0908 Verbal Autopsy

0908 Verbal Autopsy

item label type description
Q0908a System generated SAGE Household ID
Q0908b System generated Interviewer ID
Q0908c System generated Date of interview (DD/MM/YY)
Q0908d System generated Person (HH member) number from SAGE roster for RESPONDENT
Q0909a System generated Person (HH member) number of deceased (from SAGE HH roster)
Q0909b System generated Row number for deceased household member from WHS:
Q0910 Question What is your relationship to the deceased?
Q0911 Question Did you live with the deceased in the period leading to death?
Q0912 Question What was the name of the deceased?
Q0913 Question What was the sex of the deceased?
Q0914 Question Date of Birth of the deceased?
Q0915 Question What was the deceased’s marital status at time of death?
Q0916 Question What is the highest level of education the deceased completed?
Q0917 Question What was her/his main occupation?
Q0918 Question What was her/his place of death? (Where did s/he die?)
Q0919 Question Date of Death
Q0920 Question What do you think was the cause of death?
Q0921 Question Previously diagnosed medical conditions:
Q0922 Question History of Events
Q0930 Question Did s/he have fever?
Q030a Question How long? Months (MM)
Q030b Question b. Days (DD)
Q0931 Question Was the fever…?
Q0932 Question Was s/he breathless on light work?
Q0933 Question Was s/he breathless when lying flat - interfering with sleep?
Q0934 Question Did s/he have palpitations?
Q0935 Question Did s/he have wheezing?
Q0936 Question Did s/he have a cough?
Q0936a Question If yes, was the cough…?
Q0937 Question Did s/he have chest pain?
Q0937a Question How long? Months (MM)
Q0397b Question b. Days (DD)
Q0937c Question Was the pain localized near the sternum (middle of the chest bone)?
Q0937d Question Did the pain start…?
Q0938 Question Did s/he have diarrhoea?
Q0938a Question How long? Months (MM)
Q0938b Question Days (DD)
Q0938c Question If yes, how many times a day?
Q0938d Question Did s/he have bloody diarrhoea?
Q0939 Question Did s/he have poor appetite?
Q0939a Question How long? Months (MM)
Q0939b Question Days (DD)
Q0940 Question Did s/he complain of pain on swallowing?
Q0940a Question How long? Months (MM)
Q0940b Question Days (DD)
Q0941 Question Did s/he have difficulty in swallowing?
Q0941a Question How long? Months (MM)
Q0941b Question Days (DD)
Q0942 Question Did s/he have headache?
Q0942a Question How long? Months (MM)
Q0942b Question Days (DD)
Q0943 Question Did s/he have blood in urine?
Q0943a Question How long? Months (MM)
Q0943b Question Days (DD)
Q0944 Question Did s/he have pain while passing urine?
Q0944a Question How long? Months (MM)
Q0944b Question Days (DD)
Q0945 Question Was s/he unable to pass urine?
Q0945a Question How long? Months (MM)
Q0945b Question b. Days (DD)
Q0946 Question Did s/he have to urinate many times in a day?
Q0946a Question How long? Months (MM)
Q0946b Question b. Days (DD)
Q0947 Question Did s/he have a sensation of pins and needles in the feet?
Q0947a Question How long? Months (MM)
Q0947b Question b. Days (DD)
Q0948 Question Did s/he have abdominal pain?
Q0948a Question If yes, was the pain…?
Q0949 Question Did s/he have abdominal distension?
Q0949a Question How long? Months (MM)
Q0949b Question Days (DD)
Q0949c Question Did the distension start…?
Q0950 Question Did s/he vomit?
Q0950a Question How long? Months (MM)
Q0950b Question b. Days (DD)
Q0951 Question Did s/he have a mass in the abdomen?
Q0951a Question How long? Months (MM)
Q0951b Question Days (DD)
Q0952 Question Did s/he become mentally confused?
Q0952a Question How long? Months (MM)
Q0952b Question Days (DD)
Q0953 Question Did s/he have loss of consciousness?
Q0953a Question How long? Months (MM)
Q0953b Question Days (DD)
Q0953c Question Did s/he become unconscious…?
Q0954 Question Was s/he paralysed on one side of the body?
Q0954a Question How long? Months (MM)
Q0954b Question Days (DD)
Q0955 Question Did s/he have paralysis of both legs?
Q0955a Question How long? Months (MM)
Q0955b Question Days (DD)
Q0956 Question Did s/he develop stiffness of the whole body?
Q0956a Question How long? Months (MM)
Q0956b Question Days (DD)
Q0957 Question Did s/he have neck pain?
Q0957a Question How long? Months (MM)
Q0957b Question Days (DD)
Q0958 Question Did s/he have fits?
Q0958a Question How long? Months (MM)
Q0958b Question Days (DD)
Q0958c Question When it was severe, how many times did s/he have fits in a day?
Q0959 Question Did she have an ulcer or swelling in the breasts?
Q0959a Question How long? Months (MM)
Q0959b Question Days (DD)
Q0960 Question Did she have excessive vaginal bleeding during her menstrual period?
Q0960a Question How long? Months (MM)
Q0960b Question Days (DD)
Q0961 Question Did she have vaginal bleeding when she was not in her menstrual period?
Q0961a Question How long? Months (MM)
Q0961b Question Days (DD)
Q0961c Question Did the bleeding persist until death?
Q0962 Question Did she have abnormal vaginal discharge?
Q0962a Question How long? Months (MM)
Q0962b Question Days (DD)
Q0963 Question Was she pregnant?
Q0963a Question If yes, how many months pregnant was she? Months (MM)
Q0964 Question Did she give birth recently?
Q0964a Question If yes, how many days before death?
Q0964b Question Did she have excessive bleeding in the beginning of labour pains?
Q0964c Question Did she have excessive bleeding during labour (before delivering the baby)?
Q0964d Question Did she have difficulty in delivering the baby?
Q0964e Question Did she have difficulty in delivering the placenta?
Q0964f Question Did she have a prolonged labour?
Q0964g Question Did she have a caesarian operation for delivery?
Q0964h Question Did she have a forceps or vacuum delivery?
Q0964i Question Did she have too much bleeding after delivering the baby
Q0964j Question How is the baby?
Q0965 Question Did she have an abortion recently?
Q0965a Question If yes, how many days before death?
Q0966 Question Did s/he have ankle swelling?
Q0966a Question How long? Months (MM)
Q0966b Question Days (DD)
Q0967 Question Did s/he have swelling of the joints?
Q0967a Question How long? Months (MM)
Q0967b Question Days (DD)
Q0968 Question Did s/he have weight loss?
Q0968a Question How long? Months (MM)
Q0968b Question Days (DD)
Q0969 Question Did s/he have mouth sores?
Q0969a Question How long? Months (MM)
Q0969b Question Days (DD)
Q0970 Question Did s/he look pale?
Q0970a Question How long? Months (MM)
Q0970b Question Days (DD)
Q0971 Question Did her/his lips grow darker in colour?
Q0971a Question How long? Months (MM)
Q0971b Question Days (DD)
Q0972 Question Did s/he have any skin disease?
Q0972a Question How long? Months (MM)
Q0972b Question Days (DD)
Q0973 Question Did s/he have puffiness of the face?
Q0973a Question How long? Months (MM)
Q0973b Question b. Days (DD)
Q0975 Question Did the eye colour change to yellow (jaundice)?
Q0975a Question How long? Months (MM)
Q0975b Question b. Days (DD)
Q0976 Question Was s/he injured in a road accident?
Q0976a Question a. How long? Months (MM)
Q0976b Question b. Days (DD)
Q0977 Question Did s/he suffer any other accidental injuries recently before death?
Q0977a Question a. How long? Months (MM)
Q977b Question b. Days (DD)
Q0978 Question Was s/he injured intentionally by someone?
Q0978a Question How long? Months (MM)
Q0978b Question b. Days (DD)
Q0979 Question Did a dog bite her/him?
Q0979a Question How long? Months (MM)
Q0979b Question b. Days (DD)
Q0980 Question Did any other animal or insect bite her/him?
Q0980a Question How long? Months (MM)
Q0980b Question b. Days (DD)
Q0980c Question c. If yes, what type of animal or insect? (print type)
Q0981 Question Did s/he encounter any accidental poisoning (including alcohol poisoning)?
Q0981a Question a. How long? Months (MM)
Q0981b Question b. Days (DD)
Q0982 Question Did s/he commit suicide?
Q0983 Question Did a health care worker tell you the cause of death?
Q0983a Question a. If yes, what did the health care worker say?
Q0984 Question Did the deceased use health care services before death?
Q0985 Question Health services used by the deceased during his/her illness in the period leading to death?
Q0985a Question Did s/he get medicine here?
Q0985b Question Was s/he given traditional medicine?
Q0985c Question Was s/he given modern medicine?
Q0985d Question Was s/he given medicine from family?
Q0985e Question Was she given medicine from any government health facility?
Q0986 Question Had the deceased smoked, snuffed or chewed more than 100 cigarettes or 100 grams of tobacco in his/her whole life?
Q0987 Question Did the deceased smoke, snuff or chew during one month before death?
Q0988 Question If no, how long had the deceased stopped smoking, snuffing or chewing before death?
Q0989 Question When the deceased smoked, snuffed or chewed, how many cigarettes or how much tobacco did he smoke/snuff/chew per day on average?
Q0990 Question Did the deceased drink alcohol?
Q0991 Question Did the deceased drink alcohol within the month before death?
Q0992 Question How often did the deceased usually drink?
Q0993 Question Was a death certificate issued for this person?
Q0993a Question a. What was the cause of death listed on the death certificate?
Q0994 Question Was a burial permit issued for this person?
Q0994a Question a. What was the cause of death listed on the burial permit?
Q0995 Question Was an autopsy performed?
Q0995a Question What was the cause of death listed on the burial permit? (What were the postmortem results?)
Q0996a Question a. Did the deceased have an MCH/ANC card?
Q0996b Question b. Did the deceased have a hospital prescription form?
Q0996c Question c. Did the deceased have a treatment cards?
Q0996d Question d. Did the deceased have a hospital discharge form?
Q0996e Question e. if yes to ‘d’, what diagnosis was listed (i.e. reason for death)?
Q0996f Question f. Did the deceased have any other hospital documents?
Q0996g Question g. Did the deceased have any laboratory or cytology results?
Q0997 Question Did a health care worker tell you the cause of death?
Q0997a Question a. What did the health care worker tell you was the cause of death?
Start of 0908 Verbal Autopsy
 

 
End of 0908 Verbal Autopsy