnel (doctor, nurse/midwife, or lady health visitors) in their last pregnancy. Antenatal
care with other persons such as an auxiliary midwife, traditional birth attendant, community health
worker and nonspecific NGO staff was at 26.4 per cent. Although they went to a health care clinic, 4.5
per cent (18/401) of mothers did not receive any antenatal care in their last pregnancy.(Figure.3)
The association between types of antenatal care and demographic data of the respondents such as age
group, educational level, wealth index and per centage on health care expenditure was seen in Table
27.c. Respondents in the higher in the wealth index were more likely to have antenatal care with a
skilled health professional. Mothers in the poorer quintiles were more likely to seek antenatal care
from other sources, such as community health workers or relatives rather than skilled health
personnel.
Figure -3 Type of care takers in antenatal care
69.1%
26.4%
4.5%Type of care taker in antenatal care
Heath professional
(Skilled personnel)Other person
No one
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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3.2.3.3 Months of pregnancy received antenatal care and first month of received (Table. 28)
Around 46 per cent of under five mothers who received antenatal care in their last pregnancy started
their antenatal care in the third month of pregnancy. The second commonest were in fourth, fifth and
six months of pregnancy when they begun their antenatal care, 10.7, 10.4, and 10.2 per cent
respectively.
Table. 28 First month receiving antenatal care
The first month received antenatal
care for pregnancy Numerator Denominator per cent
1 9 383 2.3
2 39 383 10.2
3 176 383 46.0
4 41 383 10.7
5 40 383 10.4
6 34 383 8.9
7 23 383 6.0
8 10 383 2.6
9 5 383 1.3
Don’t know 6 383 1.6
3.2.3.4 Numbers of antenatal care received: (Table. 29. a. b)
The most common frequency of antenatal care visits in their last pregnancy among under five mothers
was four times for 26.1 per cent for mothers. Mothers who received antenatal care once, twice or four
times was 3.7 per cent, 11 per cent and 25.3 per cent respectively. Mothers who received antenatal
care four times and more wasin 60.1 per cent.
The association between number of antenatal care and demographic data was shown in Table.29.b
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
25
Table. 29.a Number of antenatal care received
Number of antenatal care received Numerator Denominator per cent
1 14 383 3.7
2 42 383 11.0
3 97 383 25.3
4 100 383 26.1
5 47 383 12.3
6 22 383 5.7
7 24 383 6.3
8 14 383 3.7
9 6 383 1.6
10 3 383 0.8
11 1 383 0.3
12 1 383 0.3
13 1 383 0.3
14 1 383 0.3
15 1 383 0.3
16 2 383 0.5
17 2 383 0.5
18 1 383 0.3
Don’t know 4 383 1.0
Antenatal care 4 times and above 230 383 60.1
3.2.3.5 Type of antenatal care provider and the numbers care received (Table. 30)
Depending on the type of antenatal care provider, the frequency of care was calculated. The rate of
women who received care from a skilled health professional once, twice or three times was 2.9 per
cent, 9.4 per cent and 24.2 per cent respectively. Those mothers who received antenatal care from a
skilled professional four times or more was 59.6 per cent. Those mothers who received antenatal care
from a skilled professional four times or more was 43.1 per cent out of all pregnant mothers who got
antenatal care.
The rate of women who received care from a non-health professional once, twice or three times was
5.7 per cent, 15.1 per cent and 28.3 per cent respectively. Those mothers who received antenatal care
from a non-skilled professional four times or more was 48.1 per cent.
3.2.3.6 Terms of pregnancy that antenatal care received (Table. 31)
Out of those who received antenatal care, more expecting mothers generally sought care as their due
dates drew closer. Within twelve weeks, twenty-six weeks, thirty-two weeks and thirty-six weeks of
pregnancy, the per cent of pregnant women who received antenatal increased by 83.9, 96.1 , 94.3 and
96.5 respectively.
3.2.3.7 Activities done in antenatal care (Table. 32)
Among the activities done in antenatal care, 94 per cent of expecting mothers received an abdomen
examination, 91.1 per cent received iron tablets, 87.5 per cent had their blood pressure checked, 86.2
per cent received vitamin-B1 tablets, 57.1 per cent were weighed, 45.3 per cent gave a urine sample
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
26
and 39.3 per cent gave a blood sample. Out of all those women who reported receiving antenatal care,
87.5 per cent, and 12.5 per cent reported that they received at least three or four of the above
activities during their last pregnancy. (Figure.4)
Figure-4 Number of activities done in antenatal care
3.2.3.8 Reason for not received antenatal care (Table. 33)
When exploring the reason among those who did not receive antenatal care, 16.7 per cent of the
women said that they thought that it was not necessary for them. Another 22.2 per cent of the women
reported that the location for antenatal care was too far away and 61.1 per cent said that it cost too
much. Other reasons cited included that the women felt they were in good health, had no form of
transportation to get there, were traveling all the time, had no time or felt shy to seek treatment.
3.2.3.9 Transportation type (Table. 34)
Around 44.6 per cent of the expecting mothers used foot transport to come to the place where they
received health treatment. Another 27.7 per cent of the women came by motor boat while 25.7 per
cent traveled by sampan16
. Around 7.5 per cent of mothers came by motorized vehicles. Trishaws,
bicycles and tollagyi (trawlagyi)17
transport was even less common.
3.2.3.10 Time to clinic (minutes) (Table. 35)
Travel time in the most frequently used method between the respondent home and the nearest health
post/clinicwas explored. It was found that the most common travel time was between fifteen to thirty
minutes in 41.1 per cent of the women while 20.9 per cent of women needed on average between
16
A small boat with a flat bottom used along the coasts and rivers of China and South East Asia (Cambridge Advanced Learner’s
Dictionary, Third edition © Cambridge University Press 2008)
17
A small vehicle running with a single cylinder diesel engine for transporting passengers and goods, especially in many rural areas of
Myanmar
87.5
12.5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Number of activities in antenatal care
Number of activities done in antenatal care
At least 3 Activities
4 activities and above
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
27
thirty to sixty minutes to reach their destination. Health care centres that were very far or very close
were less common, with 20 per cent of women spending less than fifteen minutes to reach the clinic
and 18per cent of women spending more than sixty minutes to reach to the clinic.
3.2.3.11. Distance to clinic (Kilometre) (Table. 36. a. b. c)
Around 27.9 per cent of the respondents lived one to two Kilometres away from the clinic. Another 13
per cent of the respondents lived three to five Kilometres away.
The association between the distance to clinic and type of antenatal care provider the women sought
out was shown in Table.36.b. The frequency of antenatal care taken and distance to clinic were shown
in table.36.c.
3.2.3.12. Symptoms during pregnancy to immediate care (Table. 37)
When asked about severe symptoms during pregnancy, 50.1 per cent of women knew that vaginal
bleeding was a severe enough to seek immediate medical care while another 32.2 per cent and 23.9
per cent of women reported that severe abdominal pain or severe headache with blurred vision
respectively were cause for seeking immediate medical attention. Around 23.9 per cent and 16.5 per
cent of women reported that fits/convulsions and fever/too weak to get out of bed were severe
symptoms. Another 17 per cent of women said fast or difficulty in breathing was serious.
Of the all the women, 16.2 per cent could mention that toxaemia of pregnancy was a severe condition
to recognize but whether or not the women understood what the condition is exactly is unclear. Other
symptoms were mentioned such as no foetal movement, abnormal foetal position, high blood
pressure, dizziness/dyspnoea, varicose veins, weaken uterus, yellow coloration of eyes/jaundice, fall,
and dribbling but many women said they were not serious.
Around 21.7 per cent of the women recognized two important symptoms, and 14.7 per cent of the
women could name at least three symptoms. Another 14.7 per cent of women reported that they did
not know any symptoms at all that would require immediate medical attention.
3.2.3.13 Tetanus injection in pregnancy and frequencies of injection(Table.38)
The majority 94.8 per cent of those women who received antenatal care had a tetanus injection during
their last pregnancy. The coverage of receiving anti-tetanus toxoid for two times in delta region was
between 80.1-90.0 per cent18
. Among those women who got anti-tetanus toxoid during their last
pregnancy, 92.4 per cent received the vaccine at least twice.
18
Myanmar Health Statistics 2010, Health Management Information System (HMIS), Department of Health Planning, Ministry of Health,
Myanmar
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.38 Tetanus injection in pregnancy
Tetanus injections in last pregnancy Numerator Denominator per cent
Yes 380 401 94.8
No 21 401 5.2
Frequencies of tetanus injections Numerator Denominator per cent
Once 23 380 6.1
Twice 237 380 62.4
Thirce and above 114 380 30.0
Don’t Know 6 380 1.6
Tetanus injection at least 2 timesreceived 351 380 92.4
3.2.3.14 Previous tetanus injection, frequency and years before (Table. 39)
All members of respondedthat they had failed to take a tetanus injection with 100 per cent (29/29).
3.2.4 Delivery and Newborn Care
3.2.4.1 Delivery assisted (Table. 40. a. b. c)
Expecting mothers who were assisted by skilled personnel in the delivery of their babies were 46.9 per
cent. Among them (multiple choices), 29.7 per cent were assisted by a nurse or midwife, 23.7 per cent
by a doctor and 5.7 per cent by LHV. The rate of deliveries that were assisted by unskilled personnel
was 53.1 per cent. Among them (multiple choices), 7.7 per cent were assisted by auxiliary midwife,
40.9 per cent by a traditional birth attendant, and 12.2 per cent by relative or friends. (Figure.5)
The association between delivery assisted and demographic data was seen in Table 40.b. The
association between delivery assisted and distance to clinic was seen in Table 40.c.
Figure-5 Delivery assisted by whom
46.9
53.1
-10%
0%
10%
20%
30%
40%
50%
60%
Delivery assisted
Delivery assisted by whom
Heath professional
(Skilled personnel)
Other person
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table. 40.a Delivery assisted
Delivery assisted Numerator Denominator per cent
Heath professional (skilled personnel) 188 401 46.9
Doctor 95 401 23.7
Nurse/ Midwife 119 401 29.7
Lady Health Visitor 23 401 5.7
Other person 213 401 53.1
Auxiliary midwife 31 401 7.7
Traditional birth attendant 164 401 40.9
Community health worker 4 401 1.0
Relative/Friend 49 401 12.2
3.2.4.2 Place of birth (Table. 41. a. b. c)
In terms of place of delivery, 68.1 per cent of the women were at either their own homes or another
person’s house. Much less common were deliveries in a public hospital or clinic, which was reported by
30.7 per cent of the women. Women who delivered in a private medical facility were even rarer at only
1.2 per cent.
The association between place of delivery and demographic data was seen in Table. 41.b. The rate of
home delivery was found to be slightly increased for households falling in the poorer quintile of the
wealth index while the rate of delivery in public institutes increased for households in the richer
quintile of the index.
The place of birth and distance to clinic is cross tabulated in Table. 41. c.
3.2.4.3 Severe problem during delivery (Table. 42)
In recognizing severe problems during delivery, 26.4 per cent, 49.6 per cent, and 28.2per cent of the
women respectively knew that labour pain for more than twelve hours, heavy bleeding and failure to
go into labour six hours after their water broke were serious conditions. Another 29.9 per cent knew
that if the placenta was not expelled one hour after birth of baby, this was also serious. Another 27.7
per cent of the women reported that high or low blood pressure, transverse position of the fetus,
dizziness, loss of consciousness/seizures, uterine pain, weakness, difficulty in breathing, high fever and
shivering were severe symptoms to notice. Around 42.9 per cent the women recognized at least two
severe problems during delivery. However, 26.4 per cent of the women were unable to name any
severe symptoms at all.
3.2.4.4 Way of delivery (Table. 43)
The majority 86.8 per cent of the women reported that their last delivery was normal while another
11.7 per cent had caesarean sections. Only 1.5 per cent of the women reported that they needed
assisted delivery either by forceps or vacuum.
3.2.4.5 Type of assisted deliveryand reason (Table. 44)
All six women who reported having assisted delivery, was assisted through vacuum. The reason given
by the mother for the difficulty was because the baby was large in size.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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3.2.4.6 Type of Caesarean (Table. 45)
Of the women who received caesarean sections, 51.1 per cent of the occurrences were on an
emergency basis and 48.9 per cent of the caesareans were planned.
3.2.5 Post-Partum Period
3.2.5.1 Symptoms after delivery (Table. 46)
Regarding severe symptoms post-delivery, 58.4 per cent, 33.4 per cent and 23.9per cent of the women
reported respectively that increased vaginal bleeding, having a fit and having a severe headache with
blurred vision were serious conditions. Only 44.6per cent of women named fever/too weak to get out
of bed, fast/difficult breathing and high blood pressure as important symptoms. At least 45.4per cent
of the women recognizedat least two symptoms as severe and14.5 per cent said they knew nothing
about it.
3.2.5.2 Mother health check after delivery and timing (Table. 47. a. b)
Mothers who received a health check after they delivered their babies were in the majority at 95.8 per
cent. Among those receiving the care, 98.9 per cent of mothers reported that they received it within
first hour after the delivery and 1 per cent of mothers reported that they received it days or weeks
later.
3.2.5.3 Health check for mother (4-6 weeks) (Table. 48. a. b. c)
A reported 37.5 per cent of the mothers delivered their babies received a health check by skilled
personnel. When asking about who checked their baby in a multiple answer choices specifically 36.7
per cent with a nurse/midwife, 19 per cent with a doctor, and 4.7 per cent with LHV four to six weeks
after delivery (multiple answers). Another 61.7 per cent of the mothers had health checks from other
persons, specifically 32.8 per cent with traditional birth attendant, 10.9 per cent with auxiliary midwife
and 2.1 per cent each with a relative or no examination at all.
The association between who gives the health check for mother and demographic data was shown in
Table 48.b. The association between health check for mother (4-6 weeks) by whom and distance to
clinic was shown in Table 48.c.
3.2.5.4 Frequency of post natal care (for mother) in 6 weeks (Table. 49. a. b. c)
The frequency of post natal care within a six-week period was 4.2 per cent, 7.6 per cent and 14.3 per
cent for mothers who received care once, twice and three times, respectively. The majority 64.4 per
cent of mothers received post natal five times or more.
The association between the frequency of post natal care in six weeks and demographic data was
shown in Table.49.b. In getting five or more times of care, the richer quintile had slightly more
occurrences than those in poorer quintile. The association between the frequency of post natal care
and distance to clinic was shown in Table.49.c.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
31
3.2.5.5 Child health check, when and by whom (Table. 50. a. b)
The majority 94 per cent of mothers received a health check for their child delivered. The rest of the
mothers, 6 per cent received none. Among those mothers who received health checks for their
newborn, the majority 99.2 per cent experienced it within onehour of delivery.
3.2.5.6 Child health check in4- 6 weeks (Table. 51)
The health check for the newborn baby in 4-6 weeks was done mainly by non-skilled persons, 60.2 per
cent and by the health professional category, 39 per cent. Among the health professional group, by
allowing multiple answers,it was reported that nurse or midwife were most commonly seen, 43.2 per
cent. Among other person category (also in multiple answer allowed), traditional birth attendant were
commonest, 32.9 per cent, followed by relative, 29.7 per cent (In PR IV, it was reported that 70 per
cent of the 274 newborn children were examined within the first six weeks of life).
3.2.5.7 Frequency of child check in 7 days (Table. 52. a. b. c)
The frequency of health checkswithinseven days was most commonly found to befiveor more health
checks for 70.8 per cent of the children. The second most common frequency of health checks within
seven days was three times for 13 per cent of the children.
The association of demographic data and frequency of child check in seven days was shown in
Table.52.b.The association between frequency of child check in seven days and distance to clinic was
shown in Table.52.c.
3.2.5.8 Vitamin A received (Table. 53)
The majority 61.3 per cent of children born during the respondents’ last pregnancy never received
Vitamin A tablets while 37.9 per cent of children did receive it.
3.2.5.9 Severe symptoms of newborn babies in first month of life (Table. 54)
When asked about their knowledge on recognizing severe symptoms in newborn, 61.8 per cent of
mothers said fits, 45.9 per cent said fevers, 24.4 per cent said difficulty in breathing, 26.7 per cent said
feel cold and 31.2 per cent said babies stop feeding, 26.7 per cent said diarrhoea, and 12 per cent said
bleeding were symptoms that required medical care. Another 7.2 per cent of the mothers could not
reveal any symptoms at all. Among the respondents, 30.7 per cent of the mothers could name at least
two symptoms that were severe for newborn while 29.9 per cent of mothers could name more than
three symptoms.
3.2.6 Contraceptive
3.2.6.1 Any current pregnancy (Table. 55)
Among under five mothers, only 4.9 per cent was pregnant at the time of survey. The majority 95.1 per
cent of mothers were not pregnant.
3.2.6.2 Like to have another child or not (Table.56.b)
Among under five mothers, the majority 76.2 per cent responded that they did not want to have
another child at the moment. Another 14.8 per cent of mothers said they would like to have another
child while the remaining mothers were uncertain about the issue.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
32
The association between whether the mother would like to have another child and demographic data
was seen in Table.56.b.
3.2.6.3 Method to avoid pregnancy (Table. 57)
Among those who were not pregnant, 79.5 per cent were using some methods to avoid pregnancy and
20.5 per cent did not use any method at the moment.
Table. 57 Method to avoid pregnancy
Using method to avoid pregnancy Numerator Denominator per cent
Yes 590 742 79.5
No 152 742 20.5
3.2.6.4. What method used (Table. 58. a. b)
Among those women using some method of birth control, 66.8per cent used injection form, 24.2 per
cent were on the pill, 6.6 per cent of intrauterine device, 1.5 per cent underwent female sterilization,
and 0.3 per cent used male condoms. Other less common methods were implants, male condom,
periodic abstinence/rhythm, withdrawal (coitus interruptus) and traditional medicinereported.
The association with demographic data and birth control method used was seen in Table.58.b.
3.3 Under five
3.3.1 Breastfeeding and food supplementary
3.3.1.1 Ever breastfed (Table. 59)
The majority 97 per cent of children under five were reported to have been breastfed by their mothers
sometime in the past. Only 3 per cent of under five children have never been breastfed.
3.3.1.2 First time breastfed (Table. 60)
Of children who were breastfed, 96.7 per cent had their first breast feeding immediately after birth
while 98.7 per cent had it within the first twenty-four hours of their births. Another 2 per cent of
children received it after twenty-four hours and 1.4 per cent of the mothers were unsure about the
timing of the first feeding.
3.3.1.3 Still breastfed (Table. 61)
Around 46.1 per cent of mothers reported that their child was still on breast feeding, while the
remaining 53.9 per cent reported that they ceased to breastfeed their child at the moment.
3.3.1.4 Child received food/supplement and age group (Table. 62. a. b)
Askingunder five mothers whether fed their children different kinds of liquids during the last twenty-
four hours (since the same time yesterday),the majority 94 per cent of children received plain water,
27.1 per cent of children received sweeten water or juice, 8.1 per cent of children received milk, 25.5
per cent of children received vitamin supplementary, 4.5 per cent of children received ORS, and 3.3 per
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
33
cent of children received some other liquid. In total, 93.3 per cent of children were under
supplementary of solid or semi-solid food.
The frequency of feeding by age group is mentioned in detail is shown in Table. 62. b.
3.3.1.5 Exclusive breastfeeding in 0- 5 months(under 6 months of age)(Table. 63. a)
When exploring the behaviour of the exclusive breast feeding among undersix months of age , 74.4 per
cent of mothers of 0-5 month children reported to practice exclusivebreastfeeding (still breastfed but
not on any of either plain water, sweetened water or juice, ORS, infant formula, tinned, powered fresh
milk, any other kind of milk, any other specific liquid, rice, solid or semisolid food during the last
twenty-four hours(since the same time yesterday), but they could be on vitamin supplement or any
kind of medicine.
Table. 63.a Exclusive breastfeeding under 6 months of age
Exclusive breastfeeding under 6 months
of age Numerator Denominator per cent
Yes 87 117 74.4
No 30 117 25.6
3.3.1.6 How long should exclusivelybreastfed (Table. 63. b)
When exploring the knowledge on exclusive breast feeding, 90.7 per cent of mothers could answer the
correct response of ‘six months’, 5.3 per cent could not provide the correct answer and 4 per cent
answered they knew nothing about it.
3.3.1.7 Benefits of breastfed (Table. 64. a. b)
When asked about their knowledge on benefits of breast feeding, 67.6 per cent of mothers could
identify the nutritional benefits. Specifically, 66.6 per cent of mothers mentioned the immune system
benefits, 36.8 per cent mentioned cost-saving, and 18.9 per cent mentioned increased bonding with
child. Less commonly cited by mothers included 18.9 per cent birth spacing, 19.3 per cent reduced
occurrence of diarrhoea, 3 per cent promote uterine involution, and 4.3 per cent reduced risk of ovary
and breast cancer. Another 6.1 per cent of mothers thought that the breast feeding can produce a
smart child. However, 0.1 per cent of mothers could not mention anything at all. At least 28.9 per cent
of mothers recognized two benefits of breastfeeding and 25.2 per cent recognized at least three.
The association between knowledge on benefits of breastfeeding and education level of the
respondents was shown in Table.64.b.
3.3.2 Immunization
3.3.2.1 Immunization Card (Table. 65)
Among children of twelve to twenty-three months of age, 52.2 per cent of mothers were able to show
their children’s immunization card. Another 16.5 per cent of mothers reported that their children had
the card but could not produce it. Around 31.3 per cent of mothers did not have the card at all.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
34
3.3.2.2 Immunization complete (Table. 66. a. b)
The majority 86.3 per cent of the children between twelve to twenty-three months of age with an
immunization card seenreceived the complete DPT 3 shots. Another 71.6 per cent of children showed
that they finished vaccinations for Measles 1, and 68.4 per cent of children had both Measles 1 and
DPT 3 shots. (Figure.6)
The association between complete immunization of children and educational level of the mother was
shown in Table.66.b.
Figure-6 Immunization complete, DPT 3, Measles 1, DPT 3 and Measles 1
Table. 66.a Immunization complete
Immunization Gender of child TOTAL
Boy Girl
Count Percent Count Percent Count Percent
DPT3 44 83.0 38 90.5 82 86.3
Measles 1 38 71.7 30 71.4 68 71.6
DPT3&Measles 36 67.9 29 69.0 65 68.4
3.3.2.3 Ever had any vaccination (Table. 67)
The majority 95.4 per cent of twelve to twenty-three month old children either not having or not be
shown the immunization card received some kind of immunization in the past. Reported by their
mother, another 3 per cent received no immunization at all.
3.3.2.4 Ever had DPT vaccination (Table. 68)
Among children who ever received vaccinations, 98.8 per cent of children were reported to have
received DPT vaccination while 1.2 per cent did not receive it.
83.0
71.767.9
90.5
71.469.0
86.3
71.668.4
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
DPT 3 Measles 1 DPT3 & Measles
Immunization complete, DPT 3, Measles 1, DPT 3 and Measles 1
complete
Boy
Girl
All
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
35
3.3.2.5 Frequency of DPT vaccination (Table. 69)
Among children who received DPT vaccinations, 76.8 per cent finished three shots, 9.8 per cent
finished two shots, and 7.3 per cent finished only a single shot.
3.3.2.6 Getting Measles or Measles, Mumps and Rubella vaccination (Table. 70)
Among children who ever received vaccinations, 95.2 per cent got the Measles, Mumps and Rubella
vaccination or a vaccine for measles alone while another 3.6 per cent of children never received either
shots.
3.3.3 Vitamin A Module
3.3.3.1 Vitamin A received (Table. 71. a. b.)
Among under five children, 87.7 per cent of the children received vitamin A supplements sometime in
the past and 12 per cent of children never received it. Another 0.2 per cent of mothers did not know
the answer.
Association between vitamin A received and demographic data was shown in Table.71.b.
3.3.3.2 Last dose of Vitamin A received and months before (Table. 72)
The most common duration of the last dose of vitamin A was one to three months for 62.9per cent of
the children. Taking vitamin A for more than seven months was found in 7.8 per cent of the children.
Taking vitamin A for four to six months was found in 14 per cent of the children.
3.3.3.3 Location of last dose (Table. 73)
When exploring where the last dose of vitamin A was received, 98.9 per cent of mothers said it was
from regular distribution of the health staff, and only 1 per cent said the dose was from National
Immunization Day Campaign.
3.3.4 Care of Illness
3.3.4.1 Diarrhoea last 2 weeks (Table. 74. a. b. c)
The majority 88.5 per cent of mothers reported that their child did not have diarrhoea within last two
weeks. Only 11 per cent of mothers disclosed that their child had diarrhoea. (In PR IV, 13 per cent
children aged 6 months to 5 years reported to have had diarrhoea in the prior 14 days).
The association between diarrhoea occurrence during last 2 weeks and water treatment was shown in
Table 74.b.The association between diarrhoea occurrence during last 2 weeks and type of water
treatment was shown in Table 74.c.
3.3.4.2 How much the child drank (Table. 75)
Mothers reported that when their child had diarrhoea in the past two weeks, 26.4 per cent of the
children drank the same amount (or somewhat less), 38 per cent of the children drank more, and 35.5
per cent of the children drank much less or none.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
36
3.3.4.3 Amount of food given (Table. 76)
Mothers reported that when their child had diarrhoea in the past two weeks, 33.1per cent of the
children were fed somewhat less than usual, 17.4 per cent of the children were fed the same amount,
23.1 per centwere fed much less than usual, and 6.6 per cent stopped eating. Another 15.7 per cent of
children were never given food.
3.3.4.4 Child given anythingduring diarrhea (Table. 77)
The majority 62per cent of the children with diarrhoea was given oral rehydration salt (ORS), 51.2 per
cent was given medication for diarrhoea, 39.7 per cent was given water and 43.8 per cent was given
breast milk (multiple answers possible). In addition, 33.9 per cent of mothers took the child to the
hospital/clinic, 1.7 per cent zinc tablets, 10.7 per cent of mothers gave the child tea, coffee, soft drink,
etc, and 8.3 per cent of mothers took the child to a traditional healer. For homemade oral rehydration
treatment (ORT) recipes, 5.8 per cent of mothers used a cereal based ORT by combining rice water,
maize water or similar while 3.3 per cent of mothers made a sugar-salt solution. In overall, the
prevalence of giving oral rehydration therapy (ORT) including eitherORS, sugar-salt solution or cereal
based ORT (single answer calculation) was 67.8 per cent. (Figure.7)
Figure-7 ORT received during diarrhoea by sex
Table. 77.b Given ORT during diarrhoea by sex
Giving ORT or not
during diarrhoea
Gender of child TOTAL
Boy Girl
Count Percent Count Percent Count Percent
Giving ORT 38 69.1 44 66.7 82 67.8
Other treatments 17 30.9 22 33.3 39 32.2
TOTAL 55 100 66 100 121 100
69.166.7 67.8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Receiving ORT
ORT received during diarrhoea
Boy
Girl
All Sex
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
37
3.3.4.5 What are danger signs of diarrhea (Table. 78)
In knowledge, 46.7 per cent of mothers knew that a child’s lethargic or unconscious status were danger
signs of diarrhoea in children. Sunken eyes and sunken soft spots in babies was recognized by 30.3 per
cent of mothers, the inability to drink or drink poorly recognized by 42.4 per cent of mothers, and
vomiting recognized by 38.3 per cent of mothers. Inelastic skin (take time to return to normal after
pitching), blood in stool, and dehydration as danger signs were recognized by less than 35 per cent of
mothers. Another 15.1 per cent of mothers reported they did not know about danger signs. Overall
34.3 per cent of mothers recognized two important danger signs of diarrhoea, while 18.2 per cent
mothers recognized at least three signs.
3.3.4.6 Cough or difficult breathing in 2 weeks (Table. 79)
Among all under five children, 24.1 per cent of mothers reported their children had symptoms of cough
and fast or difficult breathing within last two weeks while 75.7 per cent reported no symptoms.
3.3.4.7 Other problems (Table. 80)
Whether the fast or difficult breathing was due to chest or nose problem in their children, 55.9 per
cent of mothers thought that it was because of the problem in the chest only, while 31.9 per cent of
mothers thought that it was blocked or running nose only. Only 3.9 per cent of mothers thought it was
due to both of the causes. Some mothers thought difficulty in breathing were the causes of the difficult
breathing. A small 6.3 per cent of mothers did not know the cause.
3.3.4.8 Seek treatment and providers (Table. 81. a. b.)
Exploring the seeking behaviour on their child’s health, 55 per cent of mothers went to public sector.
Broken down (multiple answers), 38 per cent of mothers went to either government hospital or
government health post/sub-centre, 27.1 per cent went to the government health care (RHC), and 2.3
per cent went to village health workers. Another 36.4 per cent of mother sought treatment for their
children in the private sectors, specifically (multiple answers) 27.9 per cent to private physician and 8.5
per cent to private pharmacy. Those went to other sources were about 8.5 per cent, while 6.2 per cent
of mothers went to betal quid shop.
3.3.4.9 Received any medication for the child (Table. 82. a. b)
All, hundred per cent of the mothers reported that some medication was provided to their ill child.
whose cough and difficulty in breathing was due to problem in the chest.
Associations between places of treatment provide and any medication given was seen in table.82.b.
3.3.4.10 Any medication for children (Table. 83. a. b)
The majority 41.9 per cent of sick children whose cough and difficulty in breathing was because of the
chest problem and got some medicationsreceived antibiotics such as Paracetamol/panadol. Another
58.1 per cent of such children received cough tablets/syrup, 39 per cent of children received Antibiotic,
(Figure.8),13.2 per cent of them received vitamin/tonic and 24 per cent of them could not provide any
information on it by their respective mothers.
Association between place of treatment provided and medication given was seen in Table.83.b.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
38
Figure-8 Antibiotics treatment received by sex
Table. 83.a Medicine for children by sex
Medicine for children Gender of child TOTAL
Boy Girl
Count Percent Count Percent Count Percent
Antibiotic (e.g. Septrin, amoxicillin) 26 39.4 21 33.3 47 36.4
Cough tablets/syrup 39 59.1 36 57.1 75 58.1
Paracetamol/ panadol 31 47.0 23 36.5 54 41.9
Vitamins/ tonic 8 12.1 9 14.3 17 13.2
Don't know 14 21.2 17 27.0 31 24.0
3.3.4.11 Sign of severe acute respiratory infection (Table. 84)
On knowing about severe sign of acute respiratory infection, 46.3 per cent of mothers recognized rapid
difficult breathing, 34.9 per cent of mothers recognized whistling sound while breathing, 25.7 per cent
of mothers recognized high fever, and 14.1 per cent of mothers recognized intrusion of sternum and
ribs. Others signs of known danger were epistasis, valvular heart disease, puffy face, mump, thinning,
snuff nose, common cold, vomiting, refuse breast feeding, blood in eyes, diarrhoea, seizures, loss of
consciousness. Mother who reported that they did not know was 31.8 per cent. Mothers who
recognized at least two signs or three signs were 28.7 per cent and 9.8 per cent respectively.
3.3.4.12 Danger signs to seek treatmentin children (Table. 85)
In probing about danger signs that need to seek treatment in children, 55.2 per cent of mothers knew
to act if the child becomes more ill and 59.3 per cent of mothers knew to act if the child develops a
fever. Other signs recognized were 18.2 per cent convulsions, 19.2 per centchild has difficulty
breathing, 9.9 per centchild has fast breathing, 25.3per cent child not able to drink or breast feed, and
14.9 per cent child eating or drinking poorly. Other signs recognized that were in less than 5 per cent of
the occurrences were fever, vomiting, diarrhoea, unable to defecate/urinate, whooping cough,
influenza etc. Mothers who recognized at least two signs were 37.4 per cent and at least three signs
were 26.7 per cent.
39.4
33.336.4
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Antibiotic (e.g. Septrin, amoxicillin)
Antibiotics Treatmet received by sex
Boy
Girl
All Sex
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
39
3.3.5 Growth Monitoring and child anthrometry
3.3.5.1 Growth monitoring chart (Table. 86)
Growth monitoring charts was reported by 6.4 per cent of mothers who could show the card while 8.7
per cent of mothers said they have it but it could not find the card. The majority 84.7per cent said they
did not have it. Another 0.2 per cent of mothers had no knowledge on it.
3.3.5.2 Weight in last 4 months (Table. 87)
Out of mothers who showed the growth monitoring card, 59.7 per cent recorded that the child was
weighed within last four months.
3.3.5.3 Global Acute Malnutrition (6-59 months) (<-2 Z score and below) (Table. 88)
The nutritional status was assessed under five children (6-59 months). The result as followed based on
the National Centre for Health Statistics (NCHS) (1977)19
.
Table.88 Global Acute Malnutrition (6-59 month) (NCHS) (1977)
Weight for Age-WAZ Weight for height-WHZ Height for Age-HAZ
Moderate
(<-2 and >=-
3 z-score)
Severe
(<-3 z-
score)
Number
of
children
Moderate
(<-2 and >=-
3 z-score)
Severe
(<-3 z-
score)
Number
of
children
Moderate
(<-2 and >=-
3 z-score)
Severe
(<-3 z-
score)
Number
of
children
Boy 30.7 5 114 11 1.9 41 23.8 8.8 104
Girl 34.2 6.3 147 8 1.4 34 36.4 11.6 138
TOTAL 32.6 5.7 261 9.4 1.6 75 25.2 10.3 242
Global Acute Malnutrition (WHZ <-2 to -3 moderate plus <-3 Z severe)
Global Acute Malnutrition (wasting) by sex (Table. 89. a. b)
Based on the valid sample size of 682, about 11per cent had Global Acute Malnutrition (wasting) (<-2 Z
score). Among boys, it was 12.9per cent and among girls, it was 9.4 per cent. Moderated malnutrition
(<-2->-3Z score) was 9.4 for both sexes, 11.0per cent among boys and 8.0 per cent among girls. Severe
form (<-3 Z score) was found 1.6per cent. Amongboys it was 1.9per cent and 1.4per cent in girls.
The association between wasting and demographic data of mother was seen in table.89.b. There was
no association between the mal-nutritional status of the child and educational level of mother.
However, more in per cent of severe mal-nutritional children were come from poorest group.
Underweight by sex (Table. 90. a. b.)
Overall 38.3 per cent of children were underweight. In boys, the prevalence was 35.7 per cent, and in
girls it was 40.5 per cent. Moderate underweight (<-2->-3 Z score) was 32.6 for both sexes, which is
30.7 per cent among boys and 34.2 per cent among girls. Severe underweight (<-3 Z score) was found
overall in 5.7 per cent of the under five population. Amongboys the prevalence was 5.0 per cent, and
among girls it was 6.3 per cent.
19
Health care system in Myanmar is not fully adopted the WHO 2006 Standard yet. MICS also followed NCHS Standard.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
40
The association between under-weight and demographic data of mother was seen in table.90.b.. More
of severe under-weight children were coming from poorest group.
Stunting by sex (Table. 91. a. b)
Stunting was found in 35.5 per cent of the sampled under five children. In boys, the prevalence was
32.6 per cent, and in girls it was 38.0 per cent. Moderate stunting (<-2->-3 Z score) was 25.2 for both
sexes, which is 23.8 per cent among boys and 36.4 per cent among girls. Severe stunting (<-3 Z score)
was found overall in 10.3 per cent of the under five population. Amongboys the prevalence was 8.8per
cent, and among girls it was 11.6per cent.
The association between stunting and demographic data of mother was seen in table.91.b. There was a
trend of lower the mother’s wealth index quintile, the higher the incidence of stunting children (both
moderate and severe) was observed.
3.3.5.4. Deworming in last 6 month and by age group (Table. 92. a. b.)
Overall, 43 per cent of children received medication for deworming in last the six months, 55 per cent
of children did not receive it and 0.4 per cent of mothers did not know whether their children received
deworming.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
41
4. Conclusion and recommendation
In many countries both globally and East Asia and South-East Asia (ESEA), government commitment to
maternal and newborn health has not reach the levels required to make a strong impact mortality
rates. Particularly for maternal health, many existing interventions have been found to be ineffective in
preventing maternal mortality. There is an urgent need to refocus maternal health programmes.20
For example, in four countries in SEA-Cambodia, Lao PDR, Myanmar, and Timor-Leste have high level of
maternal mortality with over 300 deaths per 100,000 live births.21
One of the eight Millennium Development Goals, Goal 5 addresses maternal health as measured by the
indicators of maternal mortality ratio and per centage of deliveries attended by a skilled birth
attendant. The global target for deliveries by skilled birth attendants is 90 per cent by 2015 with
ICPD+522
setting a target of at least 60 per cent for countries with high Maternal Mortality Ratio. The
weakness of this indicator is that the definition of skilled birth attendant has not been uniform across
the region or even within counties over the last decade.23
Myanmar has a different pattern of
causation of maternal death when compared to those of other regional countries; complications
following abortion make up a much larger proportion of maternal deaths then in neighboring
countries.
In this study of Mawlamyinegyuntownship, the abortion was found in 14.2 per cent among mothers of
under five children. On the other hand, although the antenatal care coverage in Ayeyarwaddy (delta)
region was between 60.1- 70.0 per cent24
, less than half of mothers (21.7 per cent) could recognize two
danger signs during pregnancy. This somewhat reflects the low level of knowledge on how to take care
of themselves during pregnancy in general. For the implementing partner, the numbers again
highlights the need to raise awareness and knowledge of women on how to take proper taking care
during pregnancy, including how to identify early danger signs.
Mothers who received assistance by skilled personnelwere only at 46.9 per cent of the cases and
mothers who underwent institutional delivery were onlyat 31.9 per cent of the cases. Themothers’ low
level of recognition of at least two problems during delivery (42.9 per cent of mothers) indicates that
there is a strong need for more deliveries to be assisted by skilled personnel or through an institutional
delivery.
Nonetheless, the majority of the deliveries reported by the mothers were normal spontaneous vaginal
delivery. Nearly 10 per cent were either assisted delivery (1.5 per cent) or caesarian section (11.7 per
cent) with most of the caesarian section (51.1 per cent) performed on an emergency basis rather than
planned. Addressing maternal and newborn health also has a potential to contribute significantly to
20
Maternal and Neonatal Health in East and South-East Asia.UNFPA. March 2006 21
WHO 2004 a and UNFPA 2005 22
International Conference on Development and Population 23
Improving Maternal, Newborn and Child Health in the South East Asia Region, Myanmar 24
Myanmar Health Statistics 2010, Health Management Information System (HMIS), Department of Health Planning, Ministry of Health,
Myanmar
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
42
the achievement of Goal 4 by lowering the neonatal mortality rate, particularly early neonatal deaths
in the first week after birth.
In under five children health, the infant mortality rate was 61.59 25
(death per 1,000 live-birth) in Delta
region. In this study, it was found that under five death was mainly in those of under one year of age
(under 12 months) composed of more than 78 per cent of total under five death. On the other aspect,
the health check of mother right after delivery was 95.8 per cent and majority of mothers reported
receiving it within first hour of delivery. However in four to six weeks after delivery, follow-up mother
health checks by a health professional was found only in 37.5 per cent of the survey population, which
is an issue to be addressed.
In neonatal health, the health check of newborn baby right after the delivery was reported in 63 per
cent of the time and within one hour was 97.6 per cent of the time. The checks were performed by the
health professional only 39 per cent of the cases however. Mothers who recognized at least two severe
symptoms of newborn during first month of life were at 30.7 per cent.
Exclusive breastfeeding is also one of the most important behaviours for the health of child under six
months of age. Mother also can enjoy some benefits from that breast feeding such as promote uterine
involution, increase bonding with child and reduce risk of ovarian and breast cancer. From this survey
the prevalence of exclusive breastfeeding was 74.4 per cent, and right knowledge on this behaviour
was observed in 90.7 per cent of mothers. Around 28.9 per cent of mothers could recognize at least
two benefits of the breast feeding.
Four diseases – pneumonia, diarrhoea, malaria and AIDS – were among the most common causes of all
deaths in children under five worldwide. Most of these lives could have been saved through low-cost
prevention and treatment measures, including antibiotics for acute respiratory infections, oral
rehydration for diarrhoea, immunization, and the use of insecticide-treated mosquito nets and
appropriate drugs for malaria.26
Although the prevalence of diarrhoea among under fiveduring last two week was as low as 11.5 per
cent of the children, many did not receive satisfactory treatment. In particular, 38 per cent of children
during diarrhoea attack received more drink including breast milk and another 4.1 per cent of children
received more to eat. The majority 78.9 per cent of children received the same amount, less or no food
and drink. This may make the loss of fluid and nutritional requirement of the child under diarrhoea
worsen and endanger the child’s life.
On treatment with ORT, 67.8 per cent of mothers gave their children some kind of oral rehydration
therapy(including ORS sachet, sugar-salt solution or cereal based ORT-rice water, maize water) for
diarrhoea but the recognition of two danger signs during diarrhoea by mothers was as low as 34.3 per
cent. ARI prevalence was slightly higher than the diarrhoea at 24.1 per cent and the treatment seeking
25
Myanmar Health Statistics 2010, Health Management Information System (HMIS), Department of Health Planning, Ministry of Health,
Myanmar 26
The Millennium Development Goals Report 2010, United Nations (2010)
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
43
rate of mothers at 76.8 per cent and institution treatment at 91.4 per cent. However, children who
received antibiotics were 36.4 per cent while the rest were treated under symptomatic remedies. In
combination with low level of recognition of only two severe signs by mothers (28.7 per cent), this
underlines the importance of an easily accessible health professional that can provide necessary
antibiotics for the proper care of the child with ARI.
Concerning with the immunization, 31.3 per cent of under five children had no immunization card.
Based on the immunization card shown, the majority 86.3 per cent of children completed DPT 3,
another 68 per cent of children completed measles 1, and 65 per cent of children completed both
types of immunization. The DPT 3, or Measles coverage in the delta region was also between 80.1- 90.0
per cent27
. The statistics show that the national immunization has had success, but the plan needs to
be enhanced to reach the remaining children without proper immunizations.
In deworming, only 52 per cent of mothers responded that their under five children had ever received
treatment. This shows the necessity to increase the coverage of deworming medication distrbutionand
its activity to make it more effective.
27
Myanmar Health Statistics 2010, Health Management Information System (HMIS), Department of Health Planning, Ministry of Health,
Myanmar
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
44
Final Note:
Role of a reference study
Whether this study aims as a base-line or evaluation purpose, the fundamental data collected is not
only crucial for many IPs who have been implementing the JIMNCH in their respected project area but
also important for national level of 3 MDG indicators in relation to maternal and child health in
Myanmar. For some IPs, the reports present a follow up study. Irrespective of the type of the study,
the nature of this kind of survey is ongoing and many similar studies are required to repeat in very near
future in regular basic to understand the success of the projects concern. By this consideration, again,
it is recommended to ensure each and every steps of the survey in a way of systematically managed
from the proposal writing to the report published. The same procedure and standard of study is also
good to set and strictly follow in later follow up study to ensure its meaning of base-line and follow-up
study. Those questionnaire used in base-line study may be thoroughly reviewed by a group of subject
and survey experts from the related field to make sure its usefulness, feasibility of the long term
application, clearly defining of the terms used in the questionnaire, proper compatibility with the
national level indicators and so forth.
Active and responsible participation of the volunteers
With the active participation, a good understanding of the questionnaire asked and the characteristic
of the survey and awareness of its importance among the volunteer data collectors may be among the
most important factors that govern the success of the survey done especially in the village level. In
order to fulfil these essential requirements, the selection process of the volunteers will be the very first
step, followed by the training that must be emphasize the importance of the survey data and
fundamental skill in data collection process should also be transferred to the volunteers.
Supervision of the survey process
Basically in a survey, the effective supervision of a field level data collection is crucial for assurance of
the quality and completeness of questionnaire set. Moreover, it is a prime activity for the whole
survey. Without the proper supervision of field level activity, no matter how appropriate the survey
design or extensive the training provided for the data collectors before the survey, the quality of the
data may not be certain. It is strongly recommended to underline the importance of the role of
supervision in data collection procedure in coming studies.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
45
Annnex-1 List of Tables
Table. 1 List of villages studied
Serial
No. Name of Village Name of village tract
No. of sampled
household
1 Kyar Lay Chaung YaeLein 11
Aung Hlaing YaeLein 19
2 None Kyun None Kyun 30
3 Kyon War Kat ThaHmyinHtiSeikYae Kyaw 23
Kayin Su Lat Put Ta LokeGyi 7
4 Yae Kyaw Gyi Kywe Chan Kyon La Mu 30
5 Kyaw Nu ThoneGwa Chun 30
6 Kyaw Nu ThoneGwa Chun 26
KyaungSharKwe HtiSeikYwar Ma 4
7 MyinKaKone MyinKaKoneKa Lay DaungYae Kyaw 30
8 HpuHti HpuHti 30
9 Myoe Ma (9) Myoe Ma 30
10 Myoe Ma (11) ,(2) Myoe Ma 30
11 Myoe Ma (4), (13) Myoe Ma 30
12 KwinChaung Kyat Sin Chaung 30
13 KaNyinChaung ByantGyiOhn Pin Su 30
14 KharTay
Kywe Da Lin 27
ThoneEin Tan 3
15 Hti Par Lel Hti Par Lel 30
16 Sa Khan ChaungGyi Ah LelYae Kyaw 30
17 LeikChaung Hlaing Bone 30
18
ShaukChaung MyatThar Zee Hpyu 16
MyatTharWa MyatTharWa
12
Zee Hpyu 2
19 KyunKyar Ta KhunTaingKyon War 30
20 Ah Nan Chaung MyitGyiBoe 30
21 PyarMut PyarMut Shaw Chaung 30
22 Pat Taw Sit Sa Li Htone 30
23 Yae Kyaw Ah Htet Ma Au Htone 30
24 Lay Ein Tan Lay Ein Tan 30
25 Ban Du La ShaukChaung 30
26 Yae Kyaw Tein KyetShar 30
27 NyiNaungGyi KyetShar 30
28 Kywe Chan Wa Kywe Chan Wa 30
29 Myit Toe ShaukChaung 30
30 GyoneGyoneKya TeiChaung 30
Total 30 900
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
46
Table.2 Sample population
Total Number of sample women Numerator Denominator per cent
900 100
Table.3. Age group
Age Group Numerator Denominator per cent
15-19 19 900 2.1
20-25 153 900 17.0
25-29 223 900 24.8
30-34 240 900 26.7
35-39 162 900 18.0
40-44 81 900 9.0
Above 45 22 900 2.4
Table.4 Marital Status
Marital Status Numerator Denominator per cent
Married 872 900 96.9
Widowed 8 900 0.9
Separated 18 900 2.0
Divorced 2 900 0.2
Table. 5 Education
Education Numerator Denominator per cent
Never go to school 54 900 6.0
Primary 536 900 59.6
Middle/High school 178 900 19.8
University and higher 58 900 6.4
Non public 74 900 8.2
Table.6 Wealth Index Quintile
Wealth Index Quintile Numerator Denominator per cent
Poorest 182 900 20.2
Second 180 900 20.0
Middle 178 900 19.8
Fourth 180 900 20.0
Richest 180 900 20.0
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
47
Table. 7 Household members
Household members Numerator Denominator per cent
2-3 203 900 22.6
4-5 392 900 43.6
6-7 218 900 24.2
8-9 64 900 7.1
Above 10 23 900 2.6
Table.8.a Main Source of drinking water
Main source of drinking water Numerator Denominator per cent
Dug well/pond 267 900 29.7
Rainwater Collection 47 900 5.2
Piped water 91 900 10.1
Surface water 474 900 52.7
Water from spring 2 900 0.2
Other sources 19 900 2.1
TOTAL 900 900 100
Table.8.b Type of Main Source of Drinking water
Main source of drinking water
Numerator Denominator Per cent
Improved water source 227 900 25.2
Unimproved water source 673 900 74.8
Table.8.c Treated drinking water
Treated drinking water
Numerator Denominator Per cent
Yes 882 900 98.0
No 18 900 2.0
Total 900 900 100
Table.8.d Method to make the water safer
Method to make water safer
Numerator Denominator Per cent
Boil 319 882 36.2
Add bleach /chlorine 42 882 4.8
Strain it through a cloth 771 882 87.4
Use water filter 8 882 0.9
Solar disinfection 5 882 0.6
Let it stand and settle 447 882 50.7
Alum 337 882 38.2
Lime 3 882 0.3
Abate powder 3 882 0.3
Ceramic filter 7 882 0.8
Water purifier 1 882 0.1
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
48
Table 9.a Frequency of Pregnancy
Frequency of pregnancy Numerator Denominator per cent
1 time 262 900 29.1
2-4 time 481 900 53.4
5-time and above 157 900 17.4
Table.9.b Number of pregnancies and education level Township Number of pregnancies
Mawlamyinegyun 1 time 2-4 time 5-time and above
Total per cent Count per cent Count per cent Count per cent
Education
level Never go to school 54 6.0 4 1.7 30 6.1 20 11.4
Primary 536 59.6 127 54.3 300 61.2 109 61.9
Middle/High 178 19.8 62 26.5 101 20.6 15 8.5
University and higher 58 6.4 32 13.7 24 4.9 2 1.1
Non-public education 74 8.2 9 3.8 35 7.1 30 17.0
TOTAL 900 100 234 100 490 100 176 100
Table. 10 Number of Children delivered
Number of children delivered Numerator Denominator per cent
1 time 262 900 29.1
2-4 time 481 900 53.4
5-time and above 157 900 17.4
Table. 11 Frequency of Abortion
Frequency of Abortion Numerator Denominator per cent
Nil 772 900 85.8
1-2 time 123 900 13.7
3-4 time 4 900 0.4
5 time and above 1 900 0.1
Table. 12 Number of living children
Number of living children Numerator Denominator per cent
One 318 900 35.3
Two to four 487 900 54.1
Five and above 95 900 10.6
Table. 13 Alive birth that died
Alive birth that died Numerator Denominator per cent
Yes 256 900 28.4
No 644 900 71.6
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
49
Table. 14.a Number of children died
Number of children died Numerator Denominator per cent
One 171 256 66.8 Two to four 80 256 31.3
Five and above 5 256 2.0
Table. 14.b Number of children died and demographic data
Township Number of children died
Mawlamyinegyun 1 person 2-4 persons 5 persons and
above
Total per cent Count per cent Count per cent Count per cent
Age Group 15-19 2 0.8 2 1.2
20-25 20 7.8 17 9.9 3 3.8
25-29 50 19.5 37 21.6 12 15.0 1 20.0
30-34 80 31.3 57 33.3 23 28.8
35-39 60 23.4 34 19.9 25 31.3 1 20.0
40-44 34 13.3 17 9.9 14 17.5 3 60.0
Above 45 10 3.9 7 4.1 3 3.8
Education
level
Never go to school 21 8.2 10 5.8 10 12.5 1 20.0
Primary 164 64.1 110 64.3 51 63.8 3 60.0
Middle/High 30 11.7 26 15.2 4 5.0
University and Higher 9 3.5 8 4.7 1 1.3
Non-public education 32 12.5 17 9.9 14 17.5 1 20.0
Wealth
index
quintiles
Poorest 71 100 40 56.3 30 42.3 1 1.4
Second 55 100 39 70.9 16 29.1
Middle 53 100 37 69.8 13 24.5 3 5.7
Fourth 44 100 29 65.9 14 31.8 1 2.3
Richest 33 100 26 78.8 7 21.2
Percentage of
health care
expenditure
Below 20% 213 83.2 142 83.0 67 83.8 4 80.0
20-40% 28 10.9 18 10.5 9 11.3 1 20.0
Above 40% 15 5.9 11 6.4 4 5.0
TOTAL 256 100 171 100 80 100 5 100
Tabe.15 Total children under five (died) by age group and sex
Children under five
(died)
Gender of child TOTAL
Boy Girl
Count Per cent Count Per cent Count Per cent
<1 month (neonatal) 3 30.0 6 46.2 9 39.1
1-5 months 5 50.0 4 30.8 9 39.1
6-11 months 1 7.7 1 4.3
12-23 months 1 10.0 2 15.4 3 13.0
24-35 months
36-47 months 1 10.0 0 0.0 1 4.3
48-59 months
TOTAL 10 100 13 100 23 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
50
Table.16 Total number of children
Total Number of children Numerator Denominator per cent
One 261 900 29.0
Two to four 479 900 53.2
Five and above 160 900 17.8
Table. 17 Single or twins
Single or twins Numerator Denominator per cent
Single 1,069 1,083 98.7
Multiple 14 1,083 1.3
Table. 18 Sex of child born
Boy or Girl Numerator Denominator per cent
Boy 528 1,083 48.8
Girl 555 1,083 51.2
Table. 19 Child still alive or not
Still alive of Child Numerator Denominator per cent
Yes 1,060 1,083 97.9
No 23 1,083 2.1
Table.20 Live birth in past 2 years
Live birth in past 2 years Numerator Denominator per cent
Yes 403 900 44.8
No 497 900 55.2
Table.22 Childrenunder five, whether living with mother or not
Live with mother or not Numerator Denominator per cent
Yes 1,060 1,060 100
Table. 21 Total children under five (alive) by age group and sex
Children under five
(alive)
Gender of child TOTAL
Boy Girl
Count Per cent Count Per cent Count Per cent
0-5 months 56 11.1 61 11.1 117 11.1
6-11 months 54 10.7 67 12.2 121 11.5
12-23 months 94 18.6 88 16.0 182 17.3
24-35 months 98 19.4 125 22.8 223 21.1
36-47 months 119 23.5 111 20.2 230 21.8
48-59 months 85 16.8 97 17.7 182 17.3
TOTAL 506 100 549 100 1,055 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
51
3.2.2. Migration Table.23.a Household lived in this village before Nargis
Live in this village before Nargis Numerator Denominator per cent
Yes 836 900 92.9
No 64 900 7.1
Table.23.b Number of villages lived
Since Nargis, different villages have
lived or not Numerator Denominator per cent
1 55 64 85.9
2 9 64 14.1
Table. 23.c Months or years moved here
Years of moved here Numerator Denominator per cent
Below 1 11 64 17.2
1 15 64 23.4
2 11 64 17.2
3 17 64 26.6
4 10 64 15.6
Table.23.d Whether want to stay here or not
Want to stay here or not Numerator Denominator per cent
Stay in this village/ward 11 900 97.9
Return to the previous village 1 900 0.1
Move to a new place 18 900 2.0
Table.24 Household have registration document
Have household registration
document Numerator Denominator per cent
Yes 727 900 80.8
No 172 900 19.1
Don’t know 1 900 0.1
Table.25 The main language spoken
Main language spoken Numerator Denominator per cent
Bamar (Myanmar) 864 900 96.0
Kayin (Karen) 36 900 4.0
Table.26 To go to health care
Goes to healthcare Numerator Denominator per cent
Yes 392 401 97.8
No 9 401 2.2
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
52
Table.27.a Caretaker of antenatal care
Caretaker for antenatal care Numerator Denominator per cent
Heath professional (Skilled personnel)
Doctor 65 401 16.2
Nurse/ Midwife 249 401 62.1
Lady Health Visitor 47 401 11.7
Other person
Auxiliary midwife 29 401 7.2
Traditional birth attendant 77 401 19.2
Community health worker 2 401 0.5
Marie Stopes 2 401 0.5
No one 18 401 4.5
Table.27.b Antenatal caregivers in category
Caretaker for antenatal care (by category)
Numerator Denominator per cent
Heath professional (Skilled personnel) 277 401 69.1
Other person 106 401 26.4
Auxiliary midwife 25 401 6.2
Traditional birth attendant 77 401 19.2
Other persons 4 401 1.0
No one 18 401 4.5
Table.27.c Antenatal caregivers in category and Demographic data
Township Caretaker for antenatal care
Mawlamyinegyun Health
professional
Auxiliary
midwife
Traditional birth
attendant Other person No one
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Age
Group
15-19 17 4.2 11 4.0 5 6.5 1 5.6
20-25 91 22.7 63 22.7 6 24.0 17 22.1 1 25.0 4 22.2
25-29 96 23.9 61 22.0 9 36.0 19 24.7 1 25.0 6 33.3
30-34 102 25.4 73 26.4 4 16.0 19 24.7 6 33.3
35-39 64 16.0 46 16.6 6 24.0 9 11.7 2 50.0 1 5.6
40-44 27 6.7 20 7.2 7 9.1
Above 45 4 1.0 3 1.1 1 1.3
Education
level
Never go to school 28 100 8 28.6 1 3.6 13 46.4 1 3.6 5 17.9
Primary 236 100 160 67.8 15 6.4 49 20.8 2 0.8 10 4.2
Middle/High 86 100 71 82.6 6 7.0 6 7.0 1 1.2 2 2.3
University and higher 22 100 19 86.4 2 9.1 1 4.5
Non-public education 29 100 19 65.5 1 3.4 8 27.6 1 3.4
Wealth
index
quintiles
Poorest 86 100 46 53.5 3 3.5 26 30.2 1 1.2 10 11.6
Second 71 100 42 59.2 7 9.9 18 25.4 4 5.6
Middle 79 100 56 70.9 7 8.9 12 15.2 1 1.3 3 3.8
Fourth 85 100 62 72.9 5 5.9 16 18.8 2 2.4
Richest 80 100 71 88.8 3 3.8 5 6.3 1 1.3
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
53
Percentage
of health
care
expenditure
Below 20% 328 81.8 229 82.7 19 76.0 60 77.9 3 75.0 17 94.4
20-40% 48 12.0 28 10.1 5 20.0 14 18.2 1 25.0
Above 40% 25 6.2 20 7.2 1 4.0 3 3.9 1 5.6
TOTAL 401 100 277 100 25 100 77 100 4 100 18 100
Table. 28 First month receiving antenatal care
The first month received antenatal
care for pregnancy Numerator Denominator per cent
1 9 383 2.3
2 39 383 10.2
3 176 383 46.0
4 41 383 10.7
5 40 383 10.4
6 34 383 8.9
7 23 383 6.0
8 10 383 2.6
9 5 383 1.3
Don’t know 6 383 1.6
Table.29.a Number of antenatal care received
Number of antenatal care received Numerator Denominator per cent
1 14 383 3.7
2 42 383 11.0
3 97 383 25.3
4 100 383 26.1
5 47 383 12.3
6 22 383 5.7
7 24 383 6.3
8 14 383 3.7
9 6 383 1.6
10 3 383 0.8
11 1 383 0.3
12 1 383 0.3
13 1 383 0.3
14 1 383 0.3
15 1 383 0.3
16 2 383 0.5
17 2 383 0.5
18 1 383 0.3
Don’t know 4 383 1.0
Antenatal care 4 times and above 230 383 60.1
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
54
Table. 29.b Number of antenatal care received and Demographic data
Township Caretaker for antenatal care
Mawlamyinegyun Health
professional
Auxiliary
midwife
Traditional
birth
attendant
Other person No one
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Age
Group 15-19 17 4.2 11 4.0 5 6.5 1 5.6
20-25 91 22.7 63 22.7 6 24.0 17 22.1 1 25.0 4 22.2
25-29 96 23.9 61 22.0 9 36.0 19 24.7 1 25.0 6 33.3
30-34 102 25.4 73 26.4 4 16.0 19 24.7 6 33.3
35-39 64 16.0 46 16.6 6 24.0 9 11.7 2 50.0 1 5.6
40-44 27 6.7 20 7.2 7 9.1
Above 45 4 1.0 3 1.1 1 1.3
Education
level Never go to school 28 7.0 8 2.9 1 4.0 13 16.9 1 25.0 5 27.8
Primary 236 58.9 160 57.8 15 60.0 49 63.6 2 50.0 10 55.6
Middle/High 86 21.4 71 25.6 6 24.0 6 7.8 1 25.0 2 11.1
University and higher 22 5.5 19 6.9 2 8.0 1 1.3
Non-public education 29 7.2 19 6.9 1 4.0 8 10.4 1 5.6
Wealth
index
quintiles
Poorest 86 100 46 53.5 3 3.5 26 30.2 1 1.2 10 11.6
Second 71 100 42 59.2 7 9.9 18 25.4 4 5.6
Middle 79 100 56 70.9 7 8.9 12 15.2 1 1.3 3 3.8
Fourth 85 100 62 72.9 5 5.9 16 18.8 2 2.4
Richest 80 100 71 88.8 3 3.8 5 6.3 1 1.3
Percentage
of health
care
expenditure
Below 20% 328 81.8 229 82.7 19 76.0 60 77.9 3 75.0 17 94.4
20-40% 48 12.0 28 10.1 5 20.0 14 18.2 1 25.0
Above 40% 25 6.2 20 7.2 1 4.0 3 3.9 1 5.6
TOTAL 401 100 277 100 25 100 77 100 4 100 18 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
55
Table.30 Types of antenatal care and number received
Number of antenatal care
received
Health Professional
(Skilled personnel)
Other person
Numerator Denominator Per cent Numerator Denominator Per cent
1 8 277 2.9 6 106 5.7
2 26 277 9.4 16 106 15.1
3 67 277 24.2 30 106 28.3
4 75 277 27.1 25 106 23.6
5 31 277 11.2 16 106 15.1
6 17 277 6.1 5 106 4.7
7 21 277 7.6 3 106 2.8
8 13 277 4.7 1 106 0.9
9 5 277 1.8 1 106 0.9
10 3 277 1.1 0 106 0
Don’t Know 2 277 0.7 2 106 1.9
Frequency of antenatal
care by category
ofcaregiver
At least once 266 277 96.0 103 106 97.1
Four time and above 165 277 59.6 51 106 48.1
Four times with Health
professional
165 383 43.1
Table.31 Terms of pregnancy received antenatal care
Pregnancy term received antenatal
care Numerator Denominator per cent
12 weeks (until 14 weeks)
Yes 193 230 83.9
No 37 230 16.1
26 weeks (15-28 weeks)
Yes 221 230 96.1
No 9 230 3.9
32 weeks (29-34 weeks)
Yes 217 230 94.3
No 13 230 5.7
36 weeks (35 until birth)
Yes 220 230 96.5
No 8 230 3.5
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
56
Table. 32 Activities done in antenatal care
Activites done Numerator Denominator per cent
Blood pressure
Yes 335 383 87.5
No 48 383 12.5
Weight
Yes 218 383 57.1
No 164 383 42.9
Abdomen Examination
Yes 360 383 94.0
No 23 383 6.0
Urine sample
Yes 173 383 45.3
No 209 383 54.7
Blood sample
Yes 150 383 39.3
No 232 383 60.7
Vitamin B1
Yes 330 383 86.2
No 53 383 13.8
Iron tablets
Yes 349 383 91.1
No 34 383 8.9
At least 3 activities done 335 383 87.5
At least 4 activities done 48 383 12.5
Table.33 Reasons not receiving antenatal care
Why not received antenatal care Numerator Denominator per cent
Cost too much 11 18 61.1
No transport 4 18 22.2
Not necessary 3 18 16.7
ANC provider location is too far 2 18 11.1
Table.34 Transportation type
Transportation to clinic Numerator Denominator per cent
Walking 179 401 44.6
Motor boat 111 401 27.7
Sampan 103 401 25.7
Motorized vehicle 30 401 7.5
Trishaw 26 401 6.5
Bicycle 2 401 0.5
Tollagyi 2 401 0.5
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table. 35 Time to clinic (in minutes)
Time to clinic (Minute) Numerator Denominator per cent
Below 15 minutes 80 401 20.0
15-30 minutes 165 401 41.1
31-60 minutes 84 401 20.9
Above 60 minutes 72 401 18.0
Table. 36.a Distance to clinic in range (Kilometre)
Distance to clinic (Kilometre) Numerator Denominator per cent
Below 1 Kilometre 112 401 27.9
1-2 Kilometres 84 401 20.9
3-5 Kilometres 52 401 13.0
Don’t know 153 401 38.2
Table.36.b Antenatal caregivers in category and Distance to clinic (Kilometre)
Township Caretaker for antenatal care
Mawlamyinegyun Health
professional
Auxiliary
midwife
Traditional
birth attendant Other person No one
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Below 1 Kilometre 112 27.9 91 32.9 9 36.0 11 14.3 1 5.6
1-2 Kilometres 84 20.9 60 21.7 5 20.0 12 15.6 2 50.0 5 27.8
3-5 Kilometres 52 13.0 28 10.1 4 16.0 12 15.6 1 25.0 7 38.9
Don’t know 153 38.2 98 35.4 7 28.0 42 54.5 1 25.0 5 27.8
Total 401 100 277 100 25 100 77 100 4 100 18 100
Table.36.c Number of antenatal care received and Distance to clinic
Township Number of times
Mawlamyinegyun 1-time 2-time 3-time 4- time and
above Don't know
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Below 1 Kilometer 111 29.0 1 7.1 9 21.4 25 25.8 76 33.6
1-2 Kilometers 79 20.6 9 21.4 15 15.5 55 24.3
3-5 Kilometers 45 11.7 2 14.3 6 14.3 19 19.6 17 7.5 1 25.0
Don’t know 148 38.6 11 78.6 18 42.9 38 39.2 78 34.5 3 75.0
Total 383 100 14 100 42 100 97 100 226 100 4 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
58
Table.37 Symptoms during pregnancy to immediate care
Symptoms for immediate care Numerator Denominator per cent
Vaginal bleeding 201 401 50.1
Severe abdominal pain 129 401 32.2
Fits/Convulsions 96 401 23.9
Severe headaches with blurred vision 96 401 23.9
Fast or difficult breathing 68 401 17.0
Fever and too weak to get out of bed 66 401 16.5
Toxaemia of pregnancy 65 401 16.2
High blood pressure 15 401 3.7
Dizziness/dyspnoea 4 401 1.0
Abnormal foetal position 3 401 0.7
Dribbling 2 401 0.5
No foetal movement 2 401 0.5
Valvular heart disease 2 401 0.5
Back pain 2 401 0.5
Yellow coloration o f eyes/jaundice 1 401 0.2
Don't know 59 401 14.7
A least 2 symptoms recognized 87 401 21.7
A least 3 symptoms recognized 59 401 14.7
Table.38 Tetanus injection in pregnancy
Tetanus injections in last pregnancy Numerator Denominator per cent
Yes 380 401 94.8
No 21 401 5.2
Frequencies of tetanus injections Numerator Denominator per cent
Once 23 380 6.1
Twice 237 380 62.4
Thrice and above 114 380 30.0
Don’t Know 6 380 1.6
Tetanus injection at least 2 timesreceived 351 380 92.4
Table.39.a Previous tetanus injection
Previous tetanus injection Numerator Denominator per cent
Yes
No 29 29 100
Don’t Know
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
59
Table.40.a Delivery assisted
Delivery assisted Numerator Denominator per cent
Heath professional (skilled personnel) 188 401 46.9
Doctor 95 401 23.7
Nurse/ Midwife 119 401 29.7
Lady Health Visitor 23 401 5.7
Other person 213 401 53.1
Auxiliary midwife 31 401 7.7
Traditional birth attendant 164 401 40.9
Community health worker 4 401 1.0
Relative/Friend 49 401 12.2
Table. 40.b Delivery assisted and demographic data
Township Assisted during delivery
Mawlamyinegyun Health professional Other person
Total per cent Count per cent Count per cent
Age Group 15-19 17 4.2 7 4.0 10 4.4
20-25 91 22.7 47 26.9 44 19.5
25-29 96 23.9 39 22.3 57 25.2
30-34 102 25.4 44 25.1 58 25.7
35-39 64 16.0 27 15.4 37 16.4
40-44 27 6.7 10 5.7 17 7.5
Above 45 4 1.0 1 0.6 3 1.3
Education
level
Never go to school 28 7.0 3 1.7 25 11.1
Primary 236 58.9 94 53.7 142 62.8
Middle/High 86 21.4 51 29.1 35 15.5
University and higher 22 5.5 20 11.4 2 0.9
Non-public education 29 7.2 7 4.0 22 9.7
Wealth index
quintiles
Poorest 86 100 25 29.1 61 70.9
Second 71 100 21 29.6 50 70.4
Middle 79 100 29 36.7 50 63.3
Fourth 85 100 38 44.7 47 55.3
Richest 80 100 62 77.5 18 22.5
Percentage
of health
care
expenditure
Below 20% 328 81.8 145 82.9 183 81.0
20-40% 48 12.0 15 8.6 33 14.6
Above 40% 25 6.2 15 8.6 10 4.4
TOTAL 401 100 175 100 226 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
60
Table.40.c Delivery assisted and Distance to clinic
Township Assisted during delivery
Mawlamyinegyun Health professional Other person
Total per cent Count per cent Count per cent
Below 1 Kilometre 112 27.9 73 38.8 39 18.3
1-2 Kilometres 84 20.9 42 22.3 42 19.7
3-5 Kilometres 52 13.0 22 11.7 30 14.1
Don’t know 153 38.2 51 27.1 102 47.9
Total 401 100 188 100 213 100
Table.41.a Place of birth
Place of birth Numerator Denominator per cent
Home 273 401 68.1
Public sector 123 401 30.7
Private medical 5 401 1.2
Table. 41.b Place of birth and demographic data
Township Place of birth the last child
Mawlamyinegyun Home Public Sector Private Medical
Sector
Total per cent Count per cent Count per cent Count per cent
Age Group 15-19 17 4.2 12 4.4 5 4.1
20-25 91 22.7 53 19.4 38 30.9
25-29 96 23.9 67 24.5 27 22.0 2 40.0
30-34 102 25.4 71 26.0 28 22.8 3 60.0
35-39 64 16.0 46 16.8 18 14.6
40-44 27 6.7 20 7.3 7 5.7
Above 45 4 1.0 4 1.5
Education
level
Never go to school 28 7.0 26 9.5 2 1.6
Primary 236 58.9 165 60.4 71 57.7
Middle/High 86 21.4 53 19.4 33 26.8
University and higher 22 5.5 5 1.8 13 10.6 4 80.0
Non-public education 29 7.2 24 8.8 4 3.3 1 20.0
Wealth index
quintiles
Poorest 86 100 67 77.9 18 20.9 1 1.2
Second 71 100 54 76.1 17 23.9
Middle 79 100 58 73.4 21 26.6
Fourth 85 100 59 69.4 26 30.6
Richest 80 100 35 43.8 41 51.3 4 5.0
Percentage
of
health care
expenditure
Below 20% 328 81.8 224 82.1 101 82.1 3 60.0
20-40% 48 12.0 34 12.5 12 9.8 2 40.0
Above 40% 25 6.2 15 5.5 10 8.1
TOTAL 401 100 273 100 123 100 5 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
61
Table.41.c Place of birth and Distance to the clinic
Township Place of birth the last child
Mawlamyinegyun Home Public Sector Private Medical Sector
Total per cent Count per cent Count per cent Count per cent
Below 1 Kilometre 112 27.9 64 23.4 44 35.8 4 80.0
1-2 Kilometres 84 20.9 58 21.2 26 21.1
3-5 Kilometres 52 13.0 33 12.1 19 15.4
Don’t know 153 38.2 118 43.2 34 27.6 1 20.0
TOTAL 401 100 273 100 123 100 5 100
Table.42 Sever problem during delivery
Severe problems during delivery Numerator Denominator per cent
If water break and not in labour after 6 hrs 113 401 28.2
Labour pains continue for more than 12 hrs 106 401 26.4
Heavy bleeding 199 401 49.6
Placenta not expelled 1 hr after birth of baby 120 401 29.9
High blood pressure 19 401 4.7
Transverse lie 5 401 1.2
Dizziness 6 401 1.5
Low blood pressure 2 401 0.5
Loss of consciousness/seizures 8 401 2.0
Uterine pain 5 401 1.2
Weakness 1 401 0.2
Difficult in breathing 1 401 0.2
High fever with shivering 65 401 16.2
Others 113 401 28.2
Don't know 106 401 26.4
A least 2 problems recognized 172 401 42.9
Table.43 Way of delivery
Way of delivery Numerator Denominator per cent
Normal 348 401 86.8
Assisted 6 401 1.5
Caesarean 47 401 11.7
Table.44 Type of assisted delivery and reason
Type of assisted delivery Numerator Denominator per cent
Vacuum 6 6 100
Forceps 0 0 100
Reason for assisted delivery
Unable to deliver due to big baby 6 6 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
62
Table.45 Type of Caesarean
Caesarean Numerator Denominator per cent
Planned 23 47 48.9
Emergency 24 47 51.1
Table. 46 Symptoms after delivery
Symptoms after delivery Numerator Denominator per cent
Vaginal bleeding has increased 234 401 58.4
Fits 134 401 33.4
Fast/Difficult breathing 67 401 16.7
Fever and too weak to get out of bed 104 401 25.9
Severe and headache with blurred
vision
96 401 23.9
High blood pressure 8 401 2.0
Retained placenta 9 401 2.2
Uterine pain 3 401 0.7
Pain in limbs 11 401 2.7
Oedema 4 401 1.0
Shock 5 401 1.2
Loss of consciousness 1 401 0.2
Weakness 1 401 0.2
Tingling and numbness 5 401 1.2
Food allergy 1 401 0.2
Amenorrhoea 2 401 0.5
Dizziness/dyspnoea 2 401 0.5
Other 1 401 0.2
Don't know 58 401 14.5
At least 2 symptoms recognized 182 401 45.4
Table. 47.a Mother health check after delivery and timing
Mothers' health checked after
delivery Numerator Denominator per cent
Yes 384 401 95.8
No 17 401 4.2
Don’t Know
Table. 47.b Mother health check after delivery and timing
When health first checked Numerator Denominator per cent
Within 1 hour 371 384 96.6
After 1 hour 9 384 2.3
Days 4 384 1.0
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
63
Table.48.a Health check for mother (4-6 weeks)
Health check of mother (4-6 wks) Numerator Denominator per cent
Heath professional(skilledpersonel) 144 384 37.5
Doctor 73 384 19.0
Nurse/ Midwife 141 384 36.7
Lady Health Visitor 18 384 4.7
Other person 237 384 61.7
Auxiliary midwife 42 384 10.9
Traditional birth attendant 126 384 32.8
Community health worker 17 384 4.4
Relative 101 384 26.3
No examination 8 384 2.1
Don't know 3 384 0.8
Table.48.b Health check for mother (4-6 weeks) and demographic data
Township Health check of mother(4-6 weeks)
Mawlamyinegyun Health
professional Other person Don't know
Total
per
cent Count
per
cent Count per cent Count per cent
Age Group 15-19 17 4.4 7 4.9 10 4.2
20-25 86 22.4 37 25.7 49 20.7
25-29 93 24.2 30 20.8 62 26.2 1 33.3
30-34 99 25.8 43 29.9 56 23.6
35-39 61 15.9 18 12.5 43 18.1
40-44 24 6.3 8 5.6 14 5.9 2 66.7
Above 45 4 1.0 1 0.7 3 1.3
Education
level
Never go to school 26 6.8 4 2.8 21 8.9 1 33.3
Primary 223 58.1 70 48.6 151 63.7 2 66.7
Middle/High 85 22.1 43 29.9 42 17.7
University and higher 22 5.7 18 12.5 4 1.7
Non-public education 28 7.3 9 6.3 19 8.0
Wealth
index
quintiles
Poorest 79 100 21 26.6 58 73.4
Second 66 100 15 22.7 50 75.8 1 1.5
Middle 77 100 22 28.6 54 70.1 1 1.3
Fourth 82 100 33 40.2 48 58.5 1 1.2
Richest 80 100 53 66.3 27 33.8
Percentage
ofr health
care
expenditure
Below 20% 313 81.5 117 81.3 195 82.3 1 33.3
20-40% 46 12.0 15 10.4 31 13.1
Above 40% 25 6.5 12 8.3 11 4.6 2 66.7
TOTAL 384 100 144 100 237 100 3 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
64
Table.48.c Health checks for mother (4-6 weeks) and distance to clinic
Township Health check of mother(4-6weeks)
Mawlamyinegyun Health professional Other person Don't know
Total per cent Count per cent Count per cent Count per cent
Below 1 Kilometre 104 27.1 52 36.1 52 21.9
1-2 Kilometres 82 21.4 28 19.4 54 22.8
3-5 Kilometres 51 13.3 17 11.8 33 13.9 1 33.3
Don’t know 147 38.3 47 32.6 98 41.4 2 66.7
TOTAL 384 100 144 100 237 100 3 100
Table.49.a Frequency of postnatal care in 6 weeks
Frequency of post natal care in 6 wks Numerator Denominator per cent
One time 16 384 4.2
Two times 29 384 7.6
Three times 55 384 14.3
Four times 36 384 9.4
Five times and above 284 384 64.6
Table. 49.b Frequency of postnatal care in 6 weeks and demographic data
Township Frequency of post natal care within 6 weeks
Mawlamyineg
yun 1-time 2-time 3-time 4-time
5-time and
above Don't know
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Coun
t
per
cent
Age Group 15-19 17 4.4 1 3.4 7 12.7 3 8.3 5 2.1 1 11.1
20-25 86 22.4 6 37.5 4 13.8 13 23.6 9 25.0 52 21.8 2 22.2
25-29 93 24.2 4 25.0 10 34.5 15 27.3 4 11.1 58 24.3 2 22.2
30-34 99 25.8 3 18.8 6 20.7 16 29.1 10 27.8 64 26.8
35-39 61 15.9 2 12.5 6 20.7 4 7.3 7 19.4 40 16.7 2 22.2
40-44 24 6.3 1 6.3 2 6.9 19 7.9 2 22.2
Above 45 4 1.0 3 8.3 1 0.4
Education
level
Never go to
school
26 6.8 1 6.3 1 3.4 5 9.1 2 5.6 15 6.3 2 22.2
Primary 223 58.1 12 75.0 16 55.2 34 61.8 23 63.9 133 55.6 5 55.6
Middle/ High 85 22.1 1 6.3 6 20.7 10 18.2 9 25.0 59 24.7
University and
higher
22 5.7 4 13.8 3 5.5 1 2.8 14 5.9
Non-public
education
28 7.3 2 12.5 2 6.9 3 5.5 1 2.8 18 7.5 2 22.2
Wealth
index
quintiles
Poorest 79 100 2 2.5 10 12.7 15 19.0 8 10.1 41 51.9 3 3.8
Second 66 100 5 7.6 5 7.6 9 13.6 5 7.6 38 57.6 4 6.1
Middle 77 100 2 2.6 4 5.2 11 14.3 9 11.7 50 64.9 1 1.3
Fourth 82 100 7 8.5 6 7.3 10 12.2 6 7.3 52 63.4 1 1.2
Richest 80 100 4 5.0 10 12.5 8 10.0 58 72.5
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
65
Percentage
of health
care
expenditure
Below 20% 313 81.5 12 75.0 18 62.1 46 83.6 32 88.9 197 82.4 8 88.9
20-40% 46 12.0 3 18.8 6 20.7 7 12.7 2 5.6 28 11.7
Above 40% 25 6.5 1 6.3 5 17.2 2 3.6 2 5.6 14 5.9 1 11.1
TOTAL 384 100 16 100 29 100 55 100 36 100 239 100 9 100
Table.49.c Frequency of postnatal care in 6 weeks and distance to clinic
Township Frequency of baby care within 6 weeks
Mawlamyinegi
un 1-time 2-time 3-time 4-time
5-time and
above
Don't know
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Below 1 Km 104 27.6 1 20.0 7 22.6 10 20.4 5 20.0 81 31.6
1-2 Km 80 21.2 1 20.0 8 25.8 2 4.1 7 28.0 62 24.2
3-5 Km 51 13.5 2 40.0 4 12.9 8 16.3 4 16.0 33 12.9
Don't known 142 37.7 1 20.0 12 38.7 29 59.2 9 36.0 80 31.3 11 100
Total 377 100 5 100 31 100 49 100 25 100 256 100 11 100
Table.50.a Child health check
Child's health checked Numerator Denominator per cent
Yes 377 401 94.0
No 24 401 6.0
Table. 50.b When first checked
When first checked Numerator Denominator per cent
Within 1 hour 368 377 97.6
After 1 hour 6 377 1.6
Days 3 377 0.8
Table. 51 Who checked the baby in 4-6 week
Who checked Numerator Denominator per cent
Heath professional(skilled personel) 147 377 39.0
Doctor 62 377 16.4
Nurse/ Midwife 163 377 43.2
Lady Health Visitor 28 377 7.4
Other person 227 377 60.2
Auxiliary midwife 38 377 10.1
Traditional birth attendant 124 377 32.9
Community health worker 17 377 4.5
Relative 112 377 29.7
Don't know 3 377 0.8
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
66
Table.52.a Frequency of child check in 7 days
Frequency of child check in 7 days Numerator Denominator per cent
One time 5 377 1.3
Two times 31 377 8.2
Three times 49 377 13.0
Four times 25 377 6.6
Five times and above 267 377 70.8
Table. 52.b Frequency of child check in 7 days and demographic data
Township Frequency of baby care within 7 days
Mawlamyinegyun 1-time 2-time 3-time 4-time 5-time and
above Don't know
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Age
Group
15-19 17 4.5 1 3.2 3 6.1 3 12.0 8 3.1 2 18.2
20-25 84 22.3 1 20.0 4 12.9 15 30.6 5 20.0 57 22.3 2 18.2
25-29 89 23.6 2 40.0 7 22.6 11 22.4 4 16.0 62 24.2 3 27.3
30-34 98 26.0 2 40.0 10 32.3 14 28.6 4 16.0 65 25.4 3 27.3
35-39 61 16.2 8 25.8 5 10.2 7 28.0 40 15.6 1 9.1
40-44 24 6.4 1 3.2 1 2.0 2 8.0 20 7.8
Above 45 4 1.1 4 1.6
Education
level
Never go to
school 24 6.4 1 20.0 5 10.2 1 4.0 17 6.6
Primary 218 57.8 4 80.0 17 54.8 29 59.2 19 76.0 143 55.9 6 54.5
Middle/High 85 22.5 9 29.0 11 22.4 5 20.0 58 22.7 2 18.2
University
and higher 22 5.8 3 9.7 2 4.1 17 6.6
Non-public
education 28 7.4 2 6.5 2 4.1 21 8.2 3 27.3
Wealth
index
quintiles
Poorest 76 100 1 1.3 7 9.2 13 17.1 6 7.9 45 59.2 4 5.3
Second 65 100 1 1.5 3 4.6 8 12.3 6 9.2 45 69.2 2 3.1
Middle 75 100 5 6.7 9 12.0 2 2.7 57 76.0 2 2.7
Fourth 81 100 3 3.7 9 11.1 10 12.3 4 4.9 53 65.4 2 2.5
Richest 80 100 7 8.8 9 11.3 7 8.8 56 70.0 1 1.3
Percentage
of health
care
expenditure
Below 20% 307 81.4 5 100 23 74.2 37 75.5 22 88.0 212 82.8 8 72.7
20-40% 46 12.2 4 12.9 8 16.3 2 8.0 30 11.7 2 18.2
Above 40% 24 6.4 4 12.9 4 8.2 1 4.0 14 5.5 1 9.1
TOTAL 377 100 5 100 31 100 49 100 25 100 256 100 11 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
67
Table. 52.c Frequency of child check in 7 days and Distance to clinic
Township Frequency of baby care within 7 days
Mawlamyinegyun 1-time 2-time 3-time 4-time 5-time and
above Don't know
Count per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Below 1 Km 104 27.6 1 20.0 7 22.6 10 20.4 5 20.0 81 31.6
1-2 Km 80 21.2 1 20.0 8 25.8 2 4.1 7 28.0 62 24.2
3-5 Km 51 13.5 2 40.0 4 12.9 8 16.3 4 16.0 33 12.9
Don't known 142 37.7 1 20.0 12 38.7 29 59.2 9 36.0 80 31.3 11 100
Total 377 100 5 100 31 100 49 100 25 100 256 100 11 100
Table.53 Vitamin A received
Vitamin A Received Numerator Denominator per cent
Yes 246 401 61.3
No 152 401 37.9
Don’t Know 3 401 0.7
Table.54 Severe symptoms of newborn babies in first month of life
Severe symptoms of babies first
month of life Numerator Denominator per cent
Difficult breathing 98 401 24.4
Fits 248 401 61.8
Fever 184 401 45.9
Feels cold 107 401 26.7
Bleeding 48 401 12.0
Stops feeding 125 401 31.2
Diarrhoea 107 401 26.7
Papules eruption 2 401 0.5
Hepatitis/jaundice 11 401 2.7
No urine output 1 401 0.2
Deficiency of B 1 401 0.2
Don't know 29 401 7.2
Atleast 2 symptoms recognized 123 401 30.7
At least 3 symptoms recognized 120 401 29.9
Table.55 Any current pregnancy
Any current pregnancy Numerator Denominator per cent
Yes 44 900 4.9
No 856 900 95.1
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
68
Table.56.a Like to have another child or not
Like to have another child or not Numerator Denominator per cent
Have another child 133 900 14.8
No more/none 686 900 76.2
Cannot get pregnant 13 900 1.4
Undecided/don’t know and pregnant 12 900 1.3
Undecided/don't know and not pregnant 56 900 6.2
Table.56.b Like to have another child or not and demographic data
Township Like to have another child or not
Mawlamyinegyun Have another
child No more/none
Cannot get
pregnant
Undecided/
don’t know
and pregnant
Undecided/
don't know
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Age Group 15-19 19 2.1 5 3.8 12 1.7 2 3.6
20-25 153 17.0 37 27.8 93 13.6 1 7.7 3 25.0 19 33.9
25-29 223 24.8 43 32.3 154 22.4 2 15.4 4 33.3 20 35.7
30-34 240 26.7 23 17.3 200 29.2 2 15.4 2 16.7 13 23.2
35-39 162 18.0 20 15.0 135 19.7 3 23.1 3 25.0 1 1.8
40-44 81 9.0 5 3.8 75 10.9 1 1.8
Above 45 22 2.4 17 2.5 5 38.5
Education
level
Never go to school 54 6.0 7 5.3 40 5.8 4 30.8 3 5.4
Primary 536 59.6 84 63.2 407 59.3 5 38.5 6 50.0 34 60.7
Middle/High 178 19.8 23 17.3 139 20.3 2 15.4 3 25.0 11 19.6
University and
higher
58 6.4 13 9.8 41 6.0
4 7.1
Non-public
education
74 8.2 6 4.5 59 8.6 2 15.4 3 25.0 4 7.1
Wealth
index
quintiles
Poorest 182 100 15 8.2 147 80.8 3 1.6 3 1.6 14 7.7
Second 180 100 36 20.0 122 67.8 2 1.1 6 3.3 14 7.8
Middle 178 100 25 14.0 138 77.5 2 1.1 13 7.3
Fourth 180 100 27 15.0 142 78.9 4 2.2 2 1.1 5 2.8
Richest 180 100 30 16.7 137 76.1 2 1.1 1 0.6 10 5.6
Number of
pregnancies
1 time 234 26.0 53 39.8 141 20.6 4 30.8 4 33.3 32 57.1
2-4 times 490 54.4 71 53.4 384 56.0 6 46.2 8 66.7 21 37.5
Above 5 time 176 19.6 9 6.8 161 23.5 3 23.1
3 5.4
Percentage
of health
care
expenditure
Below 20% 749 83.2 104 78.2 570 83.1 12 92.3 11 91.7 52 92.9
20-40% 99 11.0 19 14.3 77 11.2 1 7.7 1 8.3 1 1.8
Above 40% 52 5.8 10 7.5 39 5.7
3 5.4
TOTAL 900 100 133 100 686 100 13 100 12 100 56 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
69
Table. 57 Method to avoid pregnancy
Using method to avoid pregnancy Numerator Denominator per cent
Yes 590 742 79.5
No 152 742 20.5
Table.58.a What method used
What methods used Numerator Denominator per cent
Female sterilization 9 590 1.5
Pill 143 590 24.2
IUD 39 590 6.6
Injectable 394 590 66.8
Implants 1 590 0.2
Male condom 2 590 0.3
Periodic abstinence/rhythm 1 590 0.2
Withdrawal 1 590 0.2
Traditional medicine 3 590 0.5
Table. 58.b Method used to avoid pregnancy and demographic data
Method
used to
avoid
pregnancy
Township
Fe
ma
le
ste
rili
zati
o
n
Pil
l
IUD
Inje
cta
ble
s
Imp
lan
ts
Fo
am
/je
lly
Lact
ati
on
a
lam
en
orr
h
oe
a
me
tho
d
Pe
rio
dic
ab
stin
en
ce
/rh
yth
m
Tra
dit
ion
al
me
dic
ine
Mawlamyine
gyun
To
tal
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Co
un
t
pe
r
cen
t
Ag
e G
rou
p 15-19 10 1.7 2 1.4 8 2.0
20-25 90 15.3 1 11.1 19 13.3 8 20.5 62 15.7
25-29 149 25.3 1 11.1 43 30.1 6 15.4 100 25.4
30-34 172 29.2 2 22.2 44 30.8 12 30.8 109 27.7 1 100 1 50.0
3 100
35-39 104 17.6 1 11.1 19 13.3 11 28.2 73 18.5 1 50.0
1 100
40-44 58 9.8 3 33.3 15 10.5 2 5.1 37 9.4 1 100
Above
45
7 1.2 1 11.1 1 0.7 5 1.3
Ed
uca
tio
n l
ev
el
Never go
to school
31 5.3 6 4.2 1 2.6 24 6.1
Primary 351 59.5 5 55.6 88 61.5 2
4
61.5 234 59.4 2 66.7
Middle/Hi
gh
122 20.7 2 22.2 27 18.9 7 17.9 83 21.1 1 100 1 100 1 33.3
University
and
higher
43 7.3 1 11.1 11 7.7 3 7.7 26 6.6 1 100 2 100
Non-
public
education
43 7.3 1 11.1 11 7.7 4 10.3 27 6.9
We
alt
h i
nd
ex
qu
inti
les
Poorest 119 100 1 0.8 33 27.7 6 5.0 80 67.2
Second 107 100 1 0.9 25 23.4 10 9.3 69 64.5 1 0.9% 1 0.9
Middle 117 100 29 24.8 8 6.8 78 66.7 1 0.9 1 0.9
Fourth 121 100 1 0.8 30 24.8 7 5.8 82 67.8 1 0.8
Richest 126 100 6 4.8 26 20.6 8 6.3 85 67.5 1 0.8 1 0.8 1 0.8
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
70
Nu
mb
er
of
pre
gn
an
cie
s 1
time
147 24.9 33 23.1 3 7.7 112 28.4 1 33.3
2-4
times
335 56.8 7 77.8 80 55.9 30 76.9 212 53.8 1 10 2 100 1 100 2 66.7
5
times
and
abov
e
108 18.3 2 22.2 30 21.0 6 15.4 70 17.8 1 10
Pe
rce
nta
ge
of
he
alt
h
care
ex
pe
nd
itu
re Below
20%
501 84.9 9 100 116 81.1 32 82.1 340 86.3 2 100 1 100 3 100
20-40% 60 10.2
20 14.0 5 12.8 35 8.9 1 100
Above
40%
29 4.9
7 4.9 2 5.1 19 4.8
1 100
TOTAL 590 100 9 100 143 100 39 100 394 100 1 100 2 100 1 100 1 100 3 100
Table.59 Ever breastfed
Ever breastfed Numerator Denominator per cent
Yes 1022 1055 96.9
No 33 1055 3.1
Table.60 First time breastfed
First time breast fed Numerator Denominator per cent
Immediately 988 1,022 96.7
Within 24 hour 20 1,022 2.0
Don't know 14 1,022 1.4
Table.61 Still breastfed
Still breastfed Numerator Denominator per cent
Yes 471 1,022 46.1
No 551 1,022 53.9
Table.62.a Child received food/supplement
Child receive food/supplements Numerator Denominator per cent
Vitamin supplements 248 972 25.5
Plain water 914 972 94.0
Sweetened water or juice 263 972 27.1
ORS 44 972 4.5
Infant formula 47 972 4.8
Milk 79 972 8.1
Other liquids 32 972 3.3
Solid or semi-solid food 907 972 93.3
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
71
Table.62.b The number of time the child eat and age group Number
of time
the
child
eat
Age Group(Months)
0-5 months 6-11 months 12-23 months 24-35 months 36-47 months 48-59 months
Count per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
One 4 0.4 6 0.7 1 0.1 2 0.2 2 0.2 1 0.1
Two 3 0.3 37 4.1 27 3.0 15 1.7 19 2.1 11 1.2
Three 1 0.1 32 3.5 54 6.0 44 4.9 47 5.2 46 5.1
Four 17 1.9 44 4.9 73 8.0 70 7.7 52 5.7
Five 3 0.3 26 2.9 30 3.3 37 4.1 38 4.2
Six 2 0.2 1 0.1 7 0.8 28 3.1 27 3.0 15 1.7
Seven 5 0.6 6 0.7 29 3.2 22 2.4 13 1.4
Eight 1 0.1 1 0.1 2 0.2 4 0.4
Nine 2 0.2
Total 10 1.1 101 11.1 166 18.3 222 24.5 228 25.1 180 19.8
Table. 63.a Exclusive breastfeeding in under 6 months of age
Exclusivebreastfeeding under 6 months
of age Numerator Denominator per cent
Yes 87 117 74.4
No 30 117 25.6
Table.63.b How long should exclusively breastfed
How long should exclusively breastfeed Numerator Denominator per cent
Correct answer(6 Months) 816 900 90.7
Incorrect answer 48 900 5.3
Don't know 36 900 4.0
Table.64.a Benefits of breastfed
Benefits of breastfeeding Numerator Denominator per cent
Nutritional benefits 608 900 67.6
Immune system benefits 599 900 66.6
Promote uterine involution 27 900 3.0
Birth spacing 89 900 9.9
Bonding with child 170 900 18.9
Cost saving 331 900 36.8
Reduce occurrence of diarrhoea 174 900 19.3
Reduce risk of ovary and breast cancer 39 900 4.3
Smart child 55 900 6.1
Don't know 1 900 0.1
At least 2 benefits recognized 260 900 28.9
At least 3 benefits recognized 227 900 25.2
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table. 64.b Benefits of breastfed and education level of respondent
Township Benefits of breastfeeding
Mawlamyinegyun Any 2 Any 3
Total per cent Count per cent Count per cent
Never go to school 54 6.0 21 8.1 3 1.3
Primary 536 59.6 155 59.6 136 59.9
Middle/High 178 19.8 52 20.0 50 22.0
University and higher 58 6.4 9 3.5 21 9.3
Non-public education 74 8.2 23 8.8 17 7.5
TOTAL 900 100 260 100 227 100
Table.65 Immunization card
The immunization card seen Numerator Denominator per cent
Yes, seen 95 182 52.2
Yes, not seen 30 182 16.5
No card 57 182 31.3
Table. 66.a Immunization complete
Immunization
Gender of child TOTAL
Boy Girl
Count Per cent Count Per cent Count Per cent
DPT3 44 83.0 38 90.5 82 86.3
Measles 1 38 71.7 30 71.4 68 71.6
DPT3&Measles 36 67.9 29 69.0 65 68.4
Table. 66.b Immunization complete and education level
Township
Mawlamyinegyun Incomplete DPT3 Measles 1 DPT3&Measles
Total per cent Count per cent Count per cent Count per cent Count per cent
Never go to school 6 6.3 6 7.3 2 2.9 2 3.1
Primary 62 65.3 52 63.4 45 66.2 42 64.6 7 70.0
Middle/High 17 17.9 15 18.3 13 19.1 13 20.0 2 20.0
University and higher 5 5.3 4 4.9 4 5.9 4 6.2 1 10.0
Non-public education 5 5.3 5 6.1 4 5.9 4 6.2
TOTAL 95 100 82 100 68 100 65 100 10 100
Table.67 Ever had any vaccination
Ever had any vaccinations Numerator Denominator per cent
Yes 83 87 95.4
No 3 87 3.4
Don’t know 1 87 1.1
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.68 Ever had DPT vaccination
Ever had DPT vaccinations Numerator Denominator per cent
Yes 82 83 98.8
No 1 83 1.2
Table.69 Frequency of DPT vaccination
How many times DTP vaccinations Numerator Denominator per cent
1 6 82 7.3
2 8 82 9.8
3 63 82 76.8
Don’t Know 5 82 6.1
Table.70 Getting measles or Measles, Mumps and Rubella vaccination
Ever had Measles or Measles, Mumps
and Rubella vaccination Numerator Denominator per cent
Yes 79 83 95.2
No 3 83 3.6
Don’t Know 1 83 1.2
Table. 71.a Vitamin A received
Vitamin A received Numerator Denominator per cent
Yes 823 938 87.7
No 113 938 12.0
Don’t Know 2 938 0.2
Table. 71.b Vitamin A received and Demographic data
Township Receive Vitamin A or not
Mawlamyinegyun Yes No Don’t Know
Total per
cent Count
per
cent Count
per
cent Count
per
cent
Education
level
Never go to school 65 6.9 52 6.3 13 11.5
Primary 554 59.1 480 58.3 73 64.6 1 50.0
Middle/High 185 19.7 174 21.1 11 9.7
University and higher 55 5.9 49 6.0 5 4.4 1 50.0
Non-public education 79 8.4 68 8.3 11 9.7
Wealth
index
quintiles
Poorest 200 100 166 83.0 33 16.5 1 0.5
Second 184 100 163 88.6 21 11.4 Middle 191 100 166 86.9 25 13.1 Fourth 183 100 167 91.3 16 8.7 Richest 180 100 161 89.4 18 10.0 1 0.6
Percentage
of health
care
expenditure
Below 20% 794 84.6 692 84.1 100 88.5 2 100
20-40% 97 10.3 91 11.1 6 5.3 Above 40% 47 5.0 40 4.9 7 6.2
TOTAL 938 100 823 100 113 100 2 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.72 Months of last dose of Vitamin A received
Months of last dosage of Vitamin A Numerator Denominator per cent
1-3 months 518 823 62.9
4-6 months 115 823 14.0
7 months and above 64 823 7.8
Don’t know 126 823 15.3
Table.73 Location of last dose
Location of last dose Numerator Denominator per cent
Regular distribution by health staff 814 823 98.9
National Immunization Day Campaign 8 823 1.0
Don’t Know 1 823 0.1
Table.74.a Diarrhoea last 2 weeks
Diarrhoea last 2 weeks Numerator Denominator per cent
Yes 121 1,055 11.5
No 934 1,055 88.5
Table.74. b Diarrhoea last 2 weeks and water treatment
Township The last two weeks, the child had diarrhoea or not
Mawlamyinegyun Yes No
Total per cent Count per cent Count per cent
Treat water in any way to
make it safer to drink
Yes 180 98.9 35 100 145 98.6
No 2 1.1 2 1.4
TOTAL 182 100 35 100 147 100
Table.74.c Diarrhoea last 2 weeks and Type of water treatment
Township The last two weeks, the child had diarrhoea or not
Mawlamyinegyun Yes No
Total per cent Count per cent Count per cent
Type of
water
treatment
Boil 67 37.2 12 34.3 55 37.9
Add bleach /chlorine 8 4.4 2 5.7 6 4.1
Strain it through a cloth 150 83.3 29 82.9 121 83.4
Use water filter 3 1.7 2 5.7 1 0.7
Let it stand and settle 96 53.3 13 37.1 83 57.2
Alum 76 42.2 14 40.0 62 42.8
Ceramic filter 2 1.1 2 1.4
Water purifier 1 0.6 1 0.7
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.75 How much the child drank during diarrhoea (including breastfeeding)
How much child drankduring diarrhoea Numerator Denominator per cent
Much less or none 43 121 35.5
About the Same 32 121 26.4
More 46 121 38.0
Table.76 Amount of food given during diarrhoea
Food during diarrhoea Numerator Denominator per cent
Never gave food 19 121 15.7
Stopped food 8 121 6.6
Much less 28 121 23.1
Some what less 40 121 33.1
About the same 21 121 17.4
More 5 121 4.1
Table.77.a Given child anything during diarrhoea
Give child anythingduring diarrhoea Numerator Denominator per cent
ORS sachet 75 121 62.0
Sugar-salt solution 4 121 3.3
Cereal based ORT 7 121 5.8
Zinc Tablets 2 121 1.7
Breast milk 53 121 43.8
Water 48 121 39.7
Tea, coffee, soft drinks, etc 13 121 10.7
Medication for diarrhoea 62 121 51.2
Take child to the hospital/clinic 41 121 33.9
Take child to quack or traditional healer 10 121 8.3
Given Oral Rehydration Therapy (ORT) 82 121 67.8
Table. 77.b Given ORT during diarrhoeaby sex
Giving ORT or not
during diarrhoea
Gender of child TOTAL
Boy Girl
Count Per cent Count Per cent Count Per cent
Giving ORT 38 69.1 44 66.7 82 67.8
Other treatments 17 30.9 22 33.3 39 32.2
TOTAL 55 100 66 100 121 100
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.78 Danger signs of diarrhoea
What are danger signs of diarrhoea Numerator Denominator per cent
Lethargic or unconscious 420 900 46.7
Unable to drink or drink poorly 382 900 42.4
Sunken eyes and sunken soft spot in
babies
273 900
30.3
Inelastic skin 152 900 16.9
Blood in stool 99 900 11.0
Vomiting 345 900 38.3
Dehydration 64 900 7.1
Thinning 1 900 0.1
Pain in abdomen 2 900 0.2
Fever 12 900 1.3
Don't know 136 900 15.1
At least 2 signs recognized 309 900 34.3
At least 3 signs recognized 164 900 18.2
Table.79 Cough or difficult breathing in 2 weeks
Cough or difficulty breathing in 2 weeks Numerator Denominator per cent
Yes 254 1,055 24.1
No 799 1,055 75.7
Don’t know 2 1,055 0.2
Table.80 Other problems
Other problems Numerator Denominator per cent
Problem in chest only 142 254 55.9
Blocked or runny nose only 81 254 31.9
Both 10 254 3.9
Difficult in breathing 5 254 2.0
Don't know 16 254 6.3
Table.80.a Seek treatment
Seek treatment Numerator Denominator per cent
Yes 129 168 76.8
No 39 168 23.2
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table. 80.b Who provided treatment
Who provided treatment Numerator Denominator per cent
Public Sector 71 129 55.0
Govt. health centre (RHC) 35 129 27.1
Govt. health post (Sub-centre) 23 129 17.8
Govt. Hospital 14 129 10.9
Village health worker 3 129 2.3
Private medical sector 47 129 36.4
Private Hospital 0 129 0
Private pharmacy 11 129 8.5
Private physician 36 129 27.9
UHC/MCH Centre
Traditional medicine clinic 3 129 2.3
Others source 11 129 8.5
Relative/Friends 3 129 2.3
Betal quid shop 8 129 6.2
Table.82.a Any medication for child
Any medications for child Numerator Denominator per cent
Yes 129 129 100
Table. 82.b Place provided treatment and medication given
Township Any medications
Mawlamyinegyun Yes
Total per cent Count per cent
Place that
provide
treatment
Public sector 71 55.0 71 55.0
Private sector 47 36.4 47 36.4
Other source 11 8.5 11 8.5
TOTAL 129 100 129 100
Table. 83.a Medicine for children by sex
Medicine for children Gender of child TOTAL
Boy Girl
Count Per cent Count Per cent Count Per cent
Antibiotic (e.g. Septrin, amoxicillin) 26 39.4 21 33.3 47 36.4
Cough tablets/syrup 39 59.1 36 57.1 75 58.1
Paracetamol/ panadol 31 47.0 23 36.5 54 41.9
Vitamins/ tonic 8 12.1 9 14.3 17 13.2
Don't know 14 21.2 17 27.0 31 24.0
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.83.b Place of treatment providers and medication given
Township
Mawlamyinegyun
Antibiotic
(e.g. Septrin,
amoxicillin)
Paracetamol/
panadol
Cough
tablets/syrup
Vitamins/
tonic Don't know
Total per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Place that
provide
treatment
Public sector 71 55.0 31 66.0 34 63.0 43 57.3 9 52.9 15 48.4 Private sector 47 36.4 15 31.9 16 29.6 23 30.7 8 47.1 16 51.6 Other source 11 8.5 1 2.1 4 7.4 9 12.0
TOTAL 129 100 47 100 54 100 75 100 17 100 31 100
Table.84 Signs of severe acute respiratory infection
Signs of severe acute respiratory
infection Numerator Denominator per cent
Rapid or difficult breathing 417 900 46.3 High fever 231 900 25.7
Intrusion of sternum and ribs 127 900 14.1 Whistling sound while breathing 314 900 34.9
Seizures/loss of conciousness 4 900 0.4 Vomitting/refuse breast feeding 3 900 0.3
Epistasis 1 900 0.1 puffy face/mump 1 900 0.1
Don't know 286 900 31.8
Any 2 signs recognized 258 900 28.7
At least 3 signs recognized 88 900 9.8
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.85 Danger signs to seek treatment in children in children
Danger signs to seek treatment Numerator Denominator per cent
Child not able to drink or breastfeed 228 900 25.3
Child becomes sicker 497 900 55.2
Child develops high fever 534 900 59.3
Child has fast breathing 89 900 9.9
Child has difficulty breathing 173 900 19.2
Child has convulsions 380 900 42.2
Child has blood in stools 164 900 18.2
Child eating drinking poorly 134 900 14.9
Vomiting 6 900 0.7
DHF 13 900 1.4
Diarrhoea 21 900 2.3
Fever 1 900 0.1
Unable to defecate/urinate 1 900 0.1
Whooping cough 7 900 0.8 Jaundice/burning micturition/yellow coloration of eyes 3 900 0.3
TB 1 900 0.1 Epistasis 1 900 0.1
Don’t Know 6 900 0.7
At least 2 signs recognized 337 900 37.4
At least 3 signs recognized 240 900 26.7
Table.86 Growth monitoring chart
Growth Monitoring Chart Numerator Denominator per cent
Yes (Card seen) 67 1,055 6.4
Yes( card not seen) 92 1,055 8.7
No 894 1,055 84.7
Don’t Know 2 1,055 0.2
Table.87 Weight in last 4 months
Weighed in last 4 months Numerator Denominator per cent
Yes 40 67 59.7
No 27 67 40.3
Table.88 Global Acute Malnutrition (6-59 months) (NCHS) (1977)
Weight for Age-WAZ Weight for height-WHZ Height for Age-HAZ
Moderate
(<-2 and >=-
3 z-score)
Severe
(<-3 z-
score)
Number
of
children
Moderate
(<-2 and >=-
3 z-score)
Severe
(<-3 z-
score)
Number
of
children
Moderate
(<-2 and >=-
3 z-score)
Severe
(<-3 z-
score)
Number
of
children
Boy 30.7 5 114 11 1.9 41 23.8 8.8 104
Girl 34.2 6.3 147 8 1.4 34 36.4 11.6 138
TOTAL 32.6 5.7 261 9.4 1.6 75 25.2 10.3 242
Global Acute Malnutrition (WHZ <-2 to -3 moderate plus <-3 Z severe)
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table-89.a Wasting (Weight for height)
Nutritional Indicators Numerator Denominator Per cent CI
Prevalence of global acute malnutrition
(<-2 z-score and/or oedema) 75 682 11.0 (-4.2-26.2)
Boys 41 319 12.9 (-50-30.7)
Girls 34 363 9.4 (6.4-12.4)
Prevalence of moderate acute malnutrition
(<-2 z-score and >=-3 z-score, no oedema) 64 682 9.4 (-3.6-22.4)
Boys 35 319 11.0 (-4.2-26.2)
Girls 29 363 8.0 (5.2-10.8)
Prevalence of severe acute malnutrition
(<-3 z-score and/or oedema) 11 682 1.6 (-0.6-3.8)
Boys 6 319 1.9 (-0.7-4.5)
Girls 5 363 1.4 (0.2-2.6)
Table.89.b Wasting and demographic data of mother
Wasting (Weight for height-WHZ)
TOTAL Moderate
(<-2 and >=-3 z-score)
Severe
(<-3 z-score)
Count Per cent Count Per cent Count Per cent
Education
level
Never go to school 4 6.3 1 9.1 5 6.7
Primary 37 57.8 6 54.5 43 57.3
Middle/High 9 14.1 3 27.3 12 16.0
University and higher 6 9.4 6 8.0
Non-public education 8 12.5 1 9.1 9 12.0
Wealth
index
quintiles
Poorest 14 77.8 4 22.2 18 100
Second 15 93.8 1 6.3 16 100
Middle 17 89.5 2 10.5 19 100
Fourth 9 81.8 2 18.2 11 100
Richest 9 81.8 2 18.2 11 100
TOTAL 64 11 75
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table-90.a Under-weight (Weight for age) Nutritional Indicators Numerator Denominator Per cent CI
Prevalence of under-weight
(<-2 z-score and/or oedema) 261 682 38.3 (-14.8-91.3)
Boys 114 319 35.7 (-13.8-85.3)
Girls 147 363 40.5 (35.4-45.5)
Prevalence of moderate under-weight
(<-2 z-score and >=-3 z-score, no oedema) 222 682 32.6 (-12.6-77.74)
Boys 98 319 30.7 (-11.9-73.3)
Girls 124 363 34.2 (29.3-39.0)
Prevalence of severe under-weight
(<-3 z-score and/or oedema) 39 682 5.7 (-2.2-13.6)
Boys 16 319 5 (-1.9-12.0)
Girls 23 363 6.3 (3.8-8.8)
Table.90.b Underweight and demographic data of mother
Underweight (Weight for Age-WAZ)
TOTAL Moderate
(<-2 and >=-3 z-score)
Severe
(<-3 z-score)
Count Per cent Count Per cent Count Per cent
Education
level
Never go to school 18 8.1 2 5.1 20 7.7
Primary 140 63.1 23 59.0 163 62.5
Middle/High 37 16.7 6 15.4 43 16.5
University and higher 11 5.0 1 2.6 12 4.6
Non-public education 16 7.2 7 17.9 23 8.8
Wealth
index
quintiles
Poorest 53 79.1 14 20.9 67 100
Second 56 86.2 9 13.8 65 100
Middle 39 83.0 8 17.0 47 100
Fourth 44 93.6 3 6.4 47 100
Richest 30 85.7 5 14.3 35 100
TOTAL 222 39 261
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table-91.a Stunting (Height for age) Nutritional Indicators Numerator Denominator Per cent CI
Prevalence of stunting
(<-2 z-score and/or oedema) 242 682 35.5 (-13.7-84.7)
Boys 104 319 32.6 (-12.6-77.8)
Girls 138 363 38 (33.0-43.0)
Prevalence of moderate stunting
(<-2 z-score and >=-3 z-score, no oedema) 172 682 25.2 (-9.7-60.2)
Boys 76 319 23.8 (-9.2-56.8)
Girls 96 363 36.4 (21.9-31.0)
Prevalence of severe stunting
(<-3 z-score and/or oedema) 70 682 10.3 (-4.0-24.5)
Boys 28 319 8.8 (-3.4-20.9)
Girls 42 363 11.6 (8.3-14.9)
Table.91.b Stunting and demographic data of mother
Table.92.a Number of living children
Deworming medication received in
last 6 months Numerator Denominator per cent
Yes 549 1,055 52
No 502 1,055 47.6
Don't know 4 1,055 0.4
Stunting (Height for Age-HAZ)
TOTAL Moderate
(<-2 and >=-3 z-score)
Severe
(<-3 z-score)
Count Per cent Count Per cent Count Per cent
Education
level
Never go to school 12 7.0 8 11.4 20 8.3
Primary 104 60.5 43 61.4 147 60.7
Middle/High 32 18.6 12 17.1 44 18.2
University and higher 7 4.1 7 2.9
Non-public education 17 9.9 7 10.0 24 9.9
Wealth
index
quintiles
Poorest 44 69.8 19 30.2 63 100
Second 36 69.2 16 30.8 52 100
Middle 34 73.9 12 26.1 46 100
Fourth 30 69.8 13 30.2 43 100
Richest 28 73.7 10 26.3 38 100
TOTAL
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Table.92.b Child received medicine for de-worming by age group
Received
deworming
Age Group(Months)
0-5 months 6-11 months 12-23 months 24-35 months 36-47 months 48-59 months
Count per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent Count
per
cent
Yes 1 0.1 14 1.3 45 4.3 154 14.6 177 16.8 158 15.0
No 116 11.0 105 10.0 137 13.0 68 6.4 52 4.9 24 2.3
Don't know
2 0.2
1 0.1 1 0.1
Total 117 11.1 121 11.5 182 17.3 223 21.1 230 21.8 182 17.3
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Annex- 2 Questionnaire in English
QUESTIONNAIRE FOR BASELINE AND FOLLOW UP POPULATION BASED MCH SURVEY
Eligible Women Information
This module is to be administered to all women who have under 5 children. Please use one
questionnaire set for one women.
WM1. Respondent ID: WM2. Household number:
___ ___ ___
___ ___
WM3. Interviewer Code: WM4. Day / Month / Year of interview:
Name ___ ___
___ ___ / ___ ___ / ___ ___ ___ ___
WM5. Village Tract____________________
WM6. Village name _____________________
WE ARE LOCAL VOLUNTEERSAND STAFF FROM ………………….., A NON-GOVERNMENTAL ORGANIZATION. WE WOULD LIKE TO
ASK YOU ABOUT HEALTH OF THE MOTHERS AND CHILDREN FROM THIS HOUSEHOLD. THE INTERVIEW WILL TAKE ABOUT 45
MINUTES. ALL THE INFORMATION WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL AND YOUR ANSWERS WILL NEVER BE
SHARED WITH ANYONE OTHER THAN OUR PROJECT TEAM. YOU CAN CHOOSE TO PARTICIPATE IN THIS INTERVIEW OR CHOOSE
NOT TO ANSWER SOME QUESTIONS. IF YOU AGREE TO BE INTERVIEWED, PLEASE SIGN AT THE APPROPRIATE PLACE ON THE
CONSENT FORM.
MAY I START NOW?
���� Yes, permission is given �Get consent form and Begin the interview.
���� No, permission is not given �Complete WM7. Discuss this result with your supervisor.
WM7. Result of woman’s interview Completed ........................................................ 1
Not at home ..................................................... 2
Refused ............................................................. 3
Partly completed .............................................. 4
Incapacitated .................................................... 5
Cannot find house/.......................................... 6
House destroyed
Other (specify) _________________________ 7
WM8. Supervised by (Name and number):
Name _______________________ ___ ___
WM9. Data entry (Name and number):
Name _______________________ ___ ___
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Woman’s Background
1. How old are you?
____ ____ years
2. Marital Status Married………………………….…….………..…………….1
Widowed……………………….….……………..…………..2
Separated…………………….……..……..…….…..……..3
Divorced…………………………….………..….…………..4
Other (specify).…………………………………………….5
3. What is the highest level of school you
attended?
Never go to school...........................................1
Primary............................................................2
Middle/High.....................................................3
University and higher.......................................4
Non-public education......................................5
REF:
MICS
4. Number of household members
(adults and children)
_____ _____ members
5. Past Obstetric history Number of pregnancies ____ ____
Number of child deliveries ____ ____
Number of abortion ____ ____
6. Number of living children (including those
living together or not) ____ ____
7. 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
2�Q.9
8. How many children have died? ____ ____
9. Total number of children
Check the number with mother. If not the
same, repeat asking questions from Q.5. _____ _____ (sum Question 6 and 8)
10. Have you given any live birth in the last
2 years?
Yes ......................................................... 1
No .......................................................... 2
11. How many children do you have are
under-five? _____ _____
WE WOULD LIKE TO ASK YOU ABOUT UNDER-5 CHILDREN YOU HAVE GIVEN BIRTH. PLEASE FILL IN QUESTION COLUMN 12 WITH THE
NAMES OF CHILDREN IN AGE ORDER. THEN ASK QUESTION 13 TO 19 FOR EACH CHILD. PLEASE FILL IN INFORMATION OF TWINS
INDIVIDUALLY. IF THE NUMBER OF CHILDREN EXCEED THE SPACES GIVEN, PLEASE FILL IN ANOTHER QUESTIONNAIRE.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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12. NAME OF
CHILD
13. SINGLE
OR TWINS
14. BOY OR
GIRL
15. MONTH
AND YEAR
BORN
16. STILL
ALIVE?
17. AGE
WHEN
DECEASED**
18. IF ALIVE,
HOW OLD AT
LAST
BIRTHDAY?
19. IF
ALIVE, IS
THE
CHILD
LIVING
WITH
MOTHER
?
1. SING......1
MULT.....2
BOY.......1
GIRL......2
MTH _____
YR _______
YES....1 (Q.18)
NO.......2
DAY ______
MONTHS ____
YEARS ____
AGE IN YEARS
_______
YES.....1
NO.......
2
2. SING......1
MULT.....2
BOY.......1
GIRL......2
MTH _____
YR _______
YES....1 (Q.18)
NO.......2
DAY ______
MONTHS ____
YEARS ____
AGE IN YEARS
_______
YES.....1
NO.......
2
3. SING......1
MULT.....2
BOY.......1
GIRL......2
MTH _____
YR _______
YES....1 (Q.18)
NO.......2
DAY ______
MONTHS ____
YEARS ____
AGE IN YEARS
_______
YES.....1
NO.......
2
4. SING......1
MULT.....2
BOY.......1
GIRL......2
MTH _____
YR _______
YES....1 (Q.18)
NO.......2
DAY ______
MONTHS ____
YEARS ____
AGE IN YEARS
_______
YES.....1
NO.......
2
5. SING......1
MULT.....2
BOY.......1
GIRL......2
MTH _____
YR _______
YES....1 (Q.18)
NO.......2
DAY ______
MONTHS ____
YEARS ____
AGE IN YEARS
_______
YES.....1
NO.......
2
6. SING......1
MULT.....2
BOY.......1
GIRL......2
MTH _____
YR _______
YES....1 (Q.18)
NO.......2
DAY ______
MONTHS ____
YEARS ____
AGE IN YEARS
_______
YES.....1
NO.......
2
NOTE: THE NUMBER OF TOTAL CHILDREN FROM QUESTION 11 MUST BE THE SAME AS THE NUMBER OF CHILDREN MENTIONED
UNDER QUESTION 12. IF NOT THE SAME, RECHECK AND CONFIRM.
** If deceased when under 1 month old, please mention age in days, if under 2 years old, mention as
months, if above 2 years old, write in years.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Questionnaire for Household
Household Characteristics
20. What are the main sources of livelihood
for the household at this time?
List as many as mentioned
Fishing (own production)..................................1
Crops (own production)....................................2
Livestock production (draught animals, pigs
and poultry) (own production).........................3
Aquaculture production (shrimp, prawn,
crabs, etc.) (own production).....................4
Government employee....................................5
Trader/shopkeeper/
village broker/ vendors..............................6
Self-employed/craftsman/artisan...................7
Casual labour in agricultural sector................8
Casual labour in non-agricultural sector.........9
Other (specify) ..............................................10
REF: PR IV
21. How many rooms in this household are
used for sleeping? No. of rooms ____ _____
REF: MICS
22. Main material of the dwelling floor
Record observation
Natural floor
Earth/mud……………………………………………………1
Sand…………………………………………….………………2
Rudimentary floor
Wood planks………………………………………………..3
Bamboo……………………………………………….………4
Finished floor
Parquet or polished wood……………………………5
Ceramic tile…………………………………………………6
Cement………………………………………………….……7
Carpet…………………………………………………………8
Other(specify) ……………………………………………..9
REF: MICS
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23. Main material of the roof.
Record observation.
Natural roofing
No roof…………………………………………..………………1
Palm leaf………………………………………………..………2
Rudimentary Roofing
Thatch…………………………………………………………...3
Bamboo……………………………………………….…………4
Wood planks……………………………………….….………5
Finished roofing
Iron Sheet………………………………..…………….………6
Cement………………………………………………….………7
Ceramic tiles…………………………………………….……8
Other (specify) ………………………………………………9
REF: MICS
24. Main material of the walls.
Record observation.
Natural walls
No walls………………………………………..……….………1
Cane/palm/trunks………………………………….………2
Mud…………………………………………..………….……….3
Rudimentary walls
Bamboo/Thatch………………….………..………..…..…4
Wood…………………………………………..……….……….5
Finished walls
Cement…………………………………………..………..……6
Stone with lime/cement…………………………..……7
Bricks…………………………………………..…………..……8
Wood planks/Shingles……………………………………9
Other (specify) ……………………..……………..………10
REF: MICS
25. What type of fuel does your household
mainly use for cooking?
Electricity……………………………………..……….………1
Liquid Propane Gas (LPG) ………………..…….………2
Natural gas…………………………………………….………3
Biogas…………………………………………..……….………4
Kerosene……………………………………...……….………5
Coal/ Lignite…………………………..……..……….….…6
Charcoal………………………………………..………..……7
Wood…………………………….……………..……….………8
Straw/shrubs/grass………….…………..……….….……9
Animal dung…………………………………………………10
Agricultural crop residue……………………….….…11
Other (specify) ……………………………………………12
Ref: MICS
01->Q.28
02-> Q.28
03-> Q.28
04-> Q.28
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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26. In this household, is food cooked on an
open fire, an open stove or a closed
stove?
Open fire……………………………………...……….………1
Open stove…………………………………...……….………2
Closed stove……………………..………………….………..3
Other (specify)………………………..……..……….………4
Ref: MICS
3-> Q.28
6-> Q.28
27. Does the fire/stove have a chimney or
a hood?
Yes……………………..………………………...……….………1
No……………………..………………………...……….….……2
Ref: MICS
28. Is the cooking usually done in the
house, in a separate building, of
outdoors?
In the house……………….………………...……….………1
In a separate building…………………...……….………2
Outdoors…………...………………………...……….………3
Other (specify) ……………………...……..……….………4
Ref: MICS
29. Does your household have:
Electricity?
A Radio?
Television?
VCD/DVD?
A Mobile Telephone?
A Non-mobile telephone?
A refrigerator?
Other? (specify)
________________________________
Yes No
Electricity ................................ ...............1 2
Radio ................................................... ...1 2
Television ............................................... 1 2
VCD/DVD............................................... 1 2
Mobile telephone .................................. 1 2
Non-mobile telephone .......................... 1 2
Refrigerator ........................................... 1 2
Other ..................................................... 1 2
REF: MICS
30. Does any member of your household
own:
A Watch?
A Bicycle?
A Motorcycle or Scooter
An Animal-Drawn Cart?
A Car or Truck?
A Boat with a Motor?
Other? (specify)
______________________________
Yes No
Watch……………………………………………………1 2
Bicycle…………………………………………………..1 2
Motorcycle/Scooter………………………………1 2
Animal Drawn-Cart/boat……………………….1 2
Car/Truck………………………………………………1 2
Motorized Boat……………………………………..1 2
Other…………….……………………………………..1 2
Ref: MICS
Water and Sanitation
31. What is the main source of drinking
water for members of your household?
Please ask only one main source of
drinking water supply.
Piped water
Piped into dwelling...................................... 1
Piped into compound, yard or plot............. 2
Public tap / standpipe................................. 3
Tube Well, Borehole........................................ 4
Dug well
Protected well............................................. 5
Unprotected well......................................... 6
REF: MICS 1�35
2�35 3�33 4�33 5�33
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Water from spring
Protected spring.......................................... 7
Unprotected spring..................................... 8
Rainwater collection...................................... 9
Tanker-truck.................................................. 10
Cart with small tank / drum........................... 11
Surface water (river, stream, dam, lake,
pond, canal, irrigation channel)..................... 12
Bottled water................................................. 13
Other (specify) _______________________ 14
6�33 7�33 8�33 9�20 10�33 11�33 12�33 14�33
32. What is the main source of water
used by your household for other
purposes such as cooking and hand
washing?
Please ask only one main source of water
used for multi-purposes
Piped water
Piped into dwelling...................................... 1
Piped into compound, yard or plot............. 2
Public tap / standpipe................................. 3
Tube Well, Borehole........................................ 4
Dug well
Protected well............................................. 5
Unprotected well......................................... 6
Water from spring
Protected spring.......................................... 7
Unprotected spring..................................... 8
Rainwater collection...................................... 9
Tanker-truck.................................................. 10
Cart with small tank / drum........................... 11
Surface water (river, stream, dam, lake,
pond, canal, irrigation channel)..................... 12
Other (specify) _______________________ 13
REF: MICS 1�35
2�35
33. How long does it take to go there, get
water, and come back?
Number of minutes __ __ __
Can get water from home ..........................995
DK................................................................ 996
REF: MICS
995�35
34. Who usually goes to this source to
fetch the water for your household?
Probe:
Is this person under age 15? What sex?
Circle code that best describes this
person
Adult woman...............................................1
Adult man....................................................2
Female child (under 15)...............................3
Male child (under 15)..................................4
Don’t know..................................................5
REF: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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35. Do you treat your water in any way
to make it safer to drink?
Yes.................................................................. 1
No................................................................... 2
DK................................................................... 3
REF: MICS 2�37
8�37
36. What do you usually do to make the
water safer to drink?
Probe:
Anything else?
Record all items mentioned.
Boil................................................................. 1
Add bleach / chlorine..................................... 2
Strain it through a cloth.................................. 3
Use water filter (ceramic, sand, composite,
etc.)................................................................ 4
Solar disinfection............................................ 5
Let it stand and settle..................................... 6
Other (specify) _______________________ 7
DK................................................................... 8
REF: MICS
37. What kind of toilet facility do
members of your household usually
use?
If necessary, ask permission to observe
the facility.
Flush / Pour flush
Flush to piped sewer system....................... 1
Flush to septic tank..................................... 2
Flush to somewhere else............................ 3
Pit latrine
Ventilated Improved Pit latrine (VIP)......... 4
Pit latrine with slab..................................... 5
Pit latrine without slab / Open pit............... 6
Composting toilet........................................... 7
Bucket............................................................ 8
Hanging toilet, Hanging latrine...................... 9
No facility, Bush, Field.................................... 10
Other (specify)_______________________ 11
REF: MICS 10�Next
Module
38. Do you share this facility with other
households?
Yes.................................................................. 1
No................................................................... 2
REF: MICS
2�Next
module
39. How many households in total use
this toilet facility, including your own
household?
Number of households (if less than 10) __
Ten or more households................................ 10
DK................................................................... 11
REF: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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Household Expenditure
Expenditure during last month
40. How much did this household spend on
the following in the last month?
(in kyats only)
1. Transport□□□□□□□□□□ 2. Housing □□□□□□□□□□
3. Clothing □□□□□□□□□□ 4. Food □□□□□□□□□□ 5. Education □□□□□□□□□ 6. Health care
□□□□□□□□□ 7. Fuel for heating/cooking
□□□□□□□□□□ 8. Contributions to social/religious activities
□□□□□□□□□□ 9. Others
(specify)□□□□□□□□□□ 10. Don’t know
11. Refuse to answer
REF: MICS
41. What was the total expenditure in the
last month?
If the sum up of expenditures from
question 40 is different from the answer
to question 41, recheck with the
respondent.
Under 50,000 kyats ……………….…...……….………1
Ks. 50,000 – Ks 100,000 ………………......….………2
Ks. 100,000 – Ks 200,000…………………...…………3
Over Ks. 200,000 ………………...…………..….………4
Don’t know………………...……………………….………5
Refuse………………...………………………..…….………6
REF: MICS
Migration
42. Did you household live in this
village/ward before Nargis?
Yes……………………..………………………...……….………1
No…………….……..………………..………...……….….……2
REF: PR IV
1�45
43. If no, how many months or years ago
have you moved here? ______ year(s)/______ month(s)
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44. Since Nargis, how many different
villages have you lived? ____ ____ village(s)
REF: PR IV
45. Do you want to:
� Stay in this village/ward?
� Return to the previous village?
� Move to a new place?
Stay in this village/ward ……………...…….….………1
Return to the previous village………...….….………2
Move to a new place…………………...……….….……3
REF: PR IV
46. At this present time, do you have a
permanent household registration
document?
Yes……………………..………………………...……….………1
No…………………..………………..………...……….….……2
Don’t know……..………………..………...……….….……3
REF: PR IV
47. What is the main language spoken in
this household?
Kachin…………….…..………………………...……….………1
Kayah………………..………………………...……….………..2
Kayin………………………………………..…...……….………3
Chin……………………..……….……………...……….………4
Bamar……………………..………….………...……….………5
Mon……………………..………….…………...……….………6
Rakhine………………………………………...……….………7
Shan……………………..………….…………...……….………8
Other (Specify) ……………………..……...……….………9
REF: PR IV
Questionnaire for Women
Antenatal Care Child’s age ___ year(s) ___ month(s)
This module is to be administered to women who have given birth within the last two years. Please note
down the name of the last child she has given birth. (___________________)
Please use that child’s name for the following interview questions.
48. Do you know that when you are
pregnant, you shoud go to the
health care center?
Yes……………………..………………………...……….………1
No…………………..………………..………...……….….……2
Not sure………………………………………………………..3
49. Whom did you see for antenatal
care?
Probe: Anyone else?
Probe for the type of person seen and
circle all answers given.
Health professional
Doctor...................................................................1
Nurse/midwife......................................................2
Lady Health Visitor/Health Assistant....................3
Other person
Auxiliary midwife...................................................4
Traditional birth attendant.................................5
Community health worker.....................................6
Other (specify) .......................................................7
No one...................................................................8
REF: PR IV
8->54
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
94
50. How many months pregnant were
you when you first received
antenatal care for this pregnancy?
Months ____
Don’t know …………………………………………….………99
REF: DHS
51. How many times did you receive
antenatal care during this
pregnancy?
Number of times ............................................ ____
Don’t know ...................................................99
REF: MICS
If less than 4
times, skip to
Q. 53.
52. At which pregnancy terms, did you
receive antenatal care?
Yes No
Around 12 weeks.................................1 2
(until 14 weeks)
Around 26 weeks.................................1 2
(15-28 weeks)
Around 32 weeks.................................1 2
(29-34 weeks)
Around 36 weeks.................................1 2
(35 weeks until birth)
53. As part of your antenatal care
during this pregnancy, were any of
the following done at least once:
Was your blood pressure measured?
Were your weight measured?
Was your abdomen examined?
Did you give a urine sample?
Did you give a blood sample?
Did you receive vitamin B1?
Did you receive iron tablets?
Show a sample of Vitamin B1 and iron
tablets.
Yes No
Blood pressure.......................................... 1 2
Weight...................................................... 1 2
Abdomen examination...............................1 2
Urine sample............................................ 1 2
Blood sample............................................. 1 2
Vitamin B1..................................................1 2
Iron tablets.................................................1 2
REF: MICS
54. If antenatal care was not received,
why? (From Q. 49)
Record all the responses.
Not necessary………………………………..…..…..….……1
ANC provider location is too far………...…..…..……2
Cost too much…………………………….….…..…..….……3
No transport………………………………….…...…..….……4
Feel shy……………………………………….……..…..….……5
Others(specify) …………………………..……..…..….……6
REF: KPC
55. How does your family travel to the
nearest health post/clinic?
Walking ………………………………………..…...…..….……1
Canoe…………………………………………….…...…...…..…2
Trishaw………………………………..………….……..….……3
REF: PR IV
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95
TICK ALL THAT APPLY
Motor boat…………………………………..…...…...….……4
Tollagyi………………………………..…..…….…….…………5
Motorised vehicle
(car/motorcycle/bus/etc.)............................6
Bicycle………………………………………...…...…....………7
Other (specify) …………………………….…..…..…………8
Don’t know...........................................................9
56. How long does it take for you to
travel to the nearest health
post/clinic ? How far is it?
Please mention the travel time and
distance of the most frequently used
method.
Distance need to be rechecked with
Township health department record.
Number of minutes _______
Distance (km) ________
Don’t know ......................................................999
REF: PR IV
57. During pregnancy, woman may
encounter severe problems or
illnesses and should go or be taken
immediately to a health facility.
What types of symptoms would cause
you to seek immediate care at a health
facility (right away)?
ASK: Anything else?
DO NOT READ RESPONSES. RECORD ALL
THAT ARE MENTIONED.
Vaginal bleeding ……………………..….…...…..…..…….1
Fits/Convulsions………………………..……...…..…..….…2
Severe headaches with blurred vision..…..…………3
Fever and too weak to get out of bed….……...……4
Severe abdominal pain……..…………….….…..….……5
Fast or difficult breathing..….………..…...…..….……6
Other (specify)………………….……….…………..…..……7
Don’t know…………………………………..…...…..…..……8
Ref: KPC
58. When you were pregnant with
(child’s name), did you receive any
injection in the arm or shoulder to
prevent the baby from getting
Tetanus, That is convulsions after
birth?
Yes.......................................................................1
No........................................................................2
Don’t know ........................................................ 3
REF: MICS
No� Q. 60
DK� Q. 60
59. How many times did you receive
these Tetanus injections during your
pregnancy with (child’s name)?
Number of times ........................................... __
Don’t know ........................................................ 8
REF: MICS
If at least 2
times, skip
to next
section
DK� Q. 60
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
96
60. Did you receive any tetanus
injection at any time before your
pregnancy with (child’s name), either
to protect yourself or another baby?
Yes ...................................................................... 1
No ....................................................................... 2
Don’t know ........................................................ 3
REF: MICS
No� Next
section
DK� Next
section
61. How many times did you receive a
tetanus injection before your
pregnancy with (child’s name)?
Number of times .............................................. __
Don’t know ........................................................ 8
REF: MICS
62. In what month and year did you
receive the last anti-tetanus
injection before that last
pregnancy?
If cannot recall year, go to no.63. If year
is mentioned, skip to next module.
Month __________
Don’t know month.............................................88
Year ________
Don’t know year................................................99
REF: MICS
DON’T KNOW
YEAR� Q. 63
63. How many years ago did you receive
the last tetanus shot before your
pregnancy with (child’s name)?
Years ago......................................................__ __
REF: MICS
DELIVERY AND IMMEDIATE NEWBORN CARE Child’s age ___ year(s) ___ months
This module is to be administered to women who have given birth within the last two years. Please note
down the name of the last child she has given birth. (___________________)
Please use that name for the following interview questions.
64. Who, if anyone, assisted during
delivery?
–TICK ALL THAT APPLY
Probe: Anyone else?
Probe for the type of person assisting
and circle all answers given.
Health professional
Doctor..................................................................1
Nurse/midwife.....................................................2
Lady Health Visitor/Health Assistant...............3
Other person
Auxiliary midwife..................................................4
Traditional birth attendant...................................5
Community health worker....................................6
Relatives/friends...................................................7
Other (specify) .....................................................8
By self...................................................................9
REF: PR IV
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97
65. Where did you give birth to the
(child’s name)?
Probe to identify the location.
If unable to determine whether public or
private, write the name of the place.
_______________________________
(Name of place)
Home
Your home............................................................1
Other home..........................................................2
Public Sector
Government Hospital...........................................3
Government clinic/health centre.........................4
Other public (specify) ..........................................5
Private Medical Sector
Private hospital....................................................6
Private clinic........................................................7
MCWA maternity clinic.......................................8
Private maternity home......................................9
Other (specify) ...................................................10
REF: PRIV
66. During delivery, once contractions
started, woman may encounter
severe problems or illnesses and
should go or be taken immediately to
a health facility.
While having contractions or delivering a
baby, what types of symptoms would
cause you to seek immediate care at a
health facility (right away)?
ASK: Anything else?
DO NOT READ RESPONSES. RECORD ALL
THAT ARE MENTIONED.
If waters break and not in labour after 6
hours.............................................................1
Labour pains (contractions) continue for more
than 12 hours................................................2
Heavy bleeding (soaks more than 2 to 3 pads in
15 minutes)...................................................3
Placenta not expelled 1 hour after birth of
baby..............................................................4
Other (specify)....................................................5
Don’t know..........................................................6
REF: KPC
67. How did you deliver (child’s name)? Normal spontaneous vaginal delivery................1
Assisted vaginal delivery ....................................2
Caesarean section..............................................3
1�
next section
2�68
3�70
68. What type of assisted delivery? Vaccum.............................................................. 1
Forceps.............................................................. 2
69. Why do you have to undergo
assisted delivery?
(State all reasons mentioned)
________________________________________
________________________________________
Go to next
section
70. Did you plan to give birth by
caesarean section or was it
because of emergency reasons?
Planned...............................................................1
Emergency..........................................................2
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98
POSTPARTUM CARE Child’s age ___ year(s) ___ month(s)
This module is to be administered to women who have given birth within the last two years. Please note
down the name of the last child she has given birth. (___________________)
Please use that name for the following interview questions.
71. Sometimes mothers after delivery
have severe illnesses and should be
taken immediately to a health
facility.
What types of symptoms would cause
you to go to a health facility right away?
ASK: Anything else?
DO NOT READ RESPONSES. RECORD ALL
THAT ARE MENTIONED.
Vaginal bleeding has increased……..………………...1
Fits……………. ……………..…………………………………….2
Fast/difficult breathing…...…………..…………………..3
Fever and too weak to get out of bed……………….4
Severe headache with blurred vision .………………5
Other (specify) …………………………………………………6
Don’t know……………………………………………………….7
REF: KPC
72. After (child’s name) was born, did
any health care provider check on
your health?
Yes ...................................................................... 1
No ...................................................................... 2
Don’t know..........................................................3
2� Q. 76
3� Q. 76
73. How long after the birth of (child’s
name) did you receive first check
up?
If within one hour, fill in “00”.
If within 1 to 24 hours, record hours at
after 1 hour.
If less than one week, record days.
Within 1 hour ___ ____........………………………….1
After 1 hour ___ ___ ……………………………….2
Days ___ ___ ……………………………………………3
Weeks ___ ___ ..…………………………………….4
Don’t know …………………………………………………….88
REF: MICS
74. In the 4 to 6 weeks after the birth,
who checked on your health at that
time?
–TICK ALL THAT APPLY
Do not prompt. Circle all that
mentioned.
Health professional
Doctor..................................................................1
Nurse/midwife.....................................................2
Lady Health Visitor/Health Assistant....................3
Other person
Auxiliary midwife.................................................4
Traditional birth attendant...................................5
Community health worker...................................6
Relative...............................................................7
Other (specify) ....................................................8
Don’t know.........................................................9
REF: PR IV
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99
75. How many times did you get post-
natal care visits, within 6 weeks
after delivery?
Number of times ______
Don’t know………………………..…………………….…….88
Ref: DHS
76. After (child’s name) was born, did
any health care provider check on
the baby’s health?
Yes ...................................................................... 1
No ...................................................................... 2
Don’t know..........................................................3
Ref: MICS
2� Q. 80
3� Q. 80
77. How long after the birth of (child’s
name) did the first check up take
place?
If within one hour, fill in “00”.
If within 1 to 24 hours, record hours at
after 1 hour.
If less than one week, record days.
Within 1 hour ____ ___……………………….………….1
After 1 hour ___ ___ ……………………………….2
Days ___ ___ ……………………………………………3
Weeks ___ ___ ..…………………………………….4
Don’t know …………………………………………………….88
Ref: MICS
78. In the 4 to 6 weeks after the birth,
who checked on the baby’s health
at that time?
–TICK ALL THAT APPLY
Do not prompt. Circle all that
mentioned.
Health professional
Doctor..................................................................1
Nurse/midwife.....................................................2
Female Health Visitor/Health Assistant...............3
Other person
Auxiliary midwife.................................................4
Traditional birth attendant...................................5
Community health worker...................................6
Relative...............................................................7
Other (specify) ....................................................8
Don’t know.........................................................9
Ref: MICS
79. How many times did (child’s name)
receive the check up (postnatal visit
for newborn) within 7 days.
Number of times ______
Don’t know………………………..…………………….…….88
80. In the first one and a half month
after your last birth (child’s name),
did you receive a vitamin A dose like
this?
Show 200,000 IU capsule or dispenser.
Yes ...................................................................... 1
No ...................................................................... 2
Don’t know..........................................................3
Ref: MICS
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100
81. Sometimes, newborns, within the
first month of life, have severe
illnesses and should be taken
immediately to a health facility.
What types of symptoms would cause
you to take your newborn to a health
facility right away?
ASK: Anything else?
DO NOT READ RESPONSES. RECORD ALL
THAT ARE MENTIONED.
Difficult breathing.…………………………………….…….1
Fits… ……………………………………………………….……..2
Fever……………………………………………………….………3
Feels cold…………………..…………………………….……..4
Bleeding………..………………………………………….…….5
Stops feeding……………………………………………….….6
Diarrhea………………………………………….………...…7
Other (specify)……………………………………..………....8
Don’t know………………………………………………………9
REF: KPC
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
101
CONTRACEPTIVE PREVALENCE
THIS MODULE IS TO BE ADMINISTERED TO ALL MOTHERS. NOW WE WOULD LIKE TO ASK YOU ABOUT REPRODUCTIVE HEALTH.
YOU MIGHT HAVE SOME DIFFICULTY ANSWERING THESE QUESTIONS BUT IT WOULD BE VERY HELPFUL FOR HEALTH PROJECT. SO
WE WOULD REALLY APPRECIATE IF YOU COULD ANSWER THE QUESTIONS. YOUR ANSWERS WOULD BE STRICTLY CONFIDENTIAL.
82. 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
REF: MICS
2�84
8�84
83. When you got pregnant, did you want to get
pregnant at that time?
Yes ......................................................... 1
No .......................................................... 2
84. Would you like to have another child or
would you prefer not to have any more
child?
Have another child ................................ 1
No more/none ....................................... 2
Cannot get pregnant..............................3
Undecided/don’t know
and pregnant ............................... 4
Undecided/don’t know
and not pregnant or unsure ........ 5
1�NEXT
SECTION
2�85
3� NEXT
SECTION
4� NEXT
SECTION
5�85
85. 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
REF: MICS
2�NEXT
SECTION
86. 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...............................1
Pill..........................................................2
IUD.........................................................3
Injectables.............................................4
Implants................................................5
Male condom........................................6
Female condom.....................................7
Diaphragm............................................8
Foam / Jelly...........................................9
REF: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
102
Lactational amenorrhoea method ......10
Periodic abstinence / Rhythm.............11
Withdrawal..........................................12
Other (specify) ....................................13
Questionnaire for Under-5 Children
This module is to be administered to the mothers with under-5 children except where otherwise
mentioned. All under-5 children will be included in the interview and each questionnaire set is to be used
for each child.
UF1. Child name ___________________ UF2. Mother name ________________
UF3. Village Tract name __________________ UF4. Village name __________________
87. Child’s birth date _____ / _____ / _____
(Day/Month/Year)
88. How old is the child? ____ Year(s)/ _______ Month(s)
89. Sex Female .........................................................1
Male.............................................................2
BREASTFEEDING Child’s age ___ year(s) ___ month(s)
90. Did you ever breastfeed (child’s
name)?
Yes ..................................................................... 1
No ...................................................................... 2
Don’t know.......................................................3
2�Q. 93 3�Q. 93
91. How long after birth did you first put
(child’s 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................................................... __ __
Days..................................................... __ __
Don’t know / remember......................999
REF: MICS
92. Is he/she still being breastfeed? Yes ................................................................... 1
REF: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
103
No....................................................................2
Don’t know.......................................................3
93. Since this time yesterday, did he/she
receive any of the following?
Read each item aloud and record
response before proceeding to next
item.
1. Vitamin, mineral supplements or
medicine?
2. Plain water?
3. Sweetened, flavoured water or fruit
juice or tea or infusion?
4. Oral rehydration solution (ORS) ?
5. Infant formula?
6. Tinned, powdered or fresh milk?
7. Any other liquids?
8. Solid or semi-solid food?
Y N DK
Vitamin supplements .. .......................1 2 8
Plain water ...................... ....................1 2 8
Sweetened water or juice .................. 1 2 8
ORS ..................................................... 1 2 8
Infant formula ..................................... 1 2 8
Milk ..................................................... 1 2 8
Other liquids ....................................... 1 2 8
Solid or semi-solid food ...................... 1 2 8
REF: MICS
If the child
receives
solid or
semi-solid
food,
continue to
94.
If not, skip
to 95.
94. Since this time yesterday, how many
times did (child’s name) eat solid,
semi-solid or soft foods other than
liquids?
If 7 or more times, record ‘7’.
No. Of times _______________
Don’t know ...................................................88
Ref: MICS
PLEASE ASK QUESTIONS 95 AND 96 TO THE MOTHER ONLY ONCE.
95. How long should a baby be exclusively
breastfed?
__ __ month(s)
Don’t know....................................................88
REF: KPC
96. What are the benefits of
breastfeeding?
DO NOT READ RESPONSES.
Record all multiple responses.
Nutritional Benefits……………………………………….1
Immune system benefits……………………………….2
Promote uterine involution……………………………3
Birth spacing………………………………………………….4
Bonding with child…………………………………………5
Cost saving…………………………………………………….6
Reduce occurrence of diarrhea……………………..7
Reduce risk of ovary and breast cancer…………8
Other (specify)………………………………………………9
Don’t know……………………………………………………10
REF: KPC
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
104
IMMUNIZATION Child’s age ___ year(s) ___ month(s)
If the child has immunization card or record, use the immunization dates from the card to fill out the
following questions. If no record, please ask questions from 99 to 102.
97. Do you have a card where (child’s name)’s
vaccinations are written down?
(IF YES) May I see it please?
Yes, seen........................................................1
Yes, not seen..................................................2
No card..........................................................3
2�99
3�99
98. Copy dates for each vaccination from the
card.
Write ‘44’ in day column if card shows that
vaccination was given but no date recorded.
Date of Immunization
Day Month Year
(A)DPT1
(B) DPT2
(C) DPT 3
(D) Measles 1
99. 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
Don’t know....................................................3
Ref: MICS
No �Next
section
DK �Next
section
100. Has (NAME) ever received a DPT
vaccination – that is, an injection in the
thigh at the age of one and a half, two
and a half, and three and a half months–
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
Don’t know....................................................3
Ref: MICS
No�
Q.102
DK�
Q.102
101. How many times was a DPT vaccine
received?
Number of times ....................................... ___
Don’t know...................................................8
Ref: MICS
102. 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
Don’t know....................................................3
Ref: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
105
Vitamin A module Child’s age ___ year(s) ___ month(s)
This module is to be administered to the mothers with children between 6 months-5 year old. Each
questionnaire set is to be used for each child.
103. Did (child’s name) receive Vitamin A
dose like this one?
Show capsule or dispenser for different doses
100,000 IU for those 6-11 months old,
200,000 IU for those 12-59 months old.
Yes ................................................................. 1
No.................................................................2
Don’t know....................................................3
REF: MICS
2�Next
section
3�Next
section
104. How many months ago did (name) take
the last dose?
Months ago ___ ____
Don’t know..................................................99
Ref: MICS
105. Where did (name) get the last dose? Regular distribution by health staff...............1
Sick child visit to health facility.....................2
National immunization Day Campaign..........3
Other (specify) ..............................................4
Don’t know....................................................5
Ref: MICS
Care of Illness Child’s age ___ year(s) ___ month(s)
106. In the last two weeks, has (child’s
name) had diarrhea?
Having diarrhea means counting from
today until the last 13 days, passing
watery stool or stool with blood 3 times
or more than 3 times a day.
Yes ................................................................. 1
No.................................................................2
Don’t know....................................................3
REF: MICS
2 �Q. 110
3 �Q. 110
107. How much was given to the child to
drink during diarrhea (including breast
milk)?
Was he/she given less than usual to drink,
about the same amount, or more than
usual?
Much less or none.........................................1
About the same (or somewhat less)............2
More.............................................................3
Don’t know....................................................4
REF: MICS
108. Was he/she given less than usual to
eat, about the same amount, more than
usual or nothing to eat?
Never gave food............................................1
Stopped food.................................................2
Much less......................................................3
Somewhat less..............................................4
About the same............................................5
More.............................................................6
Don’t know...................................................7
REF: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
106
109. When (name of child) had diarrhea,
did you give the child anything?
PROMPT AND RECORD ALL MULTIPLE
RESPONSES.
AFTER EACH RESPONSE, ASK: ANYTHING
ELSE?
ORS sachet ………………………………………………..1
Sugar-salt solution …………………………………….2
Cereal based ORT
(rice water, maize water) ………………….…3
Zinc Tablets……………………………………………….4
Breast milk ……………………………………………….5
Water ……………………………………………………….6
Tea, coffee, soft drinks, etc………………………..7
Medication for diarrhea ……………………………8
Take child to the hospital/clinic ………………..9
Take child to quack or traditional healer…10
Other (specify) …………………………………………11
Nothing…………………………………………………….12
REF: KPC
PLEASE ASK QUESTION 110 TO THE MOTHER ONLY ONCE.
110. What are the danger signs of diarrhea
in children?
RECORD ALL MULTIPLE RESPONSES.
Lethargic or unconscious …………………..……..1
Unable to drink or drink poorly ..……………….2
Sunken eyes and
sunken soft spot in babies………………….…3
Inelastic skin (take time to return to normal
after pinching)…………………….………………….4
Blood in stool…………………………………………….5
Vomiting……………………………………….……………6
Other…………………………………………………………7
Don’t know………………………………………………..8
REF: KPC
111. At any time in the last two weeks, has
the child had an illness with cough and
fast or difficult breathing?
Yes ................................................................. 1
No.................................................................2
Don’t know....................................................3
Ref: MICS
No �Q. 117
DK �Q. 117
112. Was the fast or difficult breathing
due to a problem in the chest or a
blocked or runny nose?
Problem in chest only…………………………………1
Blocked or runny nose only………………………..2
Both…………………………………………………………..3
Other (specify)…………………………………………..4
Don’t know………………………………………………..5
Ref: MICS
2 � Q. 117
4 � Q. 117
113. Did you seek treatment for your child?
Yes ................................................................. 1
No.................................................................2
Don’t know....................................................3
Ref: MICS
2 � Q. 117
3 �Q. 117
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
107
114. From whom did you seek treatment
when (name of child) had difficulty in
breathing?
DO NOT PROMPT.
MULTIPLE RESPONSES POSSIBLE.
If source is hospital, health center, or clinic,
write the name of the place below. Probe
to identify the type of source and circle the
appropriate code.
(Name of place)
Public sector
Govt. Hospital............................................1
Govt. health centre (RHC) ......................... 2
Govt. health post (Sub-centre) ................. 3
Village health worker ................................ 4
Mobile / Outreach clinic ........................... 5
UHC/MCH centre ....................................... 6
Traditional medicine clinic ........................ 7
Other public (specify) ................................ 8
Private medical sector
Private hospital ........................................ 9
Private physician ..................................... 10
Private pharmacy ................................... 11
Mobile clinic ........................................... 12
Traditional medicine clinic ...................... 13
Other private medical (specify)................14
Other source
Relative / Friend ...................................... 15
Betal quid shop .................................... ..16
Other (specify) .........................................17
Ref: MICS
115. Did you receive any medication for
the child?
Yes………………………………………………………..1
No…………………………………………………………2
Don’t know……………………………………………3
Ref: MICS
2 � Q. 117
3 �Q. 117
116. What medicine was the child given?
Probe:
Any other medicine?
Circle all medicines given.
Antibiotic (e.g. ceptrin, amoxicillin) …………..1
Paracetamol/ panadol……………………………….2
Cough tablets/syrup………………………………….3
Vitamins/ tonic………………………………………….4
Other (specify) …………………………………………5
Don’t know……………………………………………….6
REF: MICS
PLEASE ASK QUESTION 117 AND 118 TO THE MOTHER ONLY ONCE.
117. What are the signs of severe acute
respiratory infection in children?
RECORD ALL MULTIPLE RESPONSES.
Rapid or difficult breathing…………………………1
High fever………………………………………………….2
Intrusion of sternum and ribs…………………….3
Whistling sound while breathing……………….4
Other (specify)…………………………………………..5
Don’t know……………………………………………….6
REF: KPC
118. What are the danger signs in children
which prompt you to seek care
immediately?
Child not able to drink or breastfeed………….1
Child becomes sicker………………………………….2
Child develops a fever………………………………..3
Child has fast breathing……………………………..4
Ref: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
108
Keep asking for more signs or symptoms
until the mother cannot recall any
additional symptoms. Circle all symptoms
mentioned. But do NOT prompt with any
suggestions.
Child has difficulty breathing………………………5
Child has convulsions…………………………………6
Child has blood in stool………………………………7
Child is eating or drinking poorly………………..8
Other (Specify) ………………………………………….9
Growth monitoring And child anthropometry Child’s age ___ year(s) ___ month(s)
All under-5 children will be included to assess anthropometry and each questionnaire set is to be used for
each child.
119. Does (child’s name) have a growth
monitoring chart?
ASK THE MOTHER TO SEE THE CARD.
Yes (card seen) ................................... ...........1
Yes (card not seen) ........................................ 2
No .................................................................. 3
Don’t know.....................................................8
Ref: MICS
2 �Q. 121
3 �Q. 121
DK �
Q.121
120. Look at the growth monitoring card of
the child and record the following
information:
Has the child been weighed in the last 4
months?
Yes ................................................................. 1
No .................................................................. 2
Ref: MICS
121. Check the child’s age from question 88
and fill in the appropriate place. Take
the child’s measurements and record
the necessary information in the spaces
below. If the mother refuses permission
to measure the child, record in Result as
‘refused’.
If under 2 years old, measure length (lying
down)
Weight _______ kg
Height _________ cm (standing up)
Height _________ cm (lying down)
Ref: MICS
122. Has the child receive medicine for de-
worming in the last 6 months?
Yes ................................................................. 1
No........................................ .......................... 2
DK...................................................................3
Ref: MICS
Result Completed..................................................1
Child not home............................................2
Refuse..........................................................3
Other(specify) ________________________4
Please check the number of eligible women and under-5 children at home against the number of
interviews completed. If every eligible women and children have been interviewed, thank the respondent
and proceed to the next house.
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
109
Annex- 3 Questionnaire in Myanmar
ကြနေတာ၊ ကၽြနမတ႕ဟာဒ ________ တငး/ျပညနယအတြငးမာေနထငတၿမ႕နယကနးမာေရးဌာနမ ကနးမာေရး
၀နထမးမား၊ ေစတနာ၀နထမးကနးမာေရးလပသားမား ႏင ......................... အငဂအအဖြ႕အစညးမ ၀နထမးမားျဖစပါတယ။ဒအမေထာငစမာရတမခငႏငကေလးမားရ႕ကနးမာေရးအတြကေမးခြနမားေမးျမနးခြငျပပါ။ေမးခြနး မားေမးရနအတြက ၄၅ မနစခန႕ ၾကာမညျဖစၿပး ေျဖၾကားေပးတအေျဖမားကလညးမေပါကၾကားေအာငထနးသမးထားပါမယ။ ယခေမးျမနးမည ေမးခြနးမားအားလးကေသာလညးေကာငး၊ အခ႕ကေသာလညးေကာငး မေျဖဆလက မေျဖဆဘ ေနႏငပါ တယ။ ေမးခြနးမား ေမးျမနးရနခြငျပပါက ခြငျပခကရယသည စာရြကေပၚတြင သေဘာတေၾကာငးအမတအသားျပေပးပါ။ ေမးခြနးစတငေမးရနခြငျပပါသလား?
ခြငျပသည ခြငျပခကရယသညစာရြကေပၚတြငအမတအသားျပေစ၍ ေမးခြနးမားစတငပါ။ ခြငမျပပါ WM7 ကျဖည၍ ရလဒက ၾကးၾကပသႏငေဆြးေႏြးပါ။
WM7. ေမးခြနးလႊာေမးျမနးၿပးစးမႈ ျပညစစြာၿပးစး.……………………………………………… 1
အမတြငလမရ………………………………………………. 2 ျငငးဆန……………………………………………………… 3 တစပငးတစစၿပးစး…………………………………………. 4 ေျဖဆႏငစြမးမရ……..…………………………………….. 5 အမရာမေတြ႕၊ပကစး.…………………………………….. 6 အျခား(တတကကေဖာျပပါ)…….………………………. 7
WM8. ႀကးၾကပသအမညႏငကတနပါတ အမည _______________________ ___ ___
WM9. စာရငးသြငးသအမညႏငကတနပါတ အမည __________________________ ___ ___
ေျဖဆရနအကးေျဖဆရနအကးေျဖဆရနအကးေျဖဆရနအကး၀၀၀၀ငသအမးသမးႏငသကဆငေသာငသအမးသမးႏငသကဆငေသာငသအမးသမးႏငသကဆငေသာငသအမးသမးႏငသကဆငေသာ အခကအလကမားအခကအလကမားအခကအလကမားအခကအလကမား
ဤေမာဂးရေမးခြနးမားက အသက ၅ ႏစေအာကကေလးရေသာ မခငမားကအားလးကေမးျမနးရနျဖစပါသည။ အမးသမး တစဥးအတြက ေမးခြနးလႊာတစက အသးျပရနျဖစသည။ WM1. ေမးခြနးလႊာေျဖဆသနပါတ ___ ___ ___
WM2. အမေထာငစအမတ ___ ___
WM3. စာရငးေကာကသအမညႏငကတနပါတ ________________________ ___ ___
WM4. ေမးျမနးသညရက/ လ/ ႏစ
___ ___ / ___ ___ / ___ ___ ___ ___ WM5. ေကးရြာအပစအမည ______________________
WM6. ၿမ႕၊ရြာအမည __________________________
BASELINE AND FOLLOW UP POPULATION BASED MCH SURVEY ေမးခြနးလႊာေမးခြနးလႊာေမးခြနးလႊာေမးခြနးလႊာ
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
110
ေျဖဆသအမးသမးႏငသကဆငေသာအခကအလကမားေျဖဆသအမးသမးႏငသကဆငေသာအခကအလကမားေျဖဆသအမးသမးႏငသကဆငေသာအခကအလကမားေျဖဆသအမးသမးႏငသကဆငေသာအခကအလကမား
1. သငအသကဘယႏစႏစရျပလ။ ျပညၿပးအသက ___ ___ ႏစ
2. အမေထာငေရးအေျခအေန အမေထာငရ………………………………………… 1 မဆးမ.………………………..……………………… 2 ကြကြာ..………………………………………………. 3 ကြာရငး……….………………………………………. 4 အျခား (ေဖာျပပါ)..………………………………… 5
3. အျမငဆးဘယအတနးတကဖးသလ။ ေကာငးမေနဘး……………………………………. 1 မလတနး……………………………….……………. 2 အလယတနး၊အထကတနး…………………….. 3 ေကာလပ/တကသလ…………………………….. 4 ျပငပစာသငေကာငး………………….……………. 5
Ref: MICS
4. အတေနအမသားဘယႏစေယာကရပါသလ? (လႀကးႏငကေလးအပါအ၀င)
_____ _____ ေယာက
5. ယခငကယ၀နေဆာငဖးေသာရာဇ၀င
ကယ၀နေဆာငသညအၾကမ _________ ကေလးေမြးဖးသညအၾကမ _________ ကေလးပကကဖးသညအႀကမ _________
6. အသကရငေနထငေသာကေလး အေရအတြက (အတေန၊ အတမေန အပါအ၀င)
____ _____
7. ေမြးဖြားျပး ေသဆးသြားေသာ သားသမး (ေခတအသကရငခသမား အပါအ၀င) ရဖးပါသလား?
ရ……………………………….…………………………………1 မရ………………………………………………………………..2
(ေမးခြနး ၉ သ႔ေမးပါ။)
8. ေသဆးသြားေသာကေလးဘယႏစ ေယာကရပါသလ?
____ _____
9. စစေပါငးသားသမးအေရအတြက ေမးခြနး ၆ ႏင 8 ေပါငး လကေသာအခါ စစေပါငး သားသမးအေရအတြကရ မညျဖစသည။
_____ _______
ဤကဏာနးအားမခငအားျပနလည ေမး၍စစေဆးပါ။ မတကဆငပါက ေမးခြနး ၅ မစ၍ျပနေမးပါ။
10. လြနခေသာႏစႏစအတြငး သငကေလး အရငေမြးဖြားခပါ သလား?
ေမြးဖြားခ.…………………….…………………………………1 မေမြးဖြားခ.……………………………………………………..2
11. ၅ ႏစေအာက ကေလး အေရအတြက
_____ _______
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သငေမြးဖြားခေသာ ၅ႏစေအာကအတြငးရကေလးမားအေၾကာငးေမးျမနးလပါသည။ ေမြးဖြားသည ကေလးမား အသကရငလက ရ၊မရက ေမးခြနး ၁၂တြင ပထမေမြးဖြားခသည ကေလးမစ၍ ၾကးစဥငယလကေဖာျပပါ။ စာရငးေကာကမ ပထမဥးစြာမခငေဖာျပသည ကေလးမား၏ အမညမားက ေမးခြနး ၁၂ မစ၍ေရးသြငးပါ။ ထ႔ေနာကေမးခြနး ၁၃ မ ၁၉ အထ ကေလးတစဥးခငးစအလကေမးပါ။ အမႊာကေလးမားက တစဥးစသးျခားအကြကမားတြငေရးသြငးပါ။ကေလးအေရအတြကသညေပးထားေသာအကြကထကပေနပါက သးျခားေမးခြနးလႊာတြငေရးသြငးပါ။
၁၂. ကေလးအမည
၁၃. တစဥးခငး (သ႔) အမႊာေမး ခပါသလား?
၁၄. ေယာကား (သ႔) မနးကေလး
၁၅. ေမြးဖြားခသည ခႏစ ႏင လ
၁၆. အသကရငလက ရ၊မရ
၁၇. ေသဆးစဥ အသက**
၁၈. ျပညျပးအသက
၁၉. အသက ရငလကရပါ က၊ သငႏငအတ ေနထငပါ သလား?
၁. တစဥးခငး….1 အမႊာ………..2
ကား………1 မ…………..2
လ _____ ခႏစ ______
ရ……1 (ေမးခြနး ၁၈ သ႕သြား) မရ….2
ရကေပါငး ____ လေပါငး _____ ႏစေပါငး______
____ ____ (ႏစ)
ေန………1 မေန…….2
၂. တစဥးခငး….1 အမႊာ………..2
ကား………1 မ…………..2
လ _____ ခႏစ ______
ရ……1 (ေမးခြနး ၁၈ သ႕သြား) မရ….2
ရကေပါငး ____ လေပါငး _____ ႏစေပါငး______
____ ____ (ႏစ)
ေန………1 မေန…….2
၃. တစဥးခငး….1 အမႊာ………..2
ကား………1 မ…………..2
လ _____ ခႏစ ______
ရ……1 (ေမးခြနး ၁၈ သ႕သြား) မရ….2
ရကေပါငး ____ လေပါငး _____ ႏစေပါငး______
____ ____ (ႏစ)
ေန………1 မေန…….2
၄. တစဥးခငး….1 အမႊာ………..2
ကား………1 မ…………..2
လ _____ ခႏစ ______
ရ……1 (ေမးခြနး ၁၈ သ႕သြား) မရ….2
ရကေပါငး ____ လေပါငး _____ ႏစေပါငး______
____ ____ (ႏစ)
ေန………1 မေန…….2
၅. တစဥးခငး….1 အမႊာ………..2
ကား………1 မ…………..2
လ _____ ခႏစ ______
ရ……1 (ေမးခြနး ၁၈ သ႕သြား) မရ….2
ရကေပါငး ____ လေပါငး _____ ႏစေပါငး______
____ ____ (ႏစ)
ေန………1 မေန…….2
၆. တစဥးခငး….1 အမႊာ………..2
ကား………1 မ…………..2
လ _____ ခႏစ ______
ရ……1 (ေမးခြနး ၁၈ သ႕သြား) မရ….2
ရကေပါငး ____ လေပါငး _____ ႏစေပါငး______
____ ____ (ႏစ)
ေန………1 မေန…….2
မတခက- ေမးခြနးနပါတ၁၁မကေလးအေရအတြကႏင ေမးခြနး ၁၂ေအာကတြင ေဖာျပထားေသာ ကေလးအေရအတြကတညရမညျဖစသည။ မတညပါက ျပနလညေမးျမနးအတညျပပါ။
**ေသဆးစဥအသက တစလေအာကျဖစလင ရကေပါငး၊ ႏစႏစေအာကျဖစလင လေပါငး၊ ႏစႏစအထကျဖစလင ႏစေပါငး ေရးသြငးပါ။
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အမေထာငစႏငဆငေသာအမေထာငစႏငဆငေသာအမေထာငစႏငဆငေသာအမေထာငစႏငဆငေသာ သတငးအခကအလကသတငးအခကအလကသတငးအခကအလကသတငးအခကအလက
အမေအမေအမေအမေမာဂးမာဂးမာဂးမာဂး
20. ယခလကရသငမသားစအတြကအဓကအသကေမြး၀မးေၾကာငးမားကေဖာျပပါ။
ငါးဖမးျခငးလပငနး (ကယပင)………………………………. 1 သးႏမားထတလပျခငး (ကယပင)………………………… 2 ေမြးျမေရးထတလပမႈလပငနး (၀က၊ၾကကစသျဖင) (ကယပငလပငနး)…………………………………………….. 3 စးပြားျဖစေရလပငနး (ပစြန၊ဂဏာနးစသျဖင ေမြးျမထပလပ)………………………………………………… 4 အစးရ၀နထမး………………………………………………….. 5 ကနေရာငးကန၀ယ၊ေစးဆငထင၊ပြစား…………………. 6 ကယပငလပငနး၊လကမႈပညာ၊အတတပညာ………….. 7 ရာသအလကလယယာစကပးေရးသမား…………………. 8 ရာသအလကေမြးျမေရးသမား……………………………… 9 အျခား (တကစြာေဖာျပ)……………………………………… 10
Ref: PR IV
21. ဒအမမာအပခနးဘယႏစခနးရသလ။ အပခနးအေရအတြကစစေပါငး…………….………….___ ___
Ref: MICS
22. သငတ႕အမ၏ၾကမးခငးကဘာန႔ အဓကလပထားသလ။
(စာရငးေကာကမေတြ႕ရသညအတငးသကဆငရာကတနပါတက၀ငးပါ။)
ၾကမးခငးကမးခငးကမးခငးကမးခငး သဘာသဘာသဘာသဘာ၀၀၀၀အခငးအခငးအခငးအခငး ေျမႀကး/ရႊ႕……………………………….………………….…… 1 သ………………………………………….……………………… 2 ေရးရးအခငးေရးရးအခငးေရးရးအခငးေရးရးအခငး ပဥခငး……………………………………….…………………… 3 ၀ါးၾကမးခငး…………………………….….……………………. 4 ေခတေပၚအခငးေခတေပၚအခငးေခတေပၚအခငးေခတေပၚအခငး ပါေကး/ရာထးအခငး………………………………………….. 5 ေကာကျပား/ေၾကြျပားအခငး……………….……………….. 6 သမတလငးအခငး………………………………................ 7 ေကာေဇာအခငး………………………………………………… 8 အျခား(တတကကေဖာျပပါ)___________________ 9
Ref: MICS
23. သငတ႔အမ၏အမးကဘာန႔အဓကလပထားသလ။
(စာရငးေကာကမေတြ႕ရသညအတငး သကဆငရာကတနပါတက၀ငးပါ။)
အမးအမးအမးအမး သဘာသဘာသဘာသဘာ၀၀၀၀အမးအမးအမးအမး အမးမရ…………………………………….……………………. 1 ေကာကရး/ထနးလက……………………..………………… 2 ေရးရးအမးေရးရးအမးေရးရးအမးေရးရးအမး ဓန/သကကယ/အငဖက………………….…………………. 3 ၀ါးကတ………………………………………………………….. 4
Ref: MICS
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သစသား/ပဥခပ……………………………………………….. 5 ေခတေပၚအမးေခတေပၚအမးေခတေပၚအမးေခတေပၚအမး သြပ……………………………………………………………….. 6 ဘလပေျမစလက………………………….………………….. 7 အတကၽြတ…………………………………..…………………. 8 အျခား(တတကကေဖာျပပါ)___________________ 9
24. သငတ႔အမ၏အကာကဘာန႔အဓက လပထားသလ။
(စာရငးေကာကမေတြ႕ရသညအတငး သကဆငရာကတနပါတက၀ငးပါ။)
အကာအကာအကာအကာ သဘာသဘာသဘာသဘာ၀၀၀၀အကာအကာအကာအကာ အကာအရမရ…………………………………..………………. 1 သစရြက/ သစခက/ ေကာကရး………….…………….…… 2 ရႊ႕……………………………………………….………………… 3 ေရးရးအကာေရးရးအကာေရးရးအကာေရးရးအကာ ၀ါး/ဓန/သကကယ/ေတာငထမး/အငဖက……………….. 4 သစသား/ပဥ…………………………………………………… 5 ေခတေပၚအကာေခတေပၚအကာေခတေပၚအကာေခတေပၚအကာ အဂၤေတနရ……………………………………………………… 6 မးသငးအတစ…………………………………………………… 7 ေကာကတးနရ………………………………………………….8 သစအေခာထည………………………………………………. 9 အျခား(တတကကေဖာျပပါ)___________________ 10
Ref: MICS
25. သငအမတြငခကျပတရနမညသည ေလာငစာကအဓကအသးျပပါသလ။
လပစစမး………………………………..……………………… 1 ဓာတေငြ႕ရည…………………………….…………………….. 2 သဘာ၀ဓာတေငြ႕……………………………………………….3 ဇ၀ဓာတေငြ႕……………………………..……………………… 4 ေရနဆ……………………………………..……………………. 5 ေကာကမးေသြး…………………………..……………………. 6 ထငးမးေသြး…………………………………………………….. 7 သစသား/ထငး…………………………….…………………… 8 ျမက/ျခပတ/ေကာကရး………………………………………. 9 ႏြားေခး/ကၽြေခး……………………………..…………………. 10 ေကာကပသးႏအခြ(ဥပမာ- စပါးခြ)…………………………. 11 အျခား(တတကကေဖာျပပါ)___________________ 12
(28သ႕ ေမးပါ) (28 သ႕ ေမးပါ) (28 သ႕ ေမးပါ) (28 သ႕ေမးပါ) Ref: MICS
26. သငတ႕အမတြငအစားအေသာကမား ခက ျပတရာတြင ရးရးမးဖျဖင ခကျပတသလား (သ႔) တစဖကပြင မးဖျဖငခကျပတသလား (သ႔) အလပတထားေသာမးဖျဖငခကျပတ
ရးရးမးဖျဖငခကျပတ…………………………………………. 1 တစဖကပြငမးဖျဖငခကျပတ……………………………….. 2 အလပတထားေသာမးဖျဖငခကျပတ………..…………… 3 အျခား(တတကကေဖာျပပါ)___________________ 4
Ref: MICS (28 သ႕ေမးပါ) (28 သ႕ေမးပါ)
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ပါသလား။ 27. မးဖတြငမးခးေခါငးတငရပါသလား။ ရ…………………………………………………………………… 1
မရ………………………………………………………………….2 Ref: MICS
28. သငတ႔အမတြငအစားအေသာကမားက အမတြငး (သ႔) သးျခားအေဆာကအဥး (သ႔) အမအျပငမာခကျပတပါသလား။
အမထမာခကျပတ…………………………….……………… 1 သးျခားအေဆာကအဥးမာခကျပတ……………………….. 2 အမအျပင/ျခထမာခကျပတ………………...……………… 3 အျခား(တတကကေဖာျပပါ)___________________ 4
Ref: MICS
29. သငအမတြငေအာကပါတ႕ရပါသလား။ ရ မရ လပစစမး………………..……………………………….. 1 2 ေရဒယ…………………………………………………….. 1 2 တယလဗးရငး…………..……………………..……….. 1 2 VCD/DVD………………………………………………….1 2 လကကငဖနး……………………………………..…….. 1 2 ႀကးဖနး………………………………….……………….. 1 2 ေရခေသတာ…………….……………………..……….. 1 2 အျခား.........…………….……………………..……….. 1 2
Ref: MICS
30. သငအမမအမသားတစဥးဥးေအာကပါတ႔ကပငဆငပါသလား။
ပငဆငမပငဆင လကပတနာရ…………………………………….…… 1 2 စကဘး………………………………………….……… 1 2 ေမာေတာဆငကယ………….………………….…… 1 2 လညး/ေလ………………………………………..…… 1 2 ဆလြနးကား၊ကနကား၊လယထြနစက……………. 1 2 ေမာေတာဘတ/ပေထာင/ေထာလာဂ…………… 1 2 အျခား……………………………………….…………… 1 2
Ref: MICS
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ေရႏငမလာေမာဂးေရႏငမလာေမာဂးေရႏငမလာေမာဂးေရႏငမလာေမာဂး
31. သငအမသားမားအတြကေသာကေရက အဓကဘယကရပါသလ။
(ေသာကေရအတြကအဓကရေသာေနရာတစမးကသာေမး၍၀ငးပါ။)
ပကလငးမရေသာေရပကလငးမရေသာေရပကလငးမရေသာေရပကလငးမရေသာေရ အမတြငးသ႕သြယထားေသာေရပက………………….. 1 ျခ၀ငးအတြငးသ႕သြယထားေသာေရပက…………….. 2 အမားသးေရဘဘင………………………………………. 3
အ၀စတြငးေရ………………………………………………….. 4 တြငးေရတြငးေရတြငးေရတြငးေရ////ကနေရမားကနေရမားကနေရမားကနေရမား
အကာအရရေသာတြငးေရ၊ကနေရ……………………. 5 အကာအရမရေသာတြငးေရ၊ကနေရ………………….. 6
စမစမးေရမားစမစမးေရမားစမစမးေရမားစမစမးေရမား အကာအရရေသာစမစမးေရ…………………………….. 7 အကာအရမရေသာစမစမးေရ…………………………… 8
ဖးအပထားေသာမးေရ…………………………………………9 ေသာကေရကားမေရ…………………………………………. 10 ေသာကေရစညလညးမေရ…………………………………..11 ေျမေပၚေရေျမေပၚေရေျမေပၚေရေျမေပၚေရ ျမစေရ၊ေခာငးေရ၊ဆညေရ၊တးေျမာငးေရ ေရသြယေျမာငးမေရ…………………………………………..12 ေသာကေရသန႕……………………………………………….13 အျခား (တတကကေဖာျပပါ)……………………………….14
Ref: MICS (35 သ႕ေမးပါ) (35 သ႕ေမးပါ) (33 သ႕ေမးပါ) (33 သ႕ေမးပါ)
32. သငအမေထာငစအတြကသးေရ (ခကျပတ၊ ေလာဖြတရနေရ) က အဓက ဘယကရသလ။
(သးေရအတြကအဓကရေသာေနရာ တစမးကသာေမး၍၀ငးပါ။)
ပကလငးမရေသာေရပကလငးမရေသာေရပကလငးမရေသာေရပကလငးမရေသာေရ အမတြငးသ႕သြယထားေသာေရပက………………….. 1 ျခ၀ငးအတြငးသ႕သြယထားေသာေရပက…………….. 2 အမားသးေရဘဘင………………………………………. 3
အ၀စတြငးေရ………………………………………………….. 4 တြငးေရတြငးေရတြငးေရတြငးေရ////ကနေရမားကနေရမားကနေရမားကနေရမား
အကာအရရေသာတြငးေရ၊ကနေရ……………………. 5 အကာအရမရေသာတြငးေရ၊ကနေရ………………….. 6
စမစမးေရမားစမစမးေရမားစမစမးေရမားစမစမးေရမား အကာအရရေသာစမစမးေရ…………………………….. 7 အကာအရမရေသာစမစမးေရ…………………………… 8
ဖးအပထားေသာမးေရ………………………………………….9 ေသာကေရကားမေရ………………………………………….. 10 ေသာကေရစညလညးမေရ…………………………………..11 ေျမေပၚေရေျမေပၚေရေျမေပၚေရေျမေပၚေရ ျမစေရ၊ေခာငးေရ၊ဆညေရ၊တးေျမာငးေရ ေရသြယေျမာငးမေရ…………………………………………12 အျခား(တတကကေဖာျပပါ)………………………………13
(35 သ႕ေမးပါ) (35 သ႕ေမးပါ) Ref: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
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33. ေရရရရာေနရာသ႕သြားေရာကေရခပရန အတြကအသြားအျပနတစေခါကလင အခနဘယေလာကၾကာသလ။
မနစေပါငး……………………………………………..__ __ __ ေနအမတြငေရရရ (သြားရနမလ)………………..……995 မသ………………………………………………………..…996
Ref: MICS (35သ႕ေမးပါ)
34. အမေထာငစအတြကေရရရရနမညသက ေရရရရာေနရာသ႕မားေသာအားျဖငသြား ေရာကေရခပေလရပါသလ။(ေရသြားခပသ သညေယာကား(သ႔) မနးမ အသက (၁၅)ႏစေအာက(သ႔)၁၅ႏစ အထက စ သညကေသခာစြာ ေမး၍ အေျဖက ၀ငးပါ။
(၁၅)ႏစအထကအမးသမး…………………………….…… 1 (၁၅)ႏစအထကအမးသား…………………………………. 2 (၁၅)ႏစေအာကမနးကေလး……………………………….. 3 (၁၅)ႏစေအာကေယာကားေလး………………………….. 4 မသ………………………………………………………………. 5
Ref: MICS
35. ေသာကေရအားမေသာကမသန႕ရငးေစ ရနျပျပငမႈတစခခလပေဆာငေလရ သ လား။
လပပါသည…………………………………………………….1 မလပပါ………………………………………………………….2 မသ………………………………………………………………3
(37 သ႕ေမးပါ) (37သ႕ေမးပါ)
36. ဘယလျပျပငမႈမးလပေဆာငေလရ သလ။ (ေမးခြနးတြငေဖာျပထားေသာျပျပငမႈမားကတစခစဖတျပ၍ေျဖဆသမ၀ငးပါ။)
ဆေအာငႀကခကျခငး………………………………………... 1 ကလရငးေဆးခပျခငး………………………………………... 2 အ၀တျဖငေရစစျခငး………………………………………….. 3 ေရစစကန(ေကာကစလစ၊သ၊စသညတ႕ျဖငေဆာကထားေသာကန)ျဖငစစျခငး………………………… 4 ေနေရာငျပျခငး…………………………………………………. 5 အးတြငထည၍အနယထငေစျခငး……………………….… 6 အျခား(တတကကေဖာျပပါ)……………………………….. 7 မသ……………………………………….……………………. 8
Ref: MICS
37. သင၏အမတြငအမသားမားမစငစြန႕ရန ဘယလအမသာမးသးစြပါသလ။ (လအပပါကစာရငးေကာကမခြငေတာငး ၿပးအမသာကကယတငၾကညရႈပါ။)
ေရေလာငး/ေရဆြအမသာ မလာပကလငးစနစ………………………………..…………. 1 မလာကန၊ေရေလာငး/ေရဆြအမသာ………….…………. 2 အျခားေရေလာငးအမသာ……………………………………. 3 (ဥပမာ- ျမစ၊ေခာငး၊အငထေရေလာငးခ) အန႔ထတျပြနတပထားေသာတြငးအမသာ……..…………. 4 ဖးအပထားေသာတြငးအမသာ………………….…………. 5 ဖးအပမထားေသာတြငးအမသာ………………..…………. 6 ေျမေဆြးကငးအမသာ…………………………….…………. 7 မလာပးသးအမသာ……………………………………………. 8 ေခာငးကမးပါး/ ျမစကမးပါးရအမသာ……….……………..9 အမသာမရ/ ျခတး/ လယကြငးထသြား………..…………10 အျခား (တတကကေဖာျပပါ)………………………………11
Ref: MICS (ေနာကေမာဂးသ႕ေမးပါ)
38. အမသာ ကသငတ႕အမေထာငစ ႏင အျခားအမေထာငစမားအတတကြေ၀မ သးစြေနပါသလား။
ေ၀မသးစြရ……………………………………………………..1 ေ၀မမသးစြရ……………………………..……………………2
(ေနာကေမာဂးသ႕ေမးပါ)
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39. အမသာကသငတ႕အပါအ၀ငအမေထာငစဘယႏစစကေ၀မသးစြေနပါသလ။
ေ၀မသးစြသညအမေထာငစေပါငး……………….…..___ ၁၀အမႏငအထကေ၀မသးစြေနရ…………………..…… 10 မသ……………………………………………………………….11
Ref: MICS
အမေထာငစအသးစရတေမာဂးအမေထာငစအသးစရတေမာဂးအမေထာငစအသးစရတေမာဂးအမေထာငစအသးစရတေမာဂး
40. လြနခေသာတစလအတြငးဤအမေထာငစက ေအာကပါတ႕အတြကမညမသးစြခပါသလ။
1) ခရးစရတ 2) အမျပငဆငမႈအတြက 3) အ၀တအစားအတြက 4) အစားအေသာကအတြက 5) ပညာေရးအတြက 6) ကနးမာေရးကသမႈခယရနအတြက 7) အေႏြးဓါတရရနႏငခကျပတရနေလာငစာ
အတြက 8) ဘာသာေရးႏငလမႈေရးအတြက 9) အျခားကနကစရတမား
(တတကကေဖာျပပါ။)________________ ________________________________ ________________________________
1. □□□□□□□□□□ 2. □□□□□□□□□□ 3. □□□□□□□□□□ 4. □□□□□□□□□□ 5. □□□□□□□□□□ 6. □□□□□□□□□□ 7. □□□□□□□□□□ 8. □□□□□□□□□□ 9. □□□□□□□□□□
မသ……………………………………………………….10
မေျဖလ……………………………………………....….11
Ref: MICS
41. လြနခေသာတစလအတြငးကသငအမေထာငစ အ တြက စစေပါငးကနကစရတဘယေလာကရခပါသလ။ (အမသအမသားမားအတြကအစားအစာ၊အ၀တ အထည၊ခရးစရတ၊အမငားခ၊အရကဖး၊ေဆးလပဖး၊
ကပငါးေသာငးေအာက………………………..…………. 1 ကပငါးေသာငးမတစသနးအထ………………..………. 2 ကပတစသနးမႏစသနးအထ………………….………. 3 ကပႏစသနးအထက……………………………..……. 4
Ref: MICS ေမးခြနး ၄၀မ အသး စရတ ေပါငးႏင
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ေကာငးစရတ၊ေပာပြရႊငပြအသးစရတႏငအျခားအသး စရတမားအပါ အ၀င)
မသ…………………………………………………………….5 မေျဖလ……………………………………………....………6
ေမးခြနး ၄၁မ အေျဖ မတည ပါက ေမးခြနး ႏစခ လးက ျပနလည စစေဆးပါ။
ေျပာငးေရႊေျပာငးေရႊေျပာငးေရႊေျပာငးေရႊ႕႕႕႕ေနထငျခငးေနထငျခငးေနထငျခငးေနထငျခငး
42. သငအမေထာငစအေနႏငနာဂစမတငမ ကတညးကယခလကရရြာ၊ရပကြကတြင အတညတကေနထငခပါသလား?
ေနထငပါသည………….………….………….………….1 မေနထငပါ………….………….………….………….……2
(45 သ႕ေမးပါ) Ref: PR IV
43. မေနထငခပါက၊ဘယအခနကေျပာငး ေရႊ႕လာခပါသလ?
--------- ႏစ၊ --------- လ
44. နာဂစကတညးကေကးရြာဘယႏစရြာမာေျပာငးေရႊ႕ေနထငခပါသလ?
------------ ရြာအေရအတြက
45. သငအေနန႕လကရရြာရပကြကတြငဆကလက ေနထငခငပါသလား? အရငရြာတြငျပနလညေနထငခငပါသလား? ေနရာအသစကေျပာငးေရႊ႕ခငပါသလား?
ဆကလကေနထငခငပါသည………….………….………… 1 အရငရြာျပနေနခငပါသည………….………….……………. 2 ေနရာအသစေျပာငးခငပါသည………….………….……… 3
Ref: PR IV
46. ယခလကရအခနမာသငအမေထာငစအတြက မတပတငထားတစာရြကစာတမးေတြမရငးရပါသလား? (ယာယမဟတေသာအမေထာငစဇယား၊ သနးေခါငစရငး)
ရပါသည………….………….………….………….…….……. 1 မရပါ………….………….………….………….………….….… 2 မသပါ………….………….………….………….………….….. 3
Ref: PR IV
47. အမေထာငစအတြငးအဓကဘယဘာသာစကားကေျပာဆပါသလ?
ကခင………….………….………….………….…………….. 1 ကယား………….………….………….………….…………… 2 ကရင………….………….………….………….…………….. 3 ခငး………….………….………….………….………………. 4 ဗမာ………….………….………….………….………….…… 5 မြန………….………….………….………….………….…….. 6 ရခင………….………….………….………….………………. 7 ရမး………….………….………….………….……………….. 8 အျခား (ေဖာျပ) ………….………….………….…………… 9
Ref: PR IV
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အမးသမးႏငဆငေသာသတငးအခကအလကအမးသမးႏငဆငေသာသတငးအခကအလကအမးသမးႏငဆငေသာသတငးအခကအလကအမးသမးႏငဆငေသာသတငးအခကအလက
ကယကယကယကယ၀၀၀၀နေဆာငေစာငေရာကျခငးနေဆာငေစာငေရာကျခငးနေဆာငေစာငေရာကျခငးနေဆာငေစာငေရာကျခငးကေလးအသကႏစ၊လကေလးအသကႏစ၊လကေလးအသကႏစ၊လကေလးအသကႏစ၊လ
ဤေမာဂးတြငပါ၀ငေသာေမးခြနးမားက လြနခေသာ ((((၂၂၂၂))))ႏစအတြငးႏစအတြငးႏစအတြငးႏစအတြငး ကေလးေမြးဖြားခေသာမခငတငးအားေမးျမနးရနျဖစသည။ ေနာကဆးေမြးခေသာ ကေလး၏အမည ကဤေနရာတြငမတတမးတငပါ။ (__________________________________) မတတမးတငထားေသာကေလး၏အမညက ေအာကပါေမးခြနးမားတြငထညသြငးေမးျမနးပါ။ 48. ကယ၀နရလင ကနးမာေရးဌာနသ႔
သြားသငသညက သငသပါသလား။ သ…………………………………………………………… 1 မသ…………………………………………………………. 2 မေသခာ……………………………………………………. 3
49. သငကယ၀နေဆာငစဥကတစဥးဥးထကယ၀နအပခသလား။အပခတယ ဆရငဘယသန႔ကယ၀နအပခပါသလ။ (ကယ၀နအပခသမားကတစဥးၿပးတစဥးေျပာျပ၍ေမးပါ။ေျဖဆသမက၀ငးပါ။)
ကနးမာေရးကနးမာေရးကနးမာေရးကနးမာေရး၀၀၀၀နထမးမားနထမးမားနထမးမားနထမးမား ဆရာ၀န………………………………………...…………. 1 သနာျပ/သားဖြားဆရာမ ………………………………. 2 အမးသမးကနးမာေရးဆရာမ………………………… 3 အျခားသမားအျခားသမားအျခားသမားအျခားသမား အရသားဖြားဆရာမ………………………………………. 4 အရပလကသည……………………….……….………… 5 လထကနးမာေရးလပသား…………………..…………. 6 အျခား(တတကကေဖာျပပါ)…………………….……….7 မညသကမမအပ………………………….…….…………. 8
Ref: PR IV (54သ႕ေမးပါ)
50. ပထမဆးအႀကမကယ၀နေစာငေရာကမႈခယစဥကကယ၀နဘယႏစလရပါ သလ?
------- လ မသ……………………..…………………………..……99
Ref: DHS
51. သငကယ၀နေဆာငစဥအဓကကယ၀နေစာကေရာကသထဘယႏစေခါက ေလာကျပသခသလ။
ကယ၀နကျပသခေသာအႀကမေပါငး___ ___ မသ ……………………..…………………………..……99
Ref: MICS ၄ၾကမေအာကျဖစပါက ေမးခြနး ၅၃ သ႕သြားပါ။
52. သငကယ၀နဘယႏစပါတမာ ကယ၀န ေစာငေရာကမႈခယခပါသလ?
ျပခ မျပခ ကယ၀န ၁၂ပါတ ၀နးကင 1 2 (ကယ၀န ၁၄ပါတ အထ) ကယ၀န ၂၆ပါတ ၀နးကင 1 2 (ကယ၀န ၁၅-၂၈ပါတ) ကယ၀န ၃၂ပါတ ၀နးကင 1 2 (ကယ၀န ၂၉-၃၄ ပါတ) ကယ၀န ၃၆ပါတ ၀နးကင 1 2 (ကယ၀န ၃၅ပါတမ ေမြးသညအထ)
53. သငကယ၀နကျပသစဥတစဖကေဖာျပပါစစေဆးမေတြကအနညးဆးတစခါ ေလာကခယခရပါသလား။
ေဆာငရြကခ မေဆာငရြကခ သငကေသြးေပါငခနတငးခသလား။ 1 2 သငကကယအေလးခနခနေပးခသလား။ 1 2 သငကဗကစမးခသလား။ 1 2 သငဆးစစဖ႕ရာဆးနမနာေပးခရသလား။ 1 2
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ဗတာမငဘ (၁) ႏငသဓါတေဆးျပား နမနာမားကျပပါ။
သငေသြးစစဖ႕ရာေသြးနမနာေပးခရသလား။ 1 2 သငဗတာမငဘ (၁) ေဆးျပားရခသလား။ 1 2 သငသဓါတေဆးျပားရရခသလား။ 1 2
54. ကယ၀နမအပခလင၊ဘာေၾကာငလ? အခကအားလးကမတတမးတငပါ။ (ေမးခြနး 49 မ)
မလအပပါ…………………………………………………..1 ကယ၀နေစာငေရာကမႈရရႏငသည
ေနရာေ၀းေသာေၾကာင………………………………2 အကနအကမား……………………………………………3 သြားလာမႈခကခ…………………………………………….4 ရကေသာေၾကာင…………………………………………..5 အျခား (ေဖာျပပါ) ………………………………………….6
Ref: KPC
55. သငမသားစသညအနးဆးကနးမာေရးဌာန၊ေဆးခနးသ႔ မညသ႔သြားပါသလ?
အေျဖအားလးက မတတမးတငပါ။
လမးေလာက……………………………………………… 1 သဗၺန၊ေလာငးေလ………………………………………… 2 ဆကကား………………………………………..…………..3 စကတပေလ…………………………………….…………. 4 ေထာလာဂ…………………………………..……………… 5 ကား၊စကတပယာဥ၊ေမာေတာဆငကယ………..….. 6 စကဘး…………………………………………………..….. 7 အျခား (ေဖာျပပါ)…………………………………………. 8 မသ…………………………………………………………….9
Ref: PR IV
56. သငအေနန႕အနးဆးကနးမာေရးဌာန၊ ေဆးခနးကသြားရနအခနဘယ ေလာကၾကာ၊ဘယေလာကေ၀းပါ သလ?
အမားဆးအသးျပျအမားဆးအသးျပျအမားဆးအသးျပျအမားဆးအသးျပျဖစသည နညးလမး၏ အခနၾကာျမငမႈႏငအကြာအေ၀း ကသာ ေဖာျပပါ။ ၿမ႕နယကနးမာေရးဌာနႏင အကြာေ၀းအား ျပနလည စစေဆးပါ။
မနစအေရအတြက ------ ------- အကြာအေ၀း ------ ------- ကလမတာ မသ …………………………………….…………………….999
Ref: PR IV
57. ကယ၀နေဆာငခနအတြငးတြငအမးသမးမားသညအႏရာယလကၡဏာမား ႀကႏငျပးေဆးရ၊ေဆးခနးသ႕ခကျခငးသြားျပရနလအပပါသည။
ဘယလလကၡဏာမားႀကေတြ႕ရလငေဆးရ၊ေဆးခနးတြငကနးမာေရးေစာင ေရာကမႈခယဖ႕ခကျခငးလအပပါသလ? အေျဖမားက မဖတျပပါႏင။ ေျဖဆသြားေသာ
မနးမကယမေသြးဆငးျခငး …………………………….. 1 တကျခငး ……………………….………………………………. 2 ေခါငးျပငးထနစြာကကၿပး အျမငမႈန၀ါးျခငး ……………….3 ဖားျပး အပရာမမထႏငေလာကေအာင အားနညးျခငး…. 4 ၀မးဗက အလြနအမငးနာျခငး…………………………….… 5 အသကရ ျမနျခငး၊ အသကရ ခကချခငး………………… 6 အျခား (ေဖာျပပါ)…………………………………………….... 7 မသ……………………………………………………………….. 8
Ref: KPC
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အေျဖအားလးကမတတမးတငပါ။ 58. သငေနာကဆးေမြးခေသာကေလးက
ကယ၀နေဆာငစဥကေမးခငကာကြယေဆးထးခသလား။
ထး……………………………………………………………1 မထး………………………………………………………….2 မသ…………………………………………………………..3
Ref: MICS (60 သ႕ေမးပါ) (60 သ႕ေမးပါ)
59. ေမးခငကာကြယေဆးထးခပါကဘယ ႏစႀကမထးခသလ။
အႀကမေပါငး……………………………….……… ___ ___ မသ…………………………………………….……………….8
(60 သ႕ေမးပါ)
ေနာကဆးေမြးခေသာကေလးကယ၀နေဆာငစဥကေမးခငကာကြယေဆးဘယႏစႀကမထးခသလဆတာ59 မာၾကညပါ။ 59 မာေမးခငကာကြယေဆး (၂)ႀကမႏငအထကထးခပါကေနာကေမာဂးတစခသ႕ဆကေမးပါ။ 59 မာေမးခငကာကြယေဆး (၂)ႀကမေအာကထးခပါက 60 ကဆကေမးပါ။ 60. သငေနာကဆးေမြးခေသာကေလး
ကယ၀နမေဆာငမေမးခငကာကြယေဆးထးခပါသလား။
ထး……………………………………………………………1 မထး………………………………………………………….2 မသ……………………………………………………..……3
(ေနာကေမာဂးတစခသ႕ဆကေမးပါ)
61. ေမးခငကာကြယေဆးထးခပါကဘယႏစ ႀကမထးခသလ။
အႀကမေပါငး…………………………… ___ __ မသ…………………………………………………….8
62. ေနာကဆးအႀကမကယ၀နမေဆာငမ ေနာကဆးအႀကမေမးခငကာကြယေဆးကဘယအခနကထးခသလ။ (ေမးခငကာကြယေဆးထးေသာခႏစကသပါကေနာကေမာဂး သ႔သြားပါ။ ခႏစကမသပါကေမးခြနး 63ကေမးပါ။)
လ…………………………………………………….. ___ ___ မသ……………………………………………………….88 ခႏစ………………………………………. __ __ __ __ မသ…………………………………………………….…99
(ေနာကေမာဂးတစခသ႕ဆကေမးပါ) (63 သ႕ေမးပါ)
63. ေနာကဆးကယ၀နမေဆာငမလြနခ ေသာဘယႏစႏစကေမးခငကာကြယ ေဆးကထးခသလ။
လြနခေသာႏစေပါငး……………………… __ __ Ref: MICS
ေမြးဖြားစဥႏငေမြးကငးစကေလးေစာငေရာကျခငးေမြးဖြားစဥႏငေမြးကငးစကေလးေစာငေရာကျခငးေမြးဖြားစဥႏငေမြးကငးစကေလးေစာငေရာကျခငးေမြးဖြားစဥႏငေမြးကငးစကေလးေစာငေရာကျခငး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
ဤေမာဂးတြငပါ၀ငေသာေမးခြနးမားက လြနခေသာ ((((၂၂၂၂))))ႏစအတြငးႏစအတြငးႏစအတြငးႏစအတြငး ကေလးေမြးဖြားခေသာမခငတငးအားေမးျမနးရနျဖစသည။ ေနာကဆးေမြးခေသာ ကေလး၏အမည ကဤေနရာတြငမတတမးတငပါ။ (__________________________________) မတတမးတငထားေသာကေလး၏အမညက ေအာကပါေမးခြနးမားတြငထညသြငးေမးျမနးပါ။ 64. သင(အမည) ကေမြးဖြားစဥက မညသက
ေမြးဖြားေပးခ သလ။ (ကေလးေမြးဖြားေပးခသမားအားေဖာျပေမး ျမနးပါ။ေမြးဖြားေပးသတစဥးမကရႏငသျဖငေမြးေပးသအားလးက၀ငးပါ။)
ကနးမာေရးကနးမာေရးကနးမာေရးကနးမာေရး၀၀၀၀နထမးမားနထမးမားနထမးမားနထမးမား ဆရာ၀န…………………………………………………………. 1 သနာျပ၊သားဖြားဆရာမ …………………………………….. 2 အမးသမးကနးမာေရးဆရာမ ……………..………………. 3 အျခားသမားအျခားသမားအျခားသမားအျခားသမား အရသားဖြားဆရာမ……………………………………………. 4 အရပလကသည……………………………………………….. 5 လထကနးမာေရးလပသား…………………………………… 6 ေဆြမး/သငယခငး…………………………………………… 7
Ref: PR IV
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အျခား(တတကကေဖာျပပါ)………………………………… 8 ကယဟာကယေမြး………………………….………………… 9
65. သင (အမည) ကဘယေနရာမာမးဖြားခသလ။ (ကေလးမးဖြားေသာေနရာအားလးကေဖာျပပါ။ထေနာကသကဆငရာကတနပါတက၀ငးပါ။အကယ၍ေဆးရ၊ေဆးခနး၊ကနးမာေရးဌာနမားတြငမးဖြားခပါကေမြးဖြားရာဌာနမား၏အမညကေဖာျပပါ။)
(ေမြးဖြားရာေနရာအမညမား) (၁) ____________________ (၂) ____________________ (၃) ____________________
အမတြငမးဖြားျခငးအမတြငမးဖြားျခငးအမတြငမးဖြားျခငးအမတြငမးဖြားျခငး မမအမ…………………………………………………………… 1 အျခားအမ………………………………………………………. 2 အစးရေဆးရအစးရေဆးရအစးရေဆးရအစးရေဆးရ////ေဆးခနးတြငမးဖြားျခငးေဆးခနးတြငမးဖြားျခငးေဆးခနးတြငမးဖြားျခငးေဆးခနးတြငမးဖြားျခငး အစးရေဆးရ……………………………………………………. 3 အစးရေဆးခနး…………………………………………………. 4 အျခား (တတကကေဖာျပပါ။)………………………………. 5 ပဂၢလကေဆးရပဂၢလကေဆးရပဂၢလကေဆးရပဂၢလကေဆးရ////ေဆးခနးတြငမးဖြားျခငးေဆးခနးတြငမးဖြားျခငးေဆးခနးတြငမးဖြားျခငးေဆးခနးတြငမးဖြားျခငး ပဂၢလကေဆးရ…………………………………………………. 6 ပဂၢလကေဆးခနး……………………………………………… 7 ပဂၢလကသားဖြားခနး………………………………………….. 8 မခငႏငကေလးေစာငေရာကေရးအသငးမဖြငလစထား ေသာသားဖြားခနး………………………………. 9 အျခားပဂၢလက (တတကကေဖာျပပါ)…….……………..10 အျခား (တတကကေဖာျပပါ)……………………………….11
Ref: PR IV
66. မးဖြားစဥတြငအမးသမးမားသညအႏရာယလကၡဏာမားႀကႏငျပးေဆးရ၊ေဆးခနးသ႕အျမနဆးသြားျပရနလအပပါသည။
ကေလးမးဖြားစဥအတြငးဘယလလကၡဏာမား ႀကေတြ႕ရလငေဆးရ၊ေဆးခနးတြငအျမနဆး ေဆးကသမႈခယသငပါလ? တဖကတြငေဖာျပထားေသာအေျဖမားကမဖတျပပါႏင။ေျပာသြားေသာအေျဖ မားအားလး ကမတတမးတငပါ။
ေရျမႊာေပါကျပး ၆ နာရၾကာသညတငေအာင ဗကမနာလင …………………………………………… 1
ဗကနာၿပး ၁၂နာရေကာသညအထ မေမြးေသးလင....……………………………………….. 2
ေမြးၿပး ေသြးဆငးမားလင (သ႔မဟတ) ၁၅ မနစအတြငး ေအာကခပစၥညး ၂ခ ၃ခ ေသြးရႊနစေနလင……..…. 3
ကေလးထြကၿပး ၁နာရၾကာသညအထ အခငးမကလင……………..…………………………… 4
အျခား (ေဖာျပပါ)………………………………………………. 5 မသ……………………………………………………………….. 6
Ref: KPC
67. (အမည) ကဘယလေမြးခပါသလ? ရးရးေမြး………………………………………………………1 ကရယာအကအညျဖငေမြး………………………………2 ဗကခြေမြး……………………………………………………3
ေနာကေမာဂးသြား (68သ႕ေမးပါ) (70သ႕ေမးပါ)
68. ဘယလကရယာအကအညျဖင ေမြးခပါသလ?
စပေမြး………………………………………………………… 1 ညပေမြး………………………………………………………… 2
69. ကရယာအကအညျဖင ေမြးဖြားခတယဆရင ဘာေၾကာငကရယာအကအညျဖင ေမြးရတာလ? (ေဖာျပေသာ အေျဖအားလးကမတတမး
_________________________________________________________________________________
ေနာကေမာဂးသြား
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တငပါ) 70. ဗကခြေမြးခလင၊ႀကတငစစဥထားသလား?
သ႕မဟတအေရးေပၚအေျခအေနေၾကာင လား?
ႀကတငစစဥ…………………………………………………….. 1 အေရးေပၚ……………………………………………………….. 2
ေမြးဖြားၿပးေစာငေရာကျခငးေမြးဖြားၿပးေစာငေရာကျခငးေမြးဖြားၿပးေစာငေရာကျခငးေမြးဖြားၿပးေစာငေရာကျခငး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
ဤေမာဂးတြငပါ၀ငေသာေမးခြနးမားက လြနခေသာ ((((၂၂၂၂))))ႏစအတြငးႏစအတြငးႏစအတြငးႏစအတြငး ကေလးေမြးဖြားခေသာမခငတငးအားေမးျမနးရနျဖစသည။ ေနာကဆးေမြးခေသာ ကေလး၏အမညက ဤေနရာတြငမတတမးတငပါ။ (__________________________________) မတတမးတငထားေသာကေလး၏အမညက ေအာကပါေမးခြနးမားတြငထညသြငးေမးျမနးပါ။ 71. တခါတရ၊အမးသမးမားသညမးဖြားၿပးလင
အႏရာယလကၡဏာမားႀကႏျပးေဆးရ၊ေဆးခနးသ႕အျမနဆးသြားျပရနလအပပါသည။
ကေလးမးဖြားျပးတြငဘယလလကၡဏာမားႀက
ေတြ႕ရလငေဆးရ၊ေဆးခနးတြငအျမနဆး ေဆးကသမႈခယသငပါလ?
တဖကတြငေဖာျပထားေသာအေျဖမားကမဖတျပ
ပါႏင။ေျပာသြားေသာလကၡဏာမားအားလးကမတတမးတငပါ။
မနးမကယမေသြးဆငးမားျခငး …………………………….. 1 တကျခငး ……..……………………………………………….. 2 အသကရျမနျခငး၊ အသကရခကချခငး …………………. 3 ဖားၿပးအပရာမမထႏငေလာကေအာင
အားနညးျခငး…….………………………..……………. 4 ေခါငးျပငးထနစြာကကၿပး အျမငမႈန၀ါးျခငး ……………… 5 အျခား (ေဖာျပပါ)………………………………………………. 6 မသ……………………………………………………………….. 7
Ref: KPC
72. ေမာင/မ _____ က မးဖြားၿပး ေနာက ကနးမာေရးေစာငေရာကေပးသတစဥးဥးကသင၏ကနးမာေရးကစစေဆးေပးခပါ သလား။
စစေဆး………………………………………………….…1 မစစေဆး…………………………………..………………2 မသ………………………………………………………….3
Ref: MICS (ေမးခြနး 76သ႕ေမးပါ) (ေမးခြနး 76သ႕ေမးပါ)
73. မးဖြားၿပးေနာကသငအားဘယေလာက အၾကာမာပထမဥးဆးစမးသပစစေဆးေပးခပါသလ။ (မးဖြားၿပး (၁)နာရအတြငး စမးသပခပါက၁နာရအတြငးကြကလပတြင “00” ျဖငျပပါ။ (မးဖြားၿပး (၁) နာရႏင အထကကြကလပတြငနာရျဖငျပပါ။ (မးဖြားၿပးတစပတအတြငးစစေဆးခပါက ရကျဖငေဖာျပပါ။)
၁နာရအတြငး…………….. 1 ၁နာရႏငအထက……….. 2 ရက…………………………. 3 သတငးပတ……………….. 4 မသ……………………………………………………. 88
Ref: MICS
74. မးဖြားၿပးေနာက၄ပတ မ ၆ပတ အတြငး သငအားဘယသကကနးမာေရးစမးသပစစေဆးေပးခသလ။
(ကနးမာေရးစစေဆးေပးသအားလးကေမးျမနး၍၀ငးပါ။)
တဖကတြငေဖာျပထားေသာအေျဖမားကမဖတျပ
ကနးမာေရးကနးမာေရးကနးမာေရးကနးမာေရး၀၀၀၀နထမးမားနထမးမားနထမးမားနထမးမား ဆရာ၀န…………………………………………………………. 1 သနာျပ၊သားဖြားဆရာမ …………………………………….. 2 အမးသမးကနးမာေရးဆရာမ ……………..………………. 3 အျခားသမားအျခားသမားအျခားသမားအျခားသမား အရသားဖြားဆရာမ……………………………………………. 4
Ref: MICS
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ပါႏင။ေျပာသြားေသာလကၡဏာမားအားလးက မတတမးတငပါ။
အရပလကသည……………………………………………….. 5 လထကနးမာေရးလပသား…………………………………… 6 ေဆြမး/သငယခငး……………………………………………. 7 အျခား(တတကကေဖာျပပါ)………………………………… 8 မသပါ……………………………………………………………. 9
75. မးဖြားၿပးေနာက 6 ပတအတြငး သငကနးမာ ေရး ေစာငေရာကမႈ ဘယႏစႀကမရရခပါ သလ?
အႀကမေပါငး ____ ______ မသ…………………………………………………..88
Ref: DHS
76. ေမာင/မ _____ ကမးဖြားၿပးေနာက ကနးမာေရးေစာငေရာကေပးသတစဥးဥးကသငကေလး၏ကနးမာေရးကစစေဆးေပးခပါသလား။
စစေဆး………………..………………………………….1 မစစေဆး……………………….………………………..2 မသ…………………………………………………….….3
(ေမးခြနး 80သ႕ေမးပါ။) (ေမးခြနး 80သ႕ေမးပါ။)
77. မးဖြားၿပးဘယေလာကအၾကာမာသင ကေလးအားပထမဥးဆးစမးသပစစေဆး ေပးခပါသလ။ (မးဖြားၿပး (၁)နာရအတြငး စမးသပ ခပါက၁နာရအတြငးကြကလပတြင “00” ျဖငျပပါ။ (မးဖြားၿပး (၁) နာရႏင အထက ကြကလပတြငနာရျဖငျပပါ။ (မးဖြားၿပးတစပတအတြငးစစေဆးခပါကရကျဖငေဖာျပပါ။)
၁နာရအတြငး…………….. 1 ၁နာရႏငအထက……….. 2 ရက…………………………. 3 သတငးပတ……………….. 4 မသ……………………………………………………. 88
Ref: MICS
78. မးဖြားၿပးေနာက၄ပတမ ၆ပတအတြငး ကေလးကဘယသကကနးမာေရးစမးသပ စစေဆးေပးခသလ။
(ကနးမာေရးစစေဆးေပးသအားလးကေမးျမနး၍၀ငးပါ။) တဖကတြငေဖာျပထားေသာအေျဖမားကမဖတျပပါႏင။ေျပာသြားေသာလကၡဏာမားအားလးကမတတမးတငပါ။
ကနးမာေရးကနးမာေရးကနးမာေရးကနးမာေရး၀၀၀၀နထမးမားနထမးမားနထမးမားနထမးမား ဆရာ၀န…………………………………………………………. 1 သနာျပ၊သားဖြားဆရာမ …………………………………….. 2 အမးသမးကနးမာေရးဆရာမ ……………..………………. 3 အျခားသမားအျခားသမားအျခားသမားအျခားသမား အရသားဖြားဆရာမ……………………………………………. 4 အရပလကသည……………………………………………….. 5 လထကနးမာေရးလပသား…………………………………… 6 ေဆြမး/သငယခငး……………………………………………. 7 အျခား(တတကကေဖာျပပါ)………………………………… 8 မသပါ……………………………………………………………. 9
Ref: MICS
79. မးဖြားၿပးေနာက ၇ ရကအတြငး သငကေလး အား ဘယႏစႀကမ စမးသပစစေဆး ခပါသလ?
အႀကမေပါငး ____ ______ မသ…………………………………………………..88
80. သင (အမည)ကေမြးၿပး (၁)လခြ အတြငး သငကယတငဗတာမငေအ ေဆးေတာငအန (ဒါမး) ေသာကခဖးသလား။ (ဗတာမငေအေဆးေတာငအနကျပပါ။)
ေသာကဖး……………………………………….………………. 1 မေသာကဘး………………………………….……………….. 2 မသ……………………………………………..……………….. 3
Ref: MICS
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81. တခါတရ၊ေမြးကငးစကေလးငယမားသညေမြးဖြားၿပးတလအတြငးတြငအႏရာယလကၡဏာ မားႀကႏငျပးေဆးရ၊ေဆးခနးသ႕အျမနဆး သြားျပရနလအပပါသည။
ဘယလလကၡဏာမားႀကေတြ႕ရလငကေလးငယ
ကေဆးရ၊ေဆးခနးသ႕ကနးမာေရးေစာင ေရာကမႈခယရနေခၚသြားသငပါသလ?
တဖကတြငေဖာျပထားေသာအေျဖမားကမဖတျပပါႏင။ေျပာသြားေသာလကၡဏာမားအားလးကမတတမးတငပါ။
အသကရခကချခငး…………………….………...…………1 တကျခငး ………………………………………..………….….2 ဖားျခငး ……………………………………..……..….……….3 ကယပေသာလညး ေျခဖားလကဖားေအးေနျခငး ....…..4 ခကမေသြးထြကျခငး.....................………………………5 ႏ႔ေကာငးစြာ မစ႕ျခငး………………………………..………..6 ၀မးသြားျခငး......................……………………….………7 အျခား(ေဖာျပပါ) …………………….………….……………8 မသ………………………..………………………….…………9
Ref: MICS
ကယကယကယကယ၀၀၀၀နတားေဆးအသးျပျခငးနတားေဆးအသးျပျခငးနတားေဆးအသးျပျခငးနတားေဆးအသးျပျခငး
ဤေမာဂးတြငပါ၀ငေသာေမးခြနးမားက မခငမားအားလးကေမးျမနးရနျဖစသည။ ယခသငကမးဆကပြား ကနးမာေရးႏငပတသကသည အေၾကာငးအရာမားကေမးျမနးပါရေစ။ဤအေၾကာငးအရာမားကေျဖၾကားရနသငမာအခကအခရေကာငးရႏငေသာလညးကနးမာေရးစမ ခကမားေရးဆြရာတြငဤအေၾကာငးအရာမားကသရရနလအပသျဖငေကးဇးျပ၍ေျဖၾကားေပးေစလပါသည။သငေျဖၾကားေသာအေျဖမားကအျခားမညသ႕ကမမသေစရေအာငလ႕၀ကစြာထနးသမးထားမညျဖစပါသည။ 82. ယခသငကယ၀နရေနပါသလား။
ရ……………………………………………………….. 1 မရ…………………………………………………….. 2 မသ/မေသခာ………………………………………. 3
Ref: MICS (ေမးခြနး 84သ႕ေမးပါ။)
83. ဤကယ၀နက ယခငစတရခ ပါသလား? ရ……………………………………………………….. 1 မရ…………………………………………………….. 2
84. ကေလးထပယခငေသးလား? ထပယ……………………………………………….. 1 မယ………………………………………………….. 2 ကယ၀နမရႏင……………………………………….3 မေသခာ၊မသ (ကယ၀နလကရရ)……………….4 မေသခာ၊မသ (ကယ၀နမရ)…………………..….5
ေနာက ေမာဂး ေမးခြနး 85 သ႔ ေနာက ေမာဂး ေနာက ေမာဂး ေမးခြနး 85 သ႔
85. အခ႕အမေထာငရငမားသညသားသမးမလခငေသးသျဖငကယ၀နတားနညးတစမးမးက အသးျပေလရပါသည။သငေရာယခကယ၀န တားနညးအမးမးကအသးျပေနပါသလား။
သးပါသည…………………………………………… 1 မသးပါ………………………………………..………. 2
(ေမာဂးအသစသ႕ဆကေမးပါ)
86. သငမညသညကယ၀နတားနညးကအသးျပေနပါသလ။ (အေျဖမားက မဖတျပပါႏင၊ အေျဖတစခထကမကေျဖပါကသကဆငရာကတနပါတက၀ငးပါ။)
အမးသမးသားေၾကာျဖတ………………………… 1 ေန႕စဥေသာကတားေဆးလး…………………….. 2 သားအမတြငးပစၥညးထည (IUD)……………….. 3 ထးေဆး……………………………………………… 4 အသားထျမပေဆး……………….………………… 5 ကြနဒး (အမးသား)……………………………….. 6
Ref: MICS
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ကြနဒး (အမးသမး)…………………….…………. 7 သားအမေခါငးဖး (Diaphragm)……………….. 8 သတပးေသေစေသာေဆးသး………………….. 9 မခငႏ႕တကျခငးျဖငကယ၀နတား……………. 10 ရကေရာင……………………………………….….. 11 လငအဂၤါအျပငထတ……………………………… 12 အျခား (တတကကေဖာျပပါ)…………………… 13 __________________________________ __________________________________
၅၅၅၅ႏစေအာကကေလးႏငဆငေသာႏစေအာကကေလးႏငဆငေသာႏစေအာကကေလးႏငဆငေသာႏစေအာကကေလးႏငဆငေသာ သတငးအခကအလကသတငးအခကအလကသတငးအခကအလကသတငးအခကအလက အျခားေဖာျပထားသညေနရာမလြ၍ ဤေမာဂးရေမးခြနးမားအားလးက (၅)ႏစေအာက ကေလးမား၏အတေန မခငအား ေမးျမနးရန ျဖစသည။ ေမးခြနးေမးရနအကး၀ငသ ၅ႏစေအာကကေလးးအားလးကေမးရနႏင ကေလးတစေယာကအတြက ေမးခြနးတစစ စသးရနျဖစသည။
UF1. ကေလး အမည __________________________ UF2. မခငအမည ____________________________
UF3. ေကးရြာအပစအမည ______________________
UF4. ၿမ႕၊ရြာအမည __________________________
87. ကေလးေမြးသကရာဇ ______ / ______ / ____________ (day/month/year)
88. ကေလးအသကဘယႏစႏစရၿပလ? ျပညျပးအသကက ေဖာျပပါ။ ျပညျပး အသက သညတစႏစေအာကျဖစပါက “0” ကျဖညပါ။
ျပညၿပးအသက _______ႏစ _________ လ
89. လင မ…………………………………………………1 ကား…………………………………………….2
မခငႏမခငႏမခငႏမခငႏ႕႕႕႕တကျခငး တကျခငး တကျခငး တကျခငး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
90. ေမာင/မ ___ ကမခငႏ႕တကခပါသလား။ တကခ………………………………………………… 1 မတကခ……………………………………………… 2 မသ.....……………………………………………… 3
Ref: MICS (93 သ႕ေမးပါ) (93 သ႕ေမးပါ)
91. ေမာင/မ ___ကေမြးၿပးအခနဘယေလာကအၾကာမာမခငႏ႕စတကခသလ။ (အခန၁နာရထကနညးလင “00” နာရအျဖစမတတမးတငပါ။အခန၂၄နာရထက နညးလငနာရျဖငေဖာျပပါ။ထထကပၾကာပါက “ရက” ျဖငေဖာျပပါ။
ခကခငးတက……………………………………000 နာရေပါငး……………………………..…… ___ ___ ရကေပါငး………………………………….. ___ ___ မသ/မမတမ………………………………………999
Ref: MICS
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92. ေမာင/မ ____ ယခမခငႏ႕စ႕ေနေသးလား။ ႏ႕စ႕…………………………………………………… 1 ႏ႕မစ႕…………………………………………………. 2 မသ……………………………………………………. 3
Ref: MICS
93. မေန႕ကဒအခနမယေန႕ဒအခနထေမာင/မ _____ ကေအာကေဖာျပပါတ႕ကေရာတက၊ေကြ းခ ေသးလား။၄ငးတ႕ကဖတျပ၍၄ငးႏငသကဆငေသာဂဏနးက ၀ငးပါ။
တကမတကမသ (A) ဗတာမငအားေဆးမား (သ႕) ေဆးတစမးမး…………………………. 1 2 8 (B) ေရရးရး…………………………………………………………………………. 1 2 8 (C) ေဖာရည၊အခရည၊သစသးရည၊ေကာဖ၊လကဘကရည………… 1 2 8 (D) ဓာတဆားရည (ORS)……………………………………………………… 1 2 8 (E) ကေလးႏ႕မႈန႕………………………………………………………………. 1 2 8 (F) ႏ႕ဆ၊ႏြားႏ႕ (သ႕) အျခားႏ႕မား………………………………………… 1 2 8 (G) အျခားအရညမား (တတကကေဖာျပပါ)……………………………… 1 2 8 (H) ထမငး၊ဆနျပတ၊အစာေပာေပာ……………………………………… 1 2 8
Ref: MICS
ေမးခြနး (H) တြငကေလးသညထမငး(သ႕) ဆနျပတ(သ႕) အစာေပာေပာတ႕ေသာကခပါက 94 သ႕ဆကေမးပါ။ သ႕မဟတပါက 95 သ႕သြားပါ။ 94. မေန႕ကဒအခနမယေန႕ဒအခနထေမာင/မ
____ကထမငး၊ဆနျပတ၊အစာေပာေပာဘယႏစႀကမေကၽြးခပါသလ။ (၇) ႀကမထကပပါက “၇” ဟသာမတတမးတငပါ။
အစာေကၽြးသညအႀကမေပါငး…………………___ မသ……………………………………………………88
Ref: MICS
ေမးခြနး 95 ႏင 96 အား (၅)ႏစေအာကကေလးရေသာမခငအား တစႀကမသာေမးရနျဖစသည။
95. ကေလးငယကေမြးစမဘယအခနအထမခငႏ႕တစမးတညးတကသငပါလ?
------ ------- လ မသ………………………………………………..88
Ref: MICS
96. မခငႏ႔တကေကြ းျခငး၏အကးေကးဇးမားမာဘာေတြလ?
အေျဖမားက မဖတျပပါႏင။ ေျဖဆသြားေသာ အေျဖအားလးကမတတမးတငပါ။
ကေလးအာဟာရျပည……………………..…….……1 ေရာဂါကာကြယ……………………….……….….……2 သားအမျမနျမန၀ပ……………………………………..3 သားဆကျခား……………………………………………4 ကေလးႏငပေႏြးေထြး………………………………….5 အကနအကသကသာ………………………………….6 ၀မးပက၀မးေလာကာကြယ…………………………..7 သားအမ၊ႏ႕ကငဆာျဖစႏငေျခေလာ…………..……8 အျခား (ေဖာျပ) ……………………….……….……….9 မသ……….………………….…………………....…….10
Ref: KPC
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ကာကြယေဆးထးျခငးကာကြယေဆးထးျခငးကာကြယေဆးထးျခငးကာကြယေဆးထးျခငး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
ကေလးမာကာကြယေဆးထးမတတမး (ဥပမာ-ကာကြယေဆးထးကပျပား၊ကေလးကယအေလးခနမတတမး၊ သားဖြားဆရာမ၏ ကာကြယ ေဆးထးမတတမး) ရပါက၄ငးမတတမးမကာကြယေဆးထးရကစြမားကေအာကေဖာျပပါ ကာကြယေဆးမားအတြက မတတမး တငပါ။ အကယ၍ကာကြယေဆးထးမတတမးမရပါက99 99 99 99 မမမမ 102102102102အထေမးျမနး၍မတတမးတငပါ။ 97. ေမာင/မ___အတြကကာကြယေဆးထး
မတတမးရပါသလား။ ရ(ျမငရ)………………………………………………. 1 ရ(မျမငရ)……………………………………………. 2 မရ…………………………………………………….. 3
Ref: MICS (99 သ႕ေမးပါ) (99 သ႕ေမးပါ)
98. ကာကြယေဆးတစမးစအတြကေဆးထးေသာရကစြမားကမတတမးမကးယပါ။
မတတမးတြငရကစြေဖာျပမထားပါကရကေကာလ တြင “၄၄” ကျဖညသြငးပါ။
ကာကြယေဆးထးရကစြ Ref: MICS
ရက လ ခႏစ Ref: MICS
(A). ဆ.က.မ(၁) DPT1 (B). ဆ.က.မ(၂) DPT2 (C). ဆ.က.မ(၃) DPT3 (D). ၀ကသက(၁) Measles1 99. ေမာင/မ___ကေရာဂါမားကာကြယဖ႔
(အမးသားကာကြယေဆးထး/ ေဆးတကေန႕ တြငရရေသာေဆးမားအပါအ၀င) ကာကြယေဆးတစမးမးထးေပး/တကေပးခပါသလား။
ထးေပး/တကေပးခ………………………………… 1 မထးေပး/မတကေပးခ…………………………….. 2 မသ…………………………………………………… 3
Ref: MICS ေနာက ေမာဂးသြား ေနာက ေမာဂးသြား
100. ေမာင/မ___ကဆဆနာ၊ၾကကညာေခာငးဆး၊ေမးခငေရာဂါမားကာကြယရနဆ.က.မကာကြယေဆးထးခဘးပါသလား။ (ကေလးအသကတစလခြ (သ႕) ႏစလခြ (သ႕) သးလခြတြငေပါငတြငထး)
ထးေပးခ……………………………………………… 1 မထးေပးခ……………………………………………. 2 မသ……………………………………………………. 3
Ref: MICS (102 သ႕ေမးပါ) (102 သ႕ေမးပါ)
101. ဘယႏစႀကမထးခသလ။ ထးေသာအႀကမေပါငး………………… ___ ___ မသ……………………………………………………. 8
Ref: MICS
102. ေမာင/မ___၀ကသကေရာဂါကာကြယရန၀ကသကကာကြယေဆးထးေပးခဘးပါသလား။ (ကေလးအသက (၉)လတြငလကေမာငးတြငထး)
ထးေပးခ……………………………………………… 1 မထးေပးခ……………………………………………. 2 မသ……………………………………………………. 3
Ref: MICS
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ဗတာမငေအတကေကြ းျခငးဗတာမငေအတကေကြ းျခငးဗတာမငေအတကေကြ းျခငးဗတာမငေအတကေကြ းျခငး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
ဤေမာဂးရေမးခြနးမားက ၆လ မ ၅ ႏစအတြငး ကေလးမား၏အတေန မခငအားေမးျမနးရနျဖစသည။ ေမးခြနးေမးရနအကး၀ငသ ကေလး တစဥး အတြက ေမးခြနးတစစစသးရနျဖစသည။ 103. ေမာင/မ _____ ဗတာမငေအ ေဆးေတာင
(ဒါမး)ေသာကဖးသလား။ (အသက(၆)လမ (၁၁) လကေလးမားအတြက
ေဆးေတာငအျပာ) (အသက(၁၂)လမ (၅၉) လကေလးမားအတြက
ေဆးေတာငအန) ကျပပါ။
ေသာကဖး……………………………………………. 1 မေသာကဖး………………………………………….. 2 မသ……………………………………………………. 3
Ref: MICS (ေမာဂးအသစက ေမးပါ) (ေမာဂးအသစက ေမးပါ)
104. လြနခေသာဘယႏစလကေမာင/မ _____ ဒေဆးေတာငကေသာကခသလ။
လြနခေသာလေပါငး………………………___ ___ မသ………………………………………………….. 99
Ref: MICS
105. ေမာင/မ ____ ေနာကဆး ေသာကခတ ေဆးေတာငက ဘယေနရာမာရရခသလ။
ကနးမာေရး၀နထမးမားမပမနျဖန႕ျဖးစဥ……… 1 ကနးမာေရးေဆးခနးသ႕ကေလးေနမေကာငးသျဖငသြား ေရာကျပသစဥ………………………… 2 အမးသားကာကြယေဆးတကေန႕သ႕သြားစဥ.. 3 အျခား(တတကကေဖာျပပါ)……………………… 4 မသ……………………………………………………. 5
Ref: MICS
နာမကနးမႈေစာငေရာကျခငးနာမကနးမႈေစာငေရာကျခငးနာမကနးမႈေစာငေရာကျခငးနာမကနးမႈေစာငေရာကျခငး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
106. လြနခေသာ(၂)ပတအတြငးေမာင/မ ____ ၀မးေလာ/၀မးပကျဖစခသလား။ (၀မးေလာ၊၀မးပကဆသညမာဒေန႕ကစၿပး လြနခေသာ (၁၃)ရကအတြငးကတစေန႕လင (၃)ႀကမ (သ႕) (၃)ႀကမႏငအထက ၀မးအရည သြားျခငး (သ႕) ၀မးတြငးေသြးပါျခငးက ေခၚသည။)
ျဖစခ…………………………………………………… 1 မျဖစခ………………………………………………… 2 မသ……………………………………………………. 3
Ref: MICS (110 သ႕ေမးပါ) (110 သ႕ေမးပါ)
107. ေနမေကာငးျဖစစဥေမာင/မ ___ သညအရည (ႏ႔ရညအပါအ၀င) ကဘယလ ေသာကခသလ။ အရငကထကေလာေသာကသလား။အရငကလဘလား။အရငကထကတးေသာကသလား။
လး၀မေသာက/အေတာေလာေသာက………….1 အရငအတငးေသာက……………………………… 2 အရငကထကပေသာက…………………………… 3 မသ……………………………………………………. 4
Ref: MICS
108. ေနမေကာငးျဖစစဥေမာင/မ ____ သည အစာကဘယလစားခသလ။အရငကထက ေလာစားသလား။အရငအတငးစားသလား။ အရငကထကတးၿပးစားသလား။ (အရငကထကေလာစားပါကမားမားေလာစားသလား (သ႕) နနေလာစားသလားေမးပါ။)
အစာမေကြ းခဘး….…………………………….… 1 အစာေကြ းရပ….………………………………….… 2 အရငကထကေတာေတာေလာစား…………..… 3 အရငကထကနနေလာစား…………………….…. 4 အရငကအတငးစား……………………………..…. 5 အရငကထကပစား…………………………………. 6 မသ…………………………………………………… 7
Ref: MICS
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109. ေနာကဆးအႀကမ၀မးပက/၀မးေလာျဖစခစဥတစဖကေဖာျပပါအရညေတြကေသာကခ သလား။ (အရညတစခခငးစကဖတျပ၍သကဆငရာ ကတနပါတက၀ငးပါ။)
အေျဖအားလကမတတမးတငပါ။
ဓာတဆားရည (ဓာတဆားထတကေဖာထားသညအရည) ………………………….1
အမတြငကယဟာကယေဖာသညဆားႏင သၾကားရည………………………………………..2
ထမငးရည၊ေျပာငးဖးျပတရည………………………….3 ဇငေဆးျပား………………………………………………..4 မခငႏ႕………………………………………………………5 ေရ………………………………………………….………..6 လကဖကရည၊ေကာဖ၊အခရညစသျဖင……………..7 ေဆးတက………………………………………………….8 ေဆးခနး၊ေဆးရျပ………………………………………..9 အရပေဆးဆရာႏငျပ……………………………………10 အျခား (ေဖာျပ) …………………………………………11 မတကပါ………………………………………………….12
Ref: KPC
ေမးခြနး 110 အား (၅)ႏစေအာကကေလးရေသာမခငအားတစႀကမသာေမးရနျဖစသည။ 110. ၀မးပက၀မးေလာ၍ကေလးငယမားတြငျဖစႏင
သညအႏရာယလကၡဏာမားကေဖာျပပါ။ တဖကမအေျဖမားကမေျပာပေဖာျပသမလက
မတပါ။
သတလစျခငး၊အလြနအားနညးျခငး………………1 မစားႏင၊မေသာကႏငျခငး………………….…….…2 မကတြငးခငျခငး၊ငယထပခင၀ငျခငး……..…..3 အေရျပားကဆြလကေသာအခါ နဂအေနအထားသ႕ ျပန၍မေရာကျခငး…………………………..…….…4 ၀မးတြငေသြးပါျခငး…………………………………..5 ေအာအနျခငး…………………………………….……6 အျခား…………………………………………………..7 မသ….……………….……………….………………..8
Ref: KPC
111. လြနခေသာႏစပတအတြငး၊ ေမာင/မ___ ေခာငးဆးၿပးေနမေကာငးျဖစစဥ ပမနထက အသကရႈျမနျခငး(သ႕) အသကရႈခကချခငး တ႕ျဖစခပါသလား။
ျဖစခ…………………………………………………… 1 မျဖစခ………………………………………………… 2 မသ……………………………………………………. 3
Ref: MICS (117 သ႕ေမးပါ) (117 သ႕ေမးပါ)
112. အသကရႈျမနျခငး(သ႕)အသကရႈခကချခငး သညအဆတေၾကာငလား။ဒါမမဟတႏာေခါငးပတလ႕လား။
အဆတေၾကာင……………………………………… 1 ႏာေခါငးပတလ႕……………………………………. 2 ႏစခစလးေၾကာင…………………………………… 3 အျခား(တတကကေဖာျပပါ)……………………. 4 မသ…………………………………………………… 5
Ref: MICS (117 သ႕ေမးပါ) (117 သ႕ေမးပါ)
113. ေမာင/မ___အဒလေနမေကာငးျဖစခစဥတးကေဆးဆရာႏငေဆးကသမႈခယခပါသလား။
ခယခ…………………………………………………. 1 မခယခ……………………………………………….. 2 မသ…………………………………………………… 3
Ref: MICS (117 သ႕ေမးပါ) (117 သ႕ေမးပါ)
114. ဘယေနရာမာေဆးကသမႈခယခသလ။အကယ၍ကသမႈခယခေသာေနရာမာေဆးရ၊ေဆးခနး ျဖစပါကအမညကေဖာျပပါ။မညသညေနရာတြင
အစးရေဆးရအစးရေဆးရအစးရေဆးရအစးရေဆးရ////ေဆးခနးမားေဆးခနးမားေဆးခနးမားေဆးခနးမား အစးရေဆးရ………………………………………… 1 အစးရေကးလကကနးမာေရးဌာန……………… 2
Ref: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
131
ေဆးကသမႈခယခေၾကာငး ေျဖဆသမာျပနလညသတရမတမေစရန အတြကေမးျမနးသမကညေပးပါ။
(ေျဖဆသမေျဖၾကားသမကသာ၀ငးပါ။ေမးခြနးေမးသ
မကညၿပးေျဖမေပးပါႏင။လနာကသမႈခယခ ေသာေနရာႏငသကဆငသညဂဏနးက ၀ငးပါ။)
ကသမခယခေသာေဆးရ၊ေဆးခနးအမည _______________________________ _______________________________
အစးရေကးလကကနးမာေရးဌာနခြ……………. 3 ေစတနာ၀နထမးကနးမာေရးလပသား…………. 4 နယလညေဆးကသေရးအဖြ႕……………………. 5 ၿမ႕မ/မခငကေလးကနးမာေရးဌာန……………… 6 တငးရငးေဆးခနး…………………………………… 7 အျခား(တတကကေဖာျပပါ)…………………….. 8 ပဂၢလကေဆးရပဂၢလကေဆးရပဂၢလကေဆးရပဂၢလကေဆးရ////ေဆးခနးမားေဆးခနးမားေဆးခနးမားေဆးခနးမား ပဂၢလကေဆးရ……………………………………… 9 ပဂၢလကအေနာကတငးေဆးခနး………………. 10 ေဆးဆင……………………………………………. 11 နယလညေဆးကသ/အဖြ႕………………………. 12 တငးရငးေဆးခနး…………………………………. 13 အျခား(တတကကေဖာျပပါ)……………………. 14 အျခားေနရာမားအျခားေနရာမားအျခားေနရာမားအျခားေနရာမား ေဆြမး/သငယခငး/မတေဆြ………………….. 15 ကြမးယာဆင………………………………………. 16 အျခား(တတကကေဖာျပပါ)……………………. 17
115. ေမာင/မ___ရ႕ေရာဂါကကသရနေဆး၀ါးမား ေပးခပါသလား။
ေပးခ………………………………………………….. 1 မေပးခ………………………………………………… 2 မသ……………………………………………………. 3
Ref: MICS (117 သ႕ေမးပါ) (117 သ႕ေမးပါ)
116. ေမာင/မ___၏ေရာဂါအတြကဘာေဆးေတြေပးခသလ။
(ေျဖၾကားသမအေျဖမားက၀ငးပါ။)
ပဋဇ၀ေဆး/ပးသတေဆးမား(အေမာကစလင၊ ဆကထရင၊စသည)…………………………. 1
အဖားကေဆး(ပါရာစတေမာ)…………………… 2 ေခာငးဆးေပာကေဆး……………………………. 3 အားေဆးမား………………………………………… 4 အျခား(တတကကေဖာျပပါ)…………………….. 5 မသ……………………………………………………. 6
Ref: MICS
ေမးခြနး117 ႏင 118မားက (၅)ႏစေအာကကေလးရေသာမခငအားတစႀကမသာေမးရနျဖစသည။ 117. ကေလးမားတြငျဖစႏငေသာ ျပငးထနေသာ
အသကရလမးေၾကာငးေရာဂါ ပး၀ငေရာက ျခငးေၾကာငျဖစေသာေရာဂါလကၡဏာမားက ေဖာျပပါ။
ေျဖၾကားသမ၀ငးပါ။
အသကရလငျမနျခငး၊အသကရရနခကချခငး…………1 အဖားအလြနတကျခငး………………….…………………….2 အသကရသြငးစဥနရးေအာကရငဘတခင၀ငျခငး……..3 အသကရထတစဥ အသျမညျခငး………………………….4 အျခား…………………………………………………………….5 မသ….……………….……………….……………….…………6
Ref: KPC
118. တစခါတစရကေလးငယမာအျပငးအထန ေနမေကာငးျဖစၿပးေဆးရ၊ေဆးခနးသ႕ခကခငး ေခၚသြားရနလအပလာတတပါတယ။ကေလးမာဘယလေရာဂါလကၡဏာေတြျဖစပါကေဆးရ၊ ေဆးခနးသ႕ေခၚသြားမလ။
ကေလးအရညမေသာကႏင(သ႕)ႏ႕မစ႕ႏင…… 1 ကေလးပ၍ေနမေကာငးျဖစလာ…………………. 2 ကေလးအဖားတကလာျခငး……………………… 3 ကေလးအသကရႈျမနလာျခငး……………………. 4 ကေလးအသကရႈခကခလာျခငး…………………. 5
Ref: MICS
Population-based Maternal and Child Health Survey Mawlamyinegyun Township 2013
132
(ကေလးမာျဖစႏငသညေရာဂါလကၡဏာတစမး ထကမကရႏငသျဖငရႏငသေလာကေမးပါ။ သ႕ေသာေထာကေပးျခငး၊ထငျမငခကေပးျခငးမျပလပရ။)(ေျဖဆသေျဖသမအေျဖအားလးက၀ငးပါ။)
ကေလးတကျခငး……………………………………6 ကေလး၀မးသြားလငေသြးပါျခငး………………… 7 ကေလးအစားအေသာက
ေကာငးမြနစြာမစားျခငး…………………… 8 အျခား(တတကကေဖာျပပါ)…………………….. 9
ကယအေလးခနႏငအရပတငးတာျခငးေမာဂးကယအေလးခနႏငအရပတငးတာျခငးေမာဂးကယအေလးခနႏငအရပတငးတာျခငးေမာဂးကယအေလးခနႏငအရပတငးတာျခငးေမာဂး ကေလးအသကကေလးအသကကေလးအသကကေလးအသက ႏစ၊ႏစ၊ႏစ၊ႏစ၊ လလလလ
အမေထာငစရကေလးအားလးအားေမးခြနးမားေမးျမနးျခငးၿပးစးပါက (၅)ႏစေအာကကေလးက ကယအေလးခနခနၿပး အရပတငးပါ။ တငးၿပးပါကကယအေလးခနႏငအရပကေမးခြနးလႊာေပၚရသကဆငရာကေလးအတြကေပးထားေသာကြကလပတြငျဖညသြငးပါ။ 119. ကေလးတြငကယအေလးခနကတရပါလား?
ရ(ျမငရ)………………………………………………. 1 ရ(မျမငရ)……………………………………………. 2 မရ……………………………………………………..3 မသ……………………………………………………4
Ref: MICS (121 သ႕ေမးပါ) (121 သ႕ေမးပါ) (121 သ႕ေမးပါ)
120. ကေလး၏ကယအေလးခနကတကၾကညျပး ေအာကပါေမးခြနးကေျဖပါ။
လြနခေသာ၄လကကယအေလးခနခပါသလား?
ခန……………………………………………………. 1 မခန…………………………………………………. 2
Ref: MICS
121. ကေလး၏အရပ(ကေလး၏အသကကေမးခြနး 88တြငစစေဆး၍သကဆငရာကြကလပတြင ျဖညသြငးပါ။)
အသက(၂)ႏစထကငယပါကကေလးကအပခငး၍ အရပအရညကတငးပါ။
အသက(၂)ႏစထကႀကးပါကကေလးကမတတပရပခငး၍အရပအရညကတငးပါ။
ကေလး၏ကယအေလးခန ကလဂရမ ___ ___ . ___ လအပတငးေသာအရပအရည (စငတမတာ)…………………..…....…… 1 __ __ __ . __ မတတပရပခငး၍တငးတာေသာအရပ (စငတမတာ)…………………….……….. 2 __ __ __ . __
Ref: MICS
122. လြနခေသာေျခာကလအတြငးသနခေဆးတကခပါသလား?
တကခ……………………………………………. 1 မတက………………………………………………. 2 မသ…………………………………………………. 3
Ref: MICS
တငးတာမႈရလဒ တငးတာမႈၿပးစး……………………….……………..1 ကေလးမေတြ႕ခရ……………………………….…. 2 တငးတာခရနျငငးဆန…………………………..… 3 အျခားအေၾကာငးမား (တတကကေဖာျပပါ)…. 4 __________________________________
ေမးျမနးရနအကး၀ငေသာအမးသမးဥးေရႏငေမးျမနးၿပးသညအမးသမးဥးေရ၊ေမးျမနးရနအကး၀ငေသာ(၅)ႏစေအာကကေလးဥးေရႏင ေမးျမနးၿပးသညကေလးဥးေရတ႕ကကညမႈရ/မရစစေဆး၍မကကညပါကထပမေမးျမနးျဖညသြငးပါ။ထ႕ေနာကေကးဇးတငေၾကာငး ေျပာၾကား၍ေနာကတစအမသ႕ဆကပါ။