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Table 3 Example of a questionnaire to assess absolute rights (Bold indicates that absolute right has not been met)

From: Using international human rights law to improve child health in low-income countries: a framework for healthcare professionals

Name
Address (or GPS coordinates)
DOB or year of birth M/F (circle)
WATER (circle)
Where do you get your water? piped drinking water supply on premises
  public tap/stand post
  tube well/borehole
  protected dug well
  protected spring; rainwater
  bottled water
  Surface water
How long does it take you to collect your water, including queuing? >30 min/< 30 min; (circle)
SANITATION (circle)
Does your house share the toilet with another household? No/Yes
What sort of toilet do you use (circle)? a pit latrine with a structure, and a platform or squatting slab
  a toilet connected to a septic tank or a sewer network
  no toilet/open defaecation
FOOD  
Child's age in months  
Child's height  
Child's weight  
Height/age or weight/height >2SD below median or MUAC <12.5 cm (6-59 months)? Yes/No (circle)
SHELTER  
Is the house durable in terms of structure? No/Yes (circle)
Is the house durable in terms of tenure? No/Yes (circle)
How many people live in your house?  
How many rooms are there?  
Number of people/room? Less than 2, 2, more than 2 (circle)
EDUCATION  
How many years did mother/guardian attend school? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 (circle)
If child has left school, did she/he complete primary school? No/Yes (circle)
HEALTH  
Vaccine schedule complete at 12 months (National Guidelines)? No/Yes (circle)