This section on health consists of questions on childbearing, pregnant and lactating mothers, disability, rare disease, illness/sickness and injuries, child mortality and availment of medical treatment. Due to the sensitive nature of the questions in this section, it is very important that tactful interviewing is practiced in this section.

Begin by reading the section introduction to the respondent:

“In the next questions, we will ask about the health status of the household members. There will be questions about pregnant and lactating women, infant/s and child/ren, persons with disability, and other sickness experienced by the members of your household. Some of the questions might be sensitive or difficult to answer, but we encourage you to answer as this might help the government craft programs that might benefit your household and your community.“community.”

PREGNANT AND LACTATING MOTHERS

Ask items L01 to L09 for female household members 10 years old and over.


L01: Female household member who had been pregnant

Politely ask the respondent, “Is/are there any female household member/s who is/are currently pregnant or who had been pregnant in the past three (3) years?”. Select ‘1’ for Yes, or ‘2’ for No corresponding to the answer of the respondent. If there are no pregnancies in the past three (3) years, proceed to L08.


L02: Pregnant in the last three (3) years

If there are members of the household who are pregnant or who had been pregnant in the past three (3) years, ask item L02. Ask the respondent, “Who is/are the female household member/s who are pregnant or who had been pregnant in the last three (3) years?”. Choose all household members who had been pregnant as the respondent mentions names.


L03: Number of pregnancies in the past three (3) years

In relation to the household members listed in question L02, ask the respondent, “How many pregnancies did she had/have in the last three (3) years?”.

Mention the name of the listed household member(s) and enter the number of pregnancies in the past three (3) in the space provided.


L04: Pregnancies resulted in a live birth

In relation to the household members listed in question L02, ask the respondent, “How many of these pregnancies resulted in a live birth?”. Enter the number of pregnancies in the space provided of that household member.


L05: Month and year of the first ever pregnancy

Ask the respondent, “In what month and year did (NAME) have her first ever pregnancy?”.

Enter the month and year of the first ever pregnancy of the household member in the space provided.

Note that this question refers to the first ever pregnancy of the female household member and not just the pregnancy in the past three (3) years. The question aims to know the information about teen pregnancy and not teen live births. For example, Kristina got pregnant for her third child Santino last August 2020, but she got pregnant for her first child last September 2012. Therefore, you will enter September 2012 in this question.

If the household member is present during the interview, you may directly ask her. If the month is unknown, enter ‘98’ for Don’t know month. For this question, the unknown year is not accepted. Thus, the enumerator should exert effort in asking the year of the first ever pregnancy.

Moreover, check for other female household members, who had been pregnant in the last three (3) years, not yet listed. Ask the respondent, “Are there other female household members who had been pregnant in the last three (3) years?”.

If there are other female household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L06.


L06 and L07: Currently pregnant household members

Ask the respondent, “As of March 01, 2023, is/are there any female household member/s who is/are currently pregnant?”. Select ‘1’ for Yes, or ‘2’ for No corresponding to the answer of the respondent. If there is no female household member who is currently pregnant, proceed to L08.

If there are members of the household who are currently pregnant, ask for item L07. Ask the respondent, “As of March 01, 2023, who is/are the female household member/s who is/are currently pregnant?”. Choose all household members who are currently pregnant as the respondent mentions names.

Moreover, check for other female household members, who are currently pregnant, not yet listed. Ask the respondent, “Are there other female household members who is/are currently pregnant?”.

If there are other female household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those other female household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L08.


L08 and L09: Currently lactating/breastfeeding mothers

Ask the respondent, “Is/are there any female household member/s who is/are currently lactating/ breastfeeding mother?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L10.

In relation to answer in question L08, ask the respondent, “Who is/are currently lactating/breastfeeding mother/s in this household?”. Select all the household members who are currently lactating/breastfeeding mothers as the respondent mentions the names. In PAPI, record the line number of the household member who is a lactating/breastfeeding mother.

Moreover, check for other female household members, who are currently lactating/breastfeeding mother, not yet listed. Ask the respondent, “Are there other female household members who are currently lactating/breastfeeding mother/s?”.

If there are other female household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those other female household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L10.

CHILD MORTALITY

Ask items L10 to L14 for former household members 0 to 5 years old.

Items L10 to L14 aim to capture data on child mortality or the probability of dying between the first and the fifth birthday. By 2030, the objective of SDG Target 3.2 is to end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births. While these items are important to gather in order to create programs or interventions to prevent these instances, questions on the death of a household member or relative were not easy to administer. Be tactful in implementing these sensitive questions.

Below are some concepts and definitions relevant to this section:

Term Description
1.      Pregnancy Pregnancy is the term used to describe the period in which a fetus develops inside a woman's womb or uterus. Pregnancy usually lasts about 40 weeks, or just over 9 months, as measured from the last menstrual period to delivery.
2.      Live birth The complete expulsion or extraction from the mother of a product of conception, irrespective of the duration of pregnancy, which after such separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.

Source: PSA Board Resolution No 01, Series of 2017 – 182
3.      Born alive the complete expulsion or extraction from the mother of a human infant, at any stage of development, who, after such expulsion or extraction, breathes or has a beating heart, or definite and voluntary movement of muscles, regardless of whether the umbilical cord has been cut.
4.      Fetal death or (deadborn fetus) death prior to the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of pregnancy.

Source: PSA Board Resolution No 01, Series of 2017 – 122
5.      Stillbirths loss of a baby after 20 weeks of pregnancy
6.      Miscarriage loss of a baby before the 20th week of pregnancy
7.      Neonatal mortality rate (NMR) the number of deaths within the first month of life per 1,000 live births.

NOTE: died within one (1) month
Source: PSA Board Resolution No 01, Series of 2017 – 154
8.      Perinatal mortality rate (PMR) the number of deaths within the first seven (7) days of life per 1,000 live births

Source: National Demographic and Health Survey 2017
9.      Infant mortality rate (IMR) the probability of dying between birth and age one, expressed as the number of infant deaths or deaths occurring before reaching 12 months of life in a given period per 1,000 live births.

NOTE: died within one year
Source: PSA Board Resolution No 01, Series of 2017 – 122
10.   Under-five mortality rate (U5MR) the probability of dying between birth and age five, expressed as the number of deaths below age five per 1,000 live births during a given period.

NOTE: died within five (5) years
Source: PSA Board Resolution No. 01, Series of 2017 – 122

L10. Born alive but later died

Politely ask the respondent, “In the past three (3) years, was/were there former household member/s zero (0) to five (5) years old who died?” (includes born alive births but later died). Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L15.

  1. includes born alive births but later died
  2. stillbirths and miscarriages are NOT included or considered as ‘No’ in this question.
NOTE

L11. Name of the child or baby

In relation to the question in L10, ask the respondent, “What was the name of the child or baby?”.

Record the name of the child who died and follow the format listed below:

Name FormatExample
NameSANTINO

L12. Sex of the child or baby

This item will determine the sex of the child or baby mentioned in L11. Ask the respondent, “What was the sex of the child or baby?”. Choose Male or Female as provided by the respondent.


L13. Age (in months) when the child died

Ask the respondent, “What was the age (in month/s) of the child or baby when he/she died?”. Enter the age (in months) of the child when he/she died in the space provided.

If an infant died on the same day of his/her birth or within 0 to 29 days, enter ‘00’ in the space provided.


L14: Main cause of death of the child or baby

Ask the respondent, “What was the main cause of death of the child or baby?”. Select the appropriate code for the corresponding main cause of the child's death. If the reason or cause of death is not included in the provided list, select code ‘99’, and specify the cause of death.

CodeDescription
01Bacterial sepsis of newborn
02Pneumonia
03Respiratory distress of newborn
04Congenital malformation of the heart
05Disorders related to short gestation and low birth weight not elsewhere classified
06Congenital pneumonia
07Neonatal aspiration syndrome
08Intrauterine hypoxia and birth asphyxia
09Other congenital malformations
10Diarrhea and gastroenteritis of presumed infectious origin
99Others, specify _____

Detailed descriptions, inclusions, and exclusions of the categories can be accessed at International Statistical Classification of Diseases and Related Health Problems (ICD): https://icd.who.int/browse11/l-m/enopen in new window.

PERSONS WITH DISABILITY

Items L15 to L33 aims to collect information on Persons with disability (PWDs). PWDs are one the marginalized sectors in the country. Collecting accurate and timely information on their socioeconomic profile such as education, employment, among others, may effectively respond to their needs and deliver the appropriate programs. PWDs according to the UN Convention on the Rights of Persons with Disabilities, includes those who have long-term physical, mental, intellectual, or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others.

In the Philippine Registry of PWDs, individuals identified as PWDs are the following:

  1. Persons diagnosed with medical disability;
  2. Persons with cancer;
  3. Cancer survivors (RA11215); and
  4. Persons with rare diseases (RA 10747).

Below are some concepts and definitions relevant to this section:

  • Disabled persons - are those suffering from restriction or different abilities, as a result of a mental, physical or sensory impairment, to perform an activity in the manner or within the range considered normal for a human being (Source: RA 7277)

  • Impairment - is any loss, diminution, or aberration of psychological, physiological, or anatomical structure or function (Source: RA 7277)

  • Disability - shall mean (1) a physical or mental impairment that substantially limits one or more psychological, physiological, or anatomical function of an individual or activities of such individual; (2) a record of such an impairment; or (3) being regarded as having such an impairment (Source: RA 7277)

Amended by RA 9442 aka Magna Carta for Disabled Persons, the Disabled Persons are now referred to as Persons with Disability.

In addition to the definition of disability mentioned above, the following are the causes of disability:

  1. Acquired disability is a disability that has developed during the person's lifetime that is as a result of an accident or illness rather than a disability the person was born with.

  2. Cancer refers to a genetic term for a large group of diseases that can affect any part of the body. Other terms used are malignant tumors and neoplasms. One defining feature of cancer is the rapid creation of abnormal cells that grow beyond their usual boundaries, and which can then invade adjoining parts of the body and spread to other organs.

  3. Chronic illness describes a group of health conditions that last a long time. It may get slowly worse over time or may become permanent or may lead to death. It may cause permanent change to the body and will certainly affect the person’s quality of life. This is also true to persons diagnosed with Cancer or Rare Disease. Thus, Chronic illnesses may cause disability, hence, it is considered not a disability.

  4. Congenital/Inborn disease that was present at birth.

  5. Injury is the physical damage that results when a human body is suddenly or briefly subjected to intolerable levels of energy. It can be a bodily lesion resulting from acute exposure to energy in amounts that exceed the threshold of physiological tolerance, or it can be an impairment of function resulting from a lack of one or more vital elements (i.e., air, water, warmth), as in drowning, strangulation or freezing. The time between exposure to the energy and the appearance of an injury is short. (Source: INJURY SURVEILLANCE GUIDELINES, Published in conjunction with the Centers for Disease Control and Prevention, Atlanta, USA, by the World Health Organization, 2001)

  6. Rare diseases refer to disorders such as inherited metabolic disorders and other diseases with similar rare occurrences as recognized by the DOH upon recommendation of the NIH but excluding catastrophic (i.e., life threatening, seriously debilitating, or serious and chronic) forms of more frequently occurring diseases. (Source: RA 10747) The World Health Organization describes rare disease as an often-debilitating disease or condition with a prevalence of 0.65% to 1%.

In the Philippines, a disease is considered rare when it affects one patient in every 20,000 population. Patients afflicted with rare diseases often have their quality of life reduced to taking medications, check-ups and suffering from pain. They are often dependent on other people to attend to their basic needs. They also need lifelong medical care, food supplements, medications, and multidisciplinary therapies to alleviate the symptoms and effects of the disease.

The most common rare disorders in the country are:

  1. Amino Acid Disorders – 360 cases
    a. Maple Syrup Urine Disorder
    b. Hyperphenylalaninemia

  2. Galactosemia – 120 cases

  3. Lysosomal Storage Disorder – 110 cases
    a. Mucopolysaccharidoses (MPS)
    b. Gaucher
    c. Fabry Disease

  4. Autism spectrum disorder is a brain-based disorder that affects a child’s behavior, communication skills and social skills. It includes 3 of 5 disorders known as Pervasive Developmental Disorders (PDDs). These are Autistic Disorder, Asperger’s Syndrome and PDD-not otherwise specified (PDDNOS). Although the Philippines does not have the prevalence rate of autism, recent data from the US reports the prevalence of ASD at 1 in 150 individuals. (Source: The Medical City)

Autism is characterized by impairments in communication skills, impairments in social relatedness and the presence of repetitive and ritualistic behavior. No two children with ASD are the same. Individuals have varying symptoms with varying severity. (Source: The Medical City)

Ask items L15 to L33 for all household members.


L15 and L16: Persons with disability

For item L15, ask the respondent, “Does any member of this household have a disability?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L19.

For item L16, politely ask the question, “Who among the household members have disability?”. Select the name of a household member with disability as provided with the respondent. In PAPI, record the line number of the household member with disability.


L17: Type of disability/ies

Ask the respondent,“Which among the following type of disability/ies does (NAME) have?” for all household members who have disability/ies. Select all the disabilities that the household members have.

Select the appropriate code for the corresponding type of disability/ies. If there are other types of disabilities not listed in categories ‘A’ to ‘H’ below, select ‘Z’ for Others, specify. Then enter in the space provided the other type of disabilities as provided by the respondent.

Be guided with the definition and description below.

Code Type of Disability Description
A Visual Disability A person with visual disability (Impairment) is one who has impairment of visual functioning even after treatment and/or standard refractive correction and has visual acuity in the better eye of less than 6/18 for low vision and 3/60 for blind, or a visual field of less than 10 degrees from the point of fixation. A certain level of visual impairment is defined as legal blindness. One is legally blind when your best corrected central visual acuity in your better eye is 6/60 on worse or your side vision is 20 degrees or less in the better eye.
B Deaf or Hearing Disability refers to people with hearing loss, implies little or no hearing/ranging from mild to severe. Hearing loss, also known as hearing impairment, means impairment means the complete or partial loss of the ability to hear from one or both ears with 26 dB or greater hearing threshold, averaged at frequencies’ 0.5, 1, 2, 4 kilohertz.
C Intellectual Disability a significantly reduced ability to understand new or complex information and to learn and apply new skills.
D Learning Disability persons who, although normal in sensory, emotional and intellectual abilities, exhibit disorders in perception, listening, thinking, reading, writing, spelling, and arithmetic.
E Mental Disability disability resulting from organic brain syndrome and or mental illness (psychotic or non-psychotic disorder)
F Physical Disability (Orthopedic) any impairment which limits the function of limbs or fine or gross motor ability and disability in the normal functioning of the joints, muscles, and limbs
G Psychosocial Disability any acquired behavioral, cognitive, emotional or social impairment that limits one or more activities necessary to effective interpersonal transactions and other civilizing processes or activities to daily living such as but not limited to deviancy or antisocial behavior.
H Speech and Language Impairment one or more speech/language disorders of voice, articulation, rhythm and/or the receptive and expressive processes of language. This includes people who are unable to express messages through oral speech or produce comprehensible oral speech.
Z Others, specify _____ These may include persons with cancer or rare disease. Note however that these persons with cancer or rare disease may also be affected by other types of disabilities. In such cases, record all types as applicable and ensure that they are also noted here in code Z as having cancer/rare disease.

Intellectual disabilities may be observed in persons with Down Syndrome, Fragile X syndrome, Huntington's Disease, autism, among others. Some mental health, neurodevelopmental, medical and physical conditions frequently co-occur in individuals with intellectual disability, including autism spectrum disorder, cerebral palsy, epilepsy, attention-deficit hyperactivity disorder, impulse control disorder, and depression and anxiety disorders.

Mental disability may be observed in persons with anxiety disorders, including panic disorder, obsessive-compulsive disorder, and phobias, depression, bipolar disorder, post-traumatic stress disorder, schizophrenia, eating disorders, disruptive behaviour and dissocial disorders, neurodevelopmental disorders.

Learning disabilities may be observed in persons with dyslexia, dysgraphia, dyscalculia, auditory processing disorder, language processing disorder, nonverbal learning disabilities, visual perceptual/visual motor deficit. There are some health conditions where a person may be more likely to have a learning disability. For example, everyone with Down's syndrome has some level of learning disability, and so do some people with cerebral palsy. Some people with epilepsy also have a learning disability and so do some autistic people.

The term “psychosocial disabilities” refers to the disabilities of persons with either diagnosed or perceived mental health conditions and/or intellectual impairments, which may also be caused by stigma, discrimination, and exclusion. Persons with psychosocial disabilities may have schizoid disorders, such as schizophrenia and schizoaffective disorder, anxiety disorders, such as obsessive-compulsive disorder, post-traumatic stress disorder, agoraphobia and social phobia or mood disorders, such as major and dysthymic depression and bipolar.

NOTE that not only those with orthopedic disability or who lost limbs/parts of their body/lost control of part of their bodies are included in the coverage of persons with physical disability. Some persons with cancer, rare diseases or short bowel syndrome may have physical disability.

Speech disability examples may include dysarthria (inability to produce understandable speech sounds) and apraxia (inability to plan & coordinate the complex motor process of speaking), among others. Language disability examples may include aphasia (cannot find the word to express intent), receptive aphasia (cannot recognize the meaning of the words said by others), and developmental disability (failure of language system to develop).

(Source: http://www.rstce.pitt.edu/RSTCE_Courses/RSTCE_Courses_Doc/11_AAC_07.pdfopen in new window)

You may be considered visually disabled if your vision cannot be corrected with eyeglasses or contact lenses, or through medication or surgery.

PWD IDs contain information on the type of disability of the person who owns the ID.
NOTE

However, it must also be noted that the PWD IDs may not contain all the types of disabilities that the household member has, thus you may ask for a medical certificate as reference.

If there are no documents available stating the disability/ies of the household member, please refer to the definitions above, and assign them in category/ies that best fits their condition/s.

Should there be inconsistency on the information listed on the PWD ID and the actual type of disability, select the disability as provided in the medical certificate and/or as declared by the respondent. Put NOTES/REMARKS if such a case happens.


L18: Disability was diagnosed by a doctor

The purpose of this question is for the LGU, and the NGA concerned to identify and locate individuals who were not yet diagnosed medically by doctors as PWD. It is envisioned that through the CBMS, these undiagnosed PWDs can be provided with the support and assistance in managing their disabilities, so that they can better participate in their communities.

In reference to the disabilities mentioned in L18, ask the respondent, “Has (NAME)'s disability/ies been diagnosed by a doctor?”. Select ‘1’ for Yes, diagnosed, or ‘2’ for No, not diagnosed as provided by the respondent.

A medical doctor’s diagnosis is needed for the PWD to be issued a PWD ID. But it is best to inquire with the respondent and/or to the PWD himself/herself about this.

Moreover, check for other household members, who have disabilities and who have more than three (3) disabilities, not yet listed. Ask the respondent, “Are there other household members who have disability? Are there members who have more than three (3) disabilities?”.

If there are other household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those other household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L19.


L19 and L20: Cancer patients

Under Section 3 of the IRR of RA No. 11215 (National Integrated Cancer Control Act):

  • Cancer patients - are those symptomatic and/or under definitive or palliative treatment.

  • Persons living with cancer - are those with microscopic or residual disease, asymptomatic or with subclinical symptoms on maintenance or supportive treatment.

For item L19, ask the respondent, “Are there any members of this household who were diagnosed as cancer patients or persons living with cancer?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L21.

For item L20, ask the respondent, “Who among the household members are cancer patients or persons living with cancer?”. Select the names of the cancer patients or the persons living with cancer among the names of household members. In PAPI, record the line number of the household member who is a cancer patient, or a person living with cancer.

Moreover, check for other household members, who are cancer patients or persons living with cancer, not yet listed. Ask the respondent, “Are there other household members who are cancer patients or persons living with cancer?”.

If there are other household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those other household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L21.


L21 and L22: Cancer survivors

Under Section 3 of the IRR of RA No. 11215 (National Integrated Cancer Control Act), cancer survivorship refers to the period starting at the time of disease diagnosis and continues throughout the rest of the patient’s life. Family, carers, and friends are also considered survivors. Survivorship care has three (3) distinct phases: living through, with, and beyond cancer.

For purposes of CBMS, family members, carers, and friends who are considered as related survivors under the law are not to be identified as cancer survivors themselves.

Cancer survivors are those who have completed all their anti-cancer therapy and presently show no signs of the disease - that is, in remission, and perhaps encumbered by the side effects and consequences of their therapies and now must go on to face survivorship and possibly face recurrence or relapse.

For item L21, ask the respondent, “Are there any members of this household who are cancer survivors?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L23.

All persons with cancer in remission are considered as cancer survivors.
NOTE

For item L22, politely ask the respondent, “Who among the household members are cancer survivors?”. Choose the name/s of the cancer survivor/s. In PAPI, record the line number of the household member who is a cancer survivor.

Moreover, check for other household members, who are cancer survivors, not yet listed. Ask the respondent, “Are there other household members who are cancer survivors?”.

If there are other household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those other household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L23.


L23 and L24: Persons with rare disease

Refer with definition and description of rare diseases above.

For item L23, ask the respondent, “Does any member of this household have rare disease?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L29.

Some persons, however, are not clinically diagnosed with rare diseases. But they may have seemingly rare diseases. In this regard, the question “Does any member of this household have a seemingly rare disease?” can be asked instead.

For item L24, politely ask the respondent, “Who among the household members have rare disease?”. Select the name/s of the household member/s who have rare disease/s. In PAPI, record the line number/s of the household member/s who has/have rare disease/s.

Some persons, however, are not clinically diagnosed with rare diseases. But they may have seemingly rare diseases. In this regard, the question “Who among the household members has a seemingly rare disease?” can be asked instead.

L25: Rare disease diagnosed by a doctor

In reference to the household members listed in L25, ask the respondent, “Has (NAME)'s rare disease been diagnosed by a doctor?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L27.

L26: Name of diagnosed rare disease

If the answer in L26 is ‘1’ for Yes, ask the respondent, “What is (NAME)'s rare disease?”. Select the name of the rare disease and the corresponding code from the list below. Also record the rare disease in the space provided. Proceed to L29 or the next household member for any answer provided in this question.

Code List of rare diseases
1 3-Methylcrotonyl Co-A Carboxylase Deficiency (3MCCC)
2 3-Methylglutaconic aciduria
3 Arginosuccinate Lyase Deficiency Syndrome
4 Beta-Ketothiolase Deficiency
5 Biotinidase Deficiency
6 Cholesteryl Ester Storage Disorder
7 Citrin Deficiency
8 Citrullinemia Type 1
9 CPS I deficiency
10 CPT 1 deficiency
11 CPT 2 Deficiency
12 CUD
13 Cystinuria
14 DHPR Deficiency
15 Fabry disease
16 Galactosemia (classical and non-classical)
17 Gaucher disease
18 Glutaric Acidemia Type I
19 Glutaric Acidemia Type II
20 Glycogen Storage Disorders
21 GM1 gangliosidosis
22 Holocarboxylase/multiple arboxylase deficiency
23 Homocystinuria
24 Hyperphenylalaninemia
25 Isovaleric Acidemia
26 Krabbe Disease
27 L-2 hydroxyglutaric Aciduria
28 LCHAD
29 Leigh syndrome
30 Lesch Nyhan Disease
31 Lowe syndrome
32 Maple Syrup Urine Disease
33 MCADD
Code List of rare diseases
34 MELAS
35 Menkes disease
36 Methionine Adenosyltransferase Deficiency (MAT)
37 Methylmalonic Acidemia
38 Mitochondrial depletion syndrome
39 MPS 1
40 MPS 2
41 MPS 3
42 MPS 4
43 MPS 6
44 Mucolipidosis
45 Multiple sulfatase deficiency
46 NAGS deficiency
47 NCL Nonketotic Hyperglycinemia
48 Neiman-Pick Disease
49 OTC Deficiency
50 Phenylketonuria
51 Pompe disease
52 Propionic Acidemia
53 PTPS Deficiency
54 Pyruvate dehydrogenase complex deficiency
55 Refsum disease
56 Rhizomelic chondrodysplasia punctata
57 Smith lemli opitz
58 SSADH deficiency
59 Tay-sachs disease
60 TFP deficiency
61 Tyrosinemia Type I
62 Tyrosinemia Type II
63 Tyrosinemia Type III
64 VLCADD
65 Wilson disease
66 X-ALD

The medical certificate or the rare disease certification may be able to show the household member’s type of rare disease. Put NOTES/REMARKS as may be necessary.


L27: Description of seemingly rare disease

Ask items L27 to L28 for rare diseases that were not diagnosed by a doctor. These data items will be asked if the respondent answered ‘2’ for No on item L25 for any household member with rare disease.

Ask the respondent, “Please describe the condition of (NAME)?”. Enter the description or name of the seemingly rare disease mentioned by the respondent.

Since the disease is not properly diagnosed yet, it is possible that the actual name of disease is not known to you and the respondent. Hence, you are advised to put as much detail as possible in the space provided. Focus on taking notes of the physical manifestations and difficulties being experienced by the affected household member. Additional NOTES/REMARKS may be included as necessary.


L28: Reason why rare disease was not diagnosed

Ask the respondent,“What is the main reason why (NAME)'s seemingly rare disease was not diagnosed by a doctor?”. Select the main reason among the categories given below. If the main reason is not listed in categories ‘1’ to ‘5’ below, select ‘9’ for Others, specify. Then enter in the space provided the main reason why the rare disease was not diagnosed as provided by the respondent.

CodeDescription
1Facility/doctor is far
2No money for consultation
3Worried about treatment cost
4Home remedy is available
5Expect that the disease will be cured eventually
9Others, specify _____

Moreover, check for other household members, who have (seemingly) rare disease, not yet listed. Ask the respondent, “Are there other household members who have (seemingly) rare disease?”.

If there are other household members not yet listed, select ‘1’ for Yes, use another booklet. Then list those other household member/s in another booklet. Otherwise, select ‘2’ for No. Then, proceed to L29.


L29 and L30: PWD ID

Items L29 to L32 refers to the possession of PWD ID of the household members with disability identified in the previous items. The PWD ID is the standard identification card for PWDs in the Philippines. It serves as proof that a person has a disability and needs special treatment as required by his or her condition.

In some cases, a certificate (blue) was issued to persons with rare diseases.

For each identified household member who is either a person with disability, cancer, rare disease, or a cancer survivor, ask items L29 to L32. Ask the respondent or the person concerned if the said household member is present during the interview, if he/she is in possession of PWD ID.

Ask the respondent, “Does any member of this household have Persons with Disability (PWD) ID?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L33.

For item L30, politely ask the respondent, “Who among the members of this household has a PWD ID?”. Select among the name/s of the household members those who have PWD ID. In PAPI, record the line numbers of the household members who have PWD ID.

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Source: https://www.esquiremag.ph/life/health-and-fitness/pwd-id-mental-illness-a2217-20180813


L31: PWD ID shown

Ask the respondent, “Can you please show me your/their PWD ID?”.

Politely request the respondent and/or the household members concerned to show the PWD ID of the household members in L30. If the ID was shown, ask item L32. Otherwise, proceed to L33.

L32: Type of disability in PWD ID

Record the type of disability recorded in the PWD ID shown by household members. Choose from the codes below.

CodeDescription
01Visual disability
02Deaf or hard of hearing
03Intellectual disability
04Learning disability
05Mental disability
06Physical disability (orthopedic)
07Psychosocial disability
08Speech and language impairment
09Cancer (RA 11215)
10Rare disease (RA 10747)

Put NOTES/REMARKS as may be necessary.

L33 and L34: Illness/sickness/injury in the past month

Items L33 to L34 are a set of questions aimed to determine the extent or prevalence of illnesses or injuries of household members. A good health condition is vital in accomplishing daily tasks and by having poor health may lead to potential income loss due to foregone income generating opportunities and may compromise an individual’s capacity to perform in school and other daily activities. Information gathered on these items may help policymakers and medical experts to assess and create appropriate interventions and programs, especially for poor households who cannot afford to seek medical treatments.

Ask the respondent,“In the past month, did you or any of your household members get ill/sick/injured?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to Section M (Climate Change and Disaster Risk Management).

Illness is when the person has the feeling of a certain unhealthy condition on his body or mind due to disease or fatigue. On the other hand, injured persons are those who sustained bodily damages, hurts or loss. See most common types of illnesses in L37.

For item L34, politely ask the respondent, “In the past month, who among the members of the household got ill/sick/injured?”. Select the name/s of the household member/s who got sick/ill/injured in the past month. In PAPI, record the line number/s of the household member/s who got sick/ill/injured in the past month.


L35: Impact of illness/sickness/injury to work/school

Ask this item for household members 5 years old and over mentioned in L34. Ask the respondent, “In the past month, did any of the illness/sickness/injury become a reason for not going to work or school, or not performing daily activities?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L37.


L36: Number of days of illness/sickness/injuries

In reference to the household members mentioned in L35, ask the respondent, “In the past month, how many days was (NAME) not able to go to work or school, or perform daily activities because of the illness/sickness/injury?”. Enter the number of days the household members get ill/sick/injured.


L37: Most recent (or current) illness/sickness/injury

In reference to the household members mentioned in L34, “What is/was (NAME)'s current or most recent illness/sickness/injury?”. Select the current or most recent illness/sickness/injury from the choices below. If the mentioned illness/sickness/injury is not included in the provided list, select code ‘99’ and specify the illness/sickness/injury.

CodeDescription
01Diabetes - a disease in which the body does not properly control the amount of sugar in the blood resulting to too high level of sugar.
02Cancer (see definition in the discussion before item L15)
03Hypertension – or high blood pressure is a repeatedly elevated blood pressure
04Tuberculosis (TB)
05Acute respiratory infection
06Acute gastroenteritis
07Common colds, cough/flu fever
08Cut/wound - refers to injuries to the body consisting of laceration or breaking of skin by a hard or sharp object or by fire/heat
09Burn - an injury or damage resulting from exposure to fire, heat, caustics, electricity, or certain radiation
10Fracture/broken bone
11Dislocation/slipped disk
12Surgical illness
13COVID-19
99Others, specify _____

If there are two (2) or more current illnesses/injuries experienced by the household, let the respondent choose one among the two/multiple illnesses/injuries. Provide information on the additional illnesses/injuries on NOTES/REMARKS.


L38: Availing medical treatment

Ask the respondent, “Did (NAME) avail medical treatment for his/her current or most recent illness/sickness/injury?”. Select ‘1’ for Yes, or ‘2’ for No as provided by the respondent. If the answer is ‘No’, proceed to L41.

For the purpose of 2021 CBMS data collection, medical treatment includes (but not limited) the following:

  • Medical consultations (including follow-up consultations)
  • Treatment of injured persons (e.g., dressing of wounds)
  • Confinement due to illness
  • Surgery
  • Quarantine or isolation for COVID-19 patients who opted to go to a facility

You may also opt to ask the concerned household member if he or she is present at the time of interview.


L39: Type of medical treatment facility visited

In this question, ascertain the type of medical treatment facility visited by the household member to avail treatment for his/her most recent illness/injury. Ask the respondent, “Where did (NAME) avail medical treatment for his/her current or most recent illness/sickness/injury?”. Select all the facilities that apply from the choices below.

CodeDescription
PUBLIC SECTOR
ARegional hospital / Public medical center – is a hospital that serves a geographic region, government-owned, and is fully funded by the government.

Examples of Regional hospital: Cagayan Valley Medical Center, Cotabato Regional and Medical Center

Examples of public medical center: East Avenue Medical Center, Research Institute for Tropical Medicine
BProvincial hospital - a hospital or a healthcare facility operating under the management or supervision of a provincial health office.

Example: Ilocos Sur Provincial Hospital, Bataan Provincial Hospital.
CDistrict hospital - refers to the front-line hospital, which has its own catchment area, and with capabilities and facilities for providing medical care.

Example: General J. Cailles Memorial District Hospital, Novaliches District Hospital.
DMunicipal hospital - is a hospital under the control of a local government.

Example: Cainta Municipal Hospital, Malabon City Hospital.
ERural health unit (RHU) / urban health center (UHC) - is a field health facility managed by a Municipal Health Officer (MHO). The MHO, together with a nurse and midwife, provides the basic health services for a city/municipality. In the National Capital Region, all health centers are classified as RHUs.

Example: Dinapigue RHU (Aurora), San Fernando RHU (Bukidnon)

Lying-in clinic or birthing home is a healthcare facility, usually attended and staffed by nurse-midwives, midwives and/or obstetricians with expertise in managing home births, for mothers in labor. The nurse-midwives, midwives and/or obstetricians monitor the labor, and well-being of the mother and fetus during birth. Typically, a natural childbirth method is used.
FBarangay health station (BHS) – is a peripheral health facility that delivers basic health services to a barangay with an estimated population of 5,000 and is usually staffed by a midwife. Classified under BHS, those satellite stations or health stations visited by barangays midwives once a week.

Example: Jacquez BHS (Dinagat Island), Dagocdoc BHS (Surigao del Sur).
GMobile clinic is a clinic on wheels. A specially outfitted truck provides examination rooms, laboratory services, and special medical tests to those in remote areas who have access to little or no medical facilities, and to patients who do not have the resources to travel to obtain care.
HIsolation facility - An isolation facility aims to control the airflow in the room so that the number of airborne infectious particles is reduced to a level that ensures cross-infection of other people within a healthcare facility is highly unlikely.
IOther public health facility - other public health facilities not included in codes ‘A’ to ‘H’.
PRIVATE MEDICAL SECTOR
J Private hospital
K Lying-in clinic / Birthing home
L Private clinic
M Private pharmacy
N Mobile clinic
O Other private health facility
ALTERNATIVE MEDICAL SECTOR
P Hilot / Herbalists
Q Therapeutic massage center
R Other alternative healing
NOT MEDICAL SECTOR
S Shop selling drugs /Market
T Faith healer
Z Other location

If the response is “hospital”, probe to determine if the hospital is public or private. If a facility is public, probe whether it is a regional, provincial, district or municipal hospital, or whether it is a rural health unit, an urban health center, lying-in clinic, a barangay health station, or mobile clinic.

If the facility is private, probe whether it is a private hospital, a private clinic, a lying-in clinic/birthing home, mobile clinic, or other medical facility.

If the response is “health worker/nurse”, probe whether the health worker/nurse visited the person or whether the person went to the health provider’s office or home.

If the response is “own home” or the “provider’s home”, select ‘Z’ for Other location.

If the teleconsultation doctor is affiliated with a public hospital or clinic and uses a public sector-managed portal (Bayanihan e-Konsulta, Lung Center of the Philippines, etc.), select code ‘I’.

If the teleconsultation doctor is affiliated with a private hospital and uses a private sector portal (konsultamd, etc.), select code ‘O’.

If the alternative healer provides consultation services via teleconsult, select ‘R’.

L40: Source of payment for medical treatment

This question determines the source of funds used to pay for the treatment/s of the most recent (or current) injuries reported by the household members.

Ask the respondent, “What were the sources of payment for the medical treatment of (NAME) in his/her current or most recent illness/sickness/injury?”. Select all the applicable categories with their appropriate codes for the source/s of payment for medical treatment used. Note that this is a multiple response. You may accept multiple answers here.

If the source of funds used to pay for the treatment in a health facility cannot be classified in any of the specific categories above, select code ‘Z’ for Others, specify. Then, enter the source of payment in the space provided. Proceed to Section M for any answer provided in this question.

If the household member concerned is present at the time of interview, you may ask him/her directly.

CodeSource of Payment for Medical TreatmentDescription
ASalary or IncomeCash salaries and wages refer to the gross basic salary or wage earned by the household member from all his/her jobs or businesses. This includes cash advance from the company without interest, interest from bank deposits, pension and retirement benefits, dividends from investments, etc.
BLoan from banks and credit institutions, or MortgageA mortgage loan is a loan secured by real property through the use of a mortgage note which evidences the existence of the loan and the encumbrance of that realty through the granting of a mortgage which secures the loan. This includes loan from cooperatives, loan sharks, and pawned properties.
CSavingsSaving is income not spent, or deferred consumption. It includes deposits in banks, cooperatives including monetized leave credits, putting money aside in a bank or pension plan.
DDonations, Charity assistanceDonations, Charity assistance This refers to cash receipts sent by friends, relatives, family members abroad or any person who is not a member of the sample household. Inquire also about cash receipts from charitable institutions, Red Cross, DSWD, PCSO, PAGCOR, CCTs, government officials, etc.
EPhilHealthQualified PhilHealth members, dependents and retirees are entitled to medical and related services, rehabilitation services and/or income cash benefits for temporary disability or sickness or permanent total disability or permanent partial disability or death.
FSSS/ GSIS/ ECCQualified members of SSS/GSIS/ECC who suffer from work-connected sickness or injury resulting in disability or death are entitled to medical and related services, rehabilitation services and/or income cash benefits for temporary disability or sickness or permanent total disability or permanent partial disability or death.
GHMO/ Private/ Pre-need insurancesThese are business entities that arrange for prepaid health care services for their members by contracting with hospitals, physicians, and other health professionals for their services.
HFamily, friends, relativesSource of payment was/were given by family, friends, or relatives
ZOthers, specify _____Free or no payment in health center, loan from employer, sell a lot

L41: Reason for not availing medical treatment

Ask the respondent, “What was the main reason why (NAME) did not avail any medical treatment in the past month?”. Select appropriate categories from the list below. If the household member concerned is present at the time of interview, you may ask him/her directly. If the reason of the household for not confining in a medical treatment facility cannot be classified in any of the specific categories above, select code ‘9’ and specify the reason on the space provided.

CodeDescription
1Facility is far - If a household member is not confined in a hospital/clinic because the location of the health facility is not accessible or far from his/her residence, there is no regular transportation from residence to the health facility, or there is no hospital/clinic within the barangay.
2No money or there is no budget allotted for medical treatment/s
3Worried about treatment cost - Respondents may be worried that they cannot afford the treatment expenses in the hospital/clinic.
4Home remedy is available - Respondents have available remedy at home.
5Health facility is not PhilHealth accredited - The health facility (hospital, lying-in/clinic, or birthing homes) is not accredited by PhilHealth.
6Expect that the sickness/injury will heal eventually without having treated by medical treatments
9Others, specify _____
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