448-divakar nayak s. - shodhgangashodhganga.inflibnet.ac.in/bitstream/10603/4997/15/... ·...
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Appendices
Appendices
Appendix No. Title Page No.
1 Definitions 245
2 Formative research to design a behavioral change
communication module for Infant and Young
children feeding practices in Udupi district
248
3 Important findings of In-depth interview and diet
survey
254
4 Report of the focus group discussion 255
5 Health Education Module – English 263
6 Health Education Module – Kannada 270
7 Flip chart - Kannada 271
8 Calendar 272
9 Important messages from formative research 273
10 List of experts involved in the study 274
11 Health education approach (model) followed in the
study
275
12 Letter of approval from Ethics committee, Kasturba
Hospital -Manipal
276
13 List of registered pregnant women with month of
registration
277
14 Distribution of study subjects anganawadi wise in
intervention group and control group
281
15 Patients information sheet, Informed consent form
(English and Kannada)
282
Appendix No. Title Page No.
16 Proforma on screening procedures followed to
assess the new born
291
17 Report of analysis, which compares anthropometric
measurements taken by investigator and
independent observer
292
18 Proforma to asses socio-demographic characteristics 293
19 Proforma to assess socio-economic status (as per
Udai-Pareek scale
295
20 Proforma to assess base-line knowledge of mothers 296
21 Proforma to assess neonatal history of the newborn 299
22 Proforma to assess feeding practices, hygienic
practices, anthropometric measurements and
immunization status
301
23 Proforma to assess dietary intake 325
24 Photographs showing procedures followed during
data collection
326
25 Infant and young child feeding (IYCF) training
certificate
327
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Appendix – 1
DEFINITIONS
Malnutrition: Malnutrition means, “badly nourished” but it is more than a measure of
what we eat, or fail to eat, clinically, malnutrition characterized by inadequate intake of
protein, energy and micronutrients and by frequent infections of disease1. In short, food,
health and caring the three ‘pillars of well being1.
Infant: Refers to all children less than 12 months of age1.
Young Children/Pre - schoolchildren: Children less than five years of age, including those
less than 12 months of age1.
Infant or child feeding: This refers to whole complex of dietary, behavioral, and
physiological processes involved in the child’s ingestion of food1.
Exclusive breast feeding: Exclusive breastfeeding means giving a baby no other foods or
drinks, including water, in addition to breastfeeding with the exception of syrup/drops or
vitamins, minerals and medicines (expressed breast milk is also permitted)176
.
Predominant breastfeeding: Predominant breastfeeding means breastfeeding a baby, but
also giving small amounts of water or water-based drinks – such as tea176
.
Full breastfeeding: Full breastfeeding means breastfeeding either exclusively or
predominantly176
.
Partial breastfeeding: Partial breastfeeding means giving a baby some breastfeeds, and some
artificial feeds, either milk, or cereals, or other food176
.
Bottle-feeding Bottle feeding means feeding a baby from a bottle, whatever is in the bottle,
including breast milk176
.
Cup feeding: Cup feeding means feeding a baby from cup (katori, pallad etc.) whatever is in
the cup including breast milk176
.
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Complementary feeding: Complementary feeding means giving other foods and liquids in
addition to breast milk or non-human milk176
.
Complementary food: Any nutrient containing foods or liquids other than breast milk given
to young children during the period of complementary foods1.
Artificial feeding: Artificial feeding means feeding a baby on any kind of artificial milk such
as animal milk, tinned milk etc. and no breastfeeding at all176
.
Timely complementary feeding: Timely complementary feeding means giving a baby
additional food and liquids in addition to breastfeeding when it is appropriate, from 6 months
of age176
.
Special transitional foods/ Weaning foods: Foods specifically designed to meet the
particular nutritional or physiological needs of the young child1.
Replacement feeding: Replacement feeding is a process of feeding a child who is receiving
no breast milk with a diet that provides all nutrients the infants need until the age at which
they can be fully fed on family foods176
.
Energy density: Energy density is the amount of energy or calories (kcal) per 100 grams of
food eaten in a day89
.
Feeding frequency: Feeding frequency indicates total number of meals and snacks consumed
throughout a 24-hour period89
.
Acute respiratory disease:
We consider a child has Acute Respiratory Infections (ARI), if the child suffers from any one
or more of the following symptoms/signs,
1. running nose 2. cough 3. sore throat
4. difficult breathing 5. ear problem58
.
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Acute diarrhoeal disease:
We consider a child as having Acute Diarrhoeal disease if the child passes more than three
loose, liquid or watery stools in a day58
.
Gestational age: Gestation is the period between conception and birth during which the fetus
grows and develops inside the mother’s womb. Gestation age is the time measured from the
first day of the women’s last menstrual cycle to the current date. It is measured in weeks. A
pregnancy of normal gestation is approximately 40 weeks, with a normal range of 38 to 42
weeks. Infants born before 37 weeks are considered premature. Infants born after 42 weeks
are considered post mature. Gestational age can be determined before or when the baby is
born183
.
Under weight: Proportion of under-fives falling below minus 2 standard deviations
(moderate underweight) and minus 3 standard deviations (severe under weight) from the
median weight-for-age of the reference population184
.
Stunting: Proportion of under-fives falling below minus 2 and minus 3 standard deviations
from the median height-for-age of the reference population184
.
Wasting: Proportion of under-fives falling below minus 2 and minus 3 standard deviations
from the median weight-for-height of the reference population184
.
Anganawadi: Anganawadi is one, which covers around 1000 population in a given
geographical area and is a unit, which provides nutritional services, to mothers and children
below 6 years of age under integrated child development project (ICDS).
Contamination: Contamination includes, transfer of information, which includes regarding
health education module and knowledge acquired by mothers through contact of anganawadi
worker, mothers and family members between the clusters in intervention and control groups.
(Working definition of contamination in our study) 171
.
Permanent resident: Permanent resident is that one who is living in the same place (house)
for the last one year and will be living in the same place for the next two years.
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Appendix 2 Formative research to design a behavioral change communication module
for Infant and Young children feeding practices
in Udupi district
1. Introduction:
For children to grow normally there are many parental care-giving behaviors related to food
that are essential to ensuring adequate nutritional intake. Obtaining and selecting foods that
meet nutritional requirements, preparing them safely and in a form that is appropriate for the
child’s age, feeding them in a manner that encourages adequate intake. To engage in these
critical care giving behaviors parents need access to the foods their children require. They also
need knowledge.
2. Objectives:
1. To find out the current Infant and Young child feeding practices in Udupi district.
2. To identify individual, household and community factors that may facilitate or
constrain adoption of recommended behaviors.
3. To use the information from the formative research to prioritize behaviors to be
targeted and design an effective behavior change communication strategy.
3. Methodology:
1. Existing data review
2. In-depth interview
3. Household observation
4. Trials of improved practices
5. 24- hour recall
6. Focus group discussion
3.1. Study area:
The study was conducted in the field practice area of Kasturba Medical College Manipal. A
convenience sample was selected from two Rural Maternity and Child Welfare Home
(RMCW Homes) area.
3.2. Sample selection: There are 6 RMCW Homes in field practice area. Out of this, two
RMCW homes were selected by a simple random sampling method. In the RMCW homes one
field ANM working in the field keeps a family record. Four groups were identified for the
study. Pregnant women, children aged birth to 6 months, seven to12 months, 13 to 24 months.
Four groups were listed separately from the available records and five families were selected
in each group in both centers for the study adopting a simple random sampling procedure.
Sl.No. Study group Age group Sample
1. Mothers 36 to 38 weeks
of gestation 5
2 Children 0 to 6 months 5
3. Children 7 to 12 months 5
4. Children 13 to 24 months 5
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3.3. Existing data review:
1. Lessons learned from other organizations
2. Use of existing reports and key informant interviews
3. Identify knowledge gaps
4. Reveal actual practices
5. Often conducted in depth interviews
6. Available resources to make realistic recommendations
The locally available health education materials were collected. Literature review was done to
collect the existing material and to know the work done in the field. WHO and UNICEF sites
were searched and material was collected. The recommended practices and appropriate
messages were documented. Visited to UNICEF Office at Hyderabad and collected health
education materials on child feeding practices. Discussed with the officials about the study,
required materials and collected them.
Visited National Institute of Nutrition Hyderabad Nutrition section and Field Division.
Discussed with the staff and collected information and materials. They suggested to conduct a
formative research to prepare a health education module. Accordingly, the formative research
was conducted to prepare a health education module.
3.4. In depth – interviews:
1. Use direct questioning - question as ‘why’
2. Reveal knowledge attitude and practices
3. Identify barriers in optimal practices
4. Formulate specific recommendation
Researcher visited the selected houses introduced himself, explained the purpose of the study.
Oral consent was obtained. A pre-tested questionnaire was used to collect the information. An
in-depth interview was conducted questioning the mother and other family members who ever
available at home. The knowledge was assessed, practices were identified and tried to
understand the attitude of the family members towards the child feeding practices. Finally,
few recommendations were made to improve the practices and discussed about the feasibility
of practicing. The gaps in practicing and the recommendations were noted.
3.5. Household observations: Guidelines for field observer –
1. Try not to have expectations for what you will observe
2. Try to recognize and dismiss your own assumptions and biases and remain open to
what you observe, try to see things through the participant’s perspectives.
3. Write field notes as soon as possible , do not discuss observation until the field notes
are written
3.6. Possible structured observation topics:
1. Mother’s infant and young child care and feeding practices
2. Children’s activities and behavior and the response of mother and other caregivers to
them
3. Breastfeeding, bottle feeding and other child feeding practices
4. Food preparation
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5. Family and child meal time, including who feeds the child, what kind of supervision
and feeding style is used, how actively the mother feeds, and whether the child has his
or her own plate
6. Special practices and behavior during illness and recovery
7. Conditions in the home, including hygiene
8. Food availability
During the home visit researcher observed the home the surroundings and cleanliness,
observed the feeding the child, food served, breastfeeding, child’s environment etc. relevant
things were noted down.
3.7. Trials of improved practices (Tips) (observations) – Best for learning about actual
practices and usually conducted during an in depth interview.
1. Involve a series of household visits to test recommendations for improving practices
2. Determines which recommendations are feasible and acceptable
3. Identifies motivators and barriers to practicing recommendations
4. Involves mother in process
5. Provides general information on practices
After the in-depth interview, the researcher visited to observe how much changes occurred in
the family. Observing the deserved changes in behavior of mother/care giver and the
discussed about the barriers in implementing the recommendations. The process was written
down. Guide was also attended in some observations. Later identified which practices are
feasible to be implemented and which will be difficult. Feeding water before 6 months was a
very strong practice, frequency of feeding 3 to 4 times a day. If the child cries’s more
frequently mother thinks that she does not have enough milk. Other observations that cold
food, hot food, and many times child were deprived of variety of foods.
3.8. Diet survey (24 – hour recall):
1. Ask respondents to recall and describe feeding and dietary practices from previous
day
2. Provides basis for discussion about practices and negotiate for feasible improvements.
A diet survey was conducted to find out the frequency and types of foods fed to child. The
NIN format was used for the survey. Researcher had diet training at NIN to conduct a diet
survey. Two days practical training was attended under the supervision of field staff and
assessed the training at the end found adequate and satisfactory.
3.9. Focus group discussion:
1. A small group (5-10) members with similar background to discuss specific topics
2. Use flexible topic guide with probing
3. Facilitator is then to collect information, not disseminate it
4. Focus on what people do, think and feel and why
Two focus group discussions were conducted in two RMCW Homes.
3.10. Non-verbal block for good communication
1. Nodding too often
2. Not looking at the person who is talking
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3. Acting disinterested
4. Allowing interruptions
5. Smiling or frowning in appropriately
3.11. Effective listening - ‘SOFTEN’
S – Smile O – Open posture
F - Forward lean T - Appropriate touch
E - Eye contact N - Nod the head
3.12. Channels of delivery: Looking into the different approaches adopted by different study
groups we considered contacting the mother directly at home and counseling would be more
effective. Therefore, we adopted a family level counseling to deliver the intervention. The
researcher was told to conduct the intervention himself. Few studies also suggested that
individual as well as group counseling would be an effective way improving feeding practices
among mothers. The pregnant women were contacted at home introduced by ICDS worker.
Pregnant women and the family members (others who ever available at home) were clearly
explained about the study and consent was taken. Baseline data and other information were
collected as per the schedule. Later the intervention counseling was started. Initially few
open-ended questions were asked and the mother and other family members were allowed to
respond on child feeding practices and childcare. Listening to them, reflecting back what they
think empathize them accept what do right, recognize and praise for good practices. At the
end, give very few specific suggestions and appropriate information to the mother and family
members. Try to find out the feasibility and acceptability of adopting the new suggestions.
During the next visit to follow up the previous problems and to give suggestions. If not
followed try to find out what was the problem etc.
Here negotiation is referred to while counseling involving the mother and other family
members at home (whoever is available) listen what they say, their experiences, feelings etc.
try to identify which are good practices encourage them and try to find out which are the
wrong ones. When they are practicing a wrong practice, discuss and try to make them
understand why it is not a healthy practice. Here we have to give an option for them to change
their practice and see the results so that they will change their behavior7, 19
.
3.13. Guidelines for formulating the questions
1. Open – ended question: Encourage answers that go beyond one word; disclose
feelings, actions reactions and knowledge. e.g. What do you think about?
How do you feel about?
Can you tell me more about?
2. Closed questions: encourage short answers – Yes/No
E.g., Do you, Did you, How many etc.
3. Two in one questions – Create confusion, they force the respondent to react to two
things at once. e.g. – How many times do you feed your child a day and what do you give?
4. Biased or leading questions – Lead respondents to say something they may not have
thought about and can limit the responses. e.g. - Is it good to breastfeed your baby?
Questions should stimulate rather than discourage discussion; they should be tested and
reviewed prior to being used in formative research.
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3.14. Probing
This can be achieved through
1. Silence that gives the respondent time to expand their thoughts
2. A question to follow up (why?)
3. A statement (I am a little unclear about that) or restatement (you said)
4. Repetition of key words in response (you said that is good – but what is good about it)
5. Reference to another person or group (what might other people think about that?)
6. It is important because it allows for a deeper understanding of the reasons behind a
response.
7. Deep probing of issues raised as respondents respond to the questions – is key to
successful qualitative research, try not to cover too many topics.
4. Focus group discussion
This study is conducted to understand the current practices, motivators and barriers related to
ideal behaviors. It also defines the acceptability and feasibility of adopting a new behavior
and convincing messages through an appropriate channel based on the tested
recommendations keeping the focus on issues important to the community.
4.1. Objectives:
1. To study the current Infant and Young child feeding practices in Udupi district.
2 To identify individual, house hold and community factors that may facilitate or
constrain adoption of recommended behaviors.
3. To use the information from the formative research to prioritize behaviors to be
targeted and to design an effective behavior change communication strategy.
4.2. Participants:
The study was conducted in the field practice area of Kasturba Medical College Manipal, in
two Rural Maternity and Child Welfare Home. The study population will be Mothers of
children less than 5 years of age. Two FGD’s were conducted in Katapady and Kaup RMCW
Home’s.
4.3. Topics for discussion;
1. What should be the first feed for a newborn baby?
(Probe - initiation of breast feeding, feeding colostrum and prelecteal feeds)
2. What do you think about giving only breast milk for the first six months of life?
(Probe – exclusive breastfeeding and early weaning)
3. How do you know a baby is ready for semi-solids and solid foods?
(Probe – starting complementary foods, frequency of feeding and consistency of
foods)
4. In your opinion when child is able to take family foods?
(Probe – Feeding with family pot, developmental milestones)
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5. When child is sick, do mothers feed the child adequately?
(Probe – breastfeeding, liquids regular feeding etc.)
6. In your opinion what are the precaution a mother has to take to prevent the
common sicknesses in the child?
(Probe – personal hygiene, keeping the child clean and immunization)
4.4 Focus group discussion Questionnaire:
1. Child malnutrition is one of the important problems we face today. Nearly about 35% of
our
children below the age of 3 are malnourished.
1. Do you think looking around in your neighborhood is it a problem?
2. What could be the reason for this malnutrition?
2. What do you feel about these practices in your neighborhood?
1. Breast feeding initiation
2. Feeding prelecteal feeds
3. Feeding colostrums
4. Exclusive breastfeeding
5. Night feeding
6. Introducing liquids and other semi-solids
7. Positioning
2.1. Complementary feeding
1. Early initiation of complementary foods
2. Ideal age to start semi-solids
3. Frequency of feeding
4. Types of foods and local verities of foods
5. Introducing family foods
6. Continuing breast feeding and duration of breast feeding
2.2 Common sickness and Hygiene
Home management of,
1. ARI
2. Diarrhoea
3. Measles
4. Immunization
5. Hygienic practices
2.3. Growth monitoring
Who is considered as a healthy child?
2.4. Feeding the following foods and its necessity
1. Multi vitamins
2. Gripe water
3. Herbal medicines
4. Anganawady food
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Appendix – 3
Important findings of In-depth interview and diet survey
Adequate Knowledge % In adequate knowledge %
Breast feeding initiation 76 Exclusive breast feeding 56
Feeding colostrums 88 Breast feeding in night time 64
Duration of breast feeding 56 Introducing liquids 84
Continuing breast feeding 100 Introducing semi solids 84
Home management of ARI 30 Positioning 92
Hygienic practices causes
sickness
100 Introducing complementary foods 84
Good Practices % Harmful practices %
Feeding pre-lacteal feeds 64 Feeding pre-lacteal feeds 36
Breast feeding problems 84 Breast feeding problems 16
Frequency of feeding 12 Frequency of feeding 88
Types of foods and density 48 Types of foods and density 52
Immunization 82 Immunization 18
Introducing family foods 48 Introducing family foods 52
Home management of diarrhea 35 Home management of diarrhea 65
Dilution of milk 18 Dilution of milk 82
Multi Vitamins 53 Growth monitoring 100
Herbal medicines 25 Feeding gripe water/ Bonison 70
Anganwadi food 12 Multi Vitamins 47
Herbal medicines 75
Anganwadi food 88
Mothers opinion
Motivators – doctor, elders, family members
Health educators visits - accepted
Messages - No response
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Appendix - 4
Report of the focus group discussion Date 8
th and 17
th August 2006
Place: Indiranagar Katapady and Polipu Kaup
Time: 3 pm to 4.15 pm
Focus group discussion was conducted at Indira Nagar anganawadi centre, Katapady and
Polipu anganawadi centre, kaup on 8th
and 17th
August 2006. Total 23 mothers from the
community participated in the program.
Mr. Divakar Nayak S was the facilitator and Mrs. Neelavathi was the Moderator.
The discussion was started with introduction on the purpose and objectives of FGD. The
participants were encouraged to talk about the topic without hesitation.
Focus group discussion started with introduction by Mrs. Neelavathi. Participants introduced
themselves before beginning the discussion.
Most of the participants are of the opinion that:
Q. 1. Child malnutrition is one of the important problems we face today. Nearly about 35%
of
our children below the age of two are malnourished. (statement)
Yes, we agree but could not see such children in our neighborhood.
Q. 2. Breast milk is the natural food available to a child from her mother, how this is fed to a
child in your area?
a) Breastfeeding initiation –
Soon after the birth breast milk should be given
Soon after the delivery it is possible
Immediately after the delivery within 10 minutes can be started
Initially 3 days milk is less
b) Feeding prelacteal feeds –
Some are giving dry grape water, lacotogen milk, glucose water, sugar water honey
These feeds should not be given
We don’t give anything
Some are giving hot water, so that child will cry
Some give honey/milk dipping the finger ring (golden) to the child (as a ritual)
c) Feeding colostrums –
Some are not giving this milk
Some squeeze and remove this milk
It should be given
When child starts crying it should be fed
Now everybody feeds, it is good, nutritious to child
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Child is protected by sickness
d) Exclusive breastfeeding –
Only breast milk, is enough only for 3 to 4 months
Some semi solids to be started at 4 months of age and fed 2 times a day
e) Breastfeeding in night
Night 2 times breast milk should be given
Child should be woken up and fed in the night
Night and day there is no difference in breast milk
If child is slept woke up the child and feed
f) Introducing liquids and other semi – solids –
Three to 4 months child should be given other foods
Breast milk alone is not enough after 4 months of age
g) Duration of breastfeeding –
Breast milk is to be given for 18 months (majority of them)
Breast milk is to be given 2 years (two mothers)
After one year the child starts to bite the breast, so it is stopped
To stop at 2 years we get pain, so we stop early, we don’t feed the child
Child should be fed till 3 years, it is good (two mothers)
h) Positioning –
Breast milk is to be given to child in sitting position, not to be given in sleeping
position
Breast has to cleaned before feeding
Mental state of mother, she should be calm
Child attachment and love to the child
Mother and child should be together
Mother should drink milk
Mother should drink some hot water before feeding the child
Mother should consume green leafy vegetables
Should not lie down to feed, even during night
Child vomits, if child is breastfed in lying position
Child will take 5 to 10 minutes breastfeed
Child should be fed from both breasts at one time other breast will become hard
and dry
If child is breastfed too many times and for longer time mother will become
week
About nipple feeding no answer
i) Breastfeeding problems -
Problems like swelling, hardness crack nipple
Once one side should be fed and second time the other side
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Q. 3. Breast milk alone is enough only to a certain age, what has to be fed afterwards? In
addition, how these foods are fed and in what frequency?
a) Introducing complementary foods
At 4 months semi solid foods should be started (biscuits, bakery butter, apple, fruits,
carrot boiled)
After 6 months – ragi, wheat, beaten rice, rava, biscuits, fruits, butter, cerleac,
After 8 months kanji and dal will be started, egg also can be added
Cow’s milk also can be given
Breast milk is not enough, after 4 months other milk can be given
When weaning starts child is getting problems – change in food, child does not have
energy to digest the new food.
b) Frequency of feeding:
At 4 months child can fed 2 times
4 times after some time - morning, noon, evening and night
3 times per day will be enough (one mother)
4 to 6 times will be good (one mother)
Twice in day time is more than enough (Two mothers)
At 6 months of age 3 times and slowly increased by 9 months
After 9 months biscuits and other food items can be given
c) Types of foods and its density:
Feed should be watery when it is introduced to child
Later it can be little thick but not very thick
Idly, banana, beaten rice with milk also can be given
4 months kanji, mashed potatoes to be given. Ragi, wheat powder mixed with milk
and boiled and given (porridge, manni)
Child should be given hard and thick food after 9 months of age
d) Introducing family food:
Give what all the food items that family eats give to the child in small quantity
Child is able to eat family food only child is 18 months and more (few mothers )
At one year normal family food can be given, we should feed the child
When we eat we should serve the child also in a separate plate
After 9 months family foods can be introduced, what the elders eat at home (moat of
the mothers)
e) Continuing breastfeeding:
Breast milk should be continued till 18 months of age
Some children ask only breast milk not eating other foods
Breastfeeding should be continued but after 18 months not required (majority)
It should be stopped when child is not eating well
We give till 2 years of age (three mothers)
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Q. 4. Is there any way that can we prevent few sicknesses? What are they and how?
1) Immunization schedule:
BCG has to be given at birth
Jaundice and MMR is given
Jaundice and malaria injection given
DPT starts at 45 days, BCG in 45 days and at 3 months
Q. 5. If a child is sick usually, what do you do? Is there any way to prevent or reduce the
severances of these sicknesses?
1) Home management of ARI:
We try home medicine for 2 days, if didn’t subside medical advice will be sought
For fever keeping ice water, keeping wet cloth on forehead and try
We go to Doctor
One day we try with home remedies like ginger, tulsi etc.
We scared to give anything to child, nothing else works, we consult Doctor
2) Home management of Diarrhoea:
Usually it is during teething time
We give ORS
Sugar and salt water also given
Some give araroote boiled in water
If did not improve for one day medical advice will be sought
We go to doctor for consultation
Child feeds should be clean
Always give hot foods to child
Once prepared food should not be kept for second time and fed
Wash hands with soap and water before feeding the child after using toilet
3) Hygienic practices:
Washing hands and plates before feeding the child
Keep cleanliness in and around the house
Boiled water to drink
Q. 6. Usually we learn many things from others; child-feeding practices are concerned who
Motivated you and which are the motivating factors?
Doctors tell us don’t give diluted cow’s milk
At home adults telling to give cow’s milk diluted otherwise child will get cold and
cough
Milk should not given before 5 years of age, it causes cough in children (3
participants opinion)
We take advice from sisters (ANM) also
Children don’t eat the way it is advised by Doctors or others
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We follow our own way which is we feel better
At home we listen to elders
Anganawadi workers also give us advice/information
Elders at home, child’s father, mother in law, advice but we cannot follow everything
what they say, sometimes we try to follow
Some have chubby children, we ask the mothers what they give to their children
Doctors tell to give banana, at home elders will object that, child get colds do not
give.
So we don’t know to follow whose advice
We give everything that child is eating (one mother)
Sometimes there may be financial constraints to give some kind of foods
We are not confident some time to give as advised
We try to do whatever told but it is not possible always. Sometimes child will not eat.
Q. 7. Many a time health professionals’ advice a lot of ideal feeding practices, but it may not
be
possible to practice them in a day today life? What are the barriers in practicing these?
1) Growth monitoring:
Doctor tells weight is correct or not when we go for any problem
In anganawadi we check the weight of the child
No response for growth monitoring every month
Child should be weighed once in a month in anganawadi
We will know the growth and activities
2) Feeding gripe water:
It is given to children (Benisons drops) (almost all responded
This is advised by Doctor
To give twice per day
This is good for digestion, sleep, stomachache etc.
Gripe water (Benison) should not be given, not good for health
They (doctors) say it is good for digestion
After delivery when we discharged they (doctors) advice to give
We give only once, good for digestion, stomach ache etc.
3) Giving multi vitamins:
When we discharged from hospital Doctor tells to give this to the child
Daily 8 drops for 6 months
Sometimes one year also
Doctors advice us to give
4) Herbal medicines:
We give that Baje, Ippli, grinded paste ones a week
It helps to improve to clear the speech, and to talk fast
Elders at home advice
For irritating children herbal medicines are good so we are giving
Oil if apply child sleeps well
Doctors advice not to give these
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5) Anganawadi food:
Child does not eat this food
No much response from the participants
Anganawadi food should be given, mixed in water and made as laddus is good, few
children eat it but some do not eat. They may not be tolerating the food
Q.8. If a health professional visits to your house to discuss about feeding practices, in such a
occasion do you like your mother-in-law or any family members present in the
discussion? In your opinion what is the suitable time for such visits?
No problem, it is better, mother-in-law is there, they also come to know about the
problems and it will be good for us
Afternoon is the best time, because we are relatively free
If all the family members are there it will be good
Not only mother-in-law husband and other family members also can be there
If mother–in–law is there is good, but for some it is not good (one mother).
Q. 9. Whom do you call as healthy child?
Child will be active
It will play
Not irritating
Child will having good sleep
Passing motion regularly
Child’s activities –turning over etc. are normal
Weight will be increasing regularly
Some children may late may not talk till 2 years
Eating properly
Activities are good/ correct
According to age the weight gain should be there
Activities should be accordingly to the age
Q. 10. In your opinion what could be an ideal feeding message for a behavior
change in mothers feeding practices?
“Sanna maguvige hale amrita” (Small child milk only good food)
Child needs nutritional food and psychologically healthy environment
Take care with love and affection don’t scold to the child
Response from the group:
1. All most all the mothers responded and participated in the discussion
Responding to others opinion, discussion about a particular statement etc. was not
much
Facilitator has to intervene and ask for the response
The mothers responded very well
Group discussion was encouraging
They were freely and openly expressing views
Appendices
P a g e | 261
Not hesitant to express their practices and opinion
Other observation:
One lady did not respond at all, others minimum
3 women have responded very well
In the group 4 members were active
Discussion among the members was limited
Facilitator had to intervene in between
One member did not speak at all when asked the question directly only smile no
answer
On member was nodding her head to show that she agreed with what others told
Facilitator extended the vote of thanks to all the participants, the anganawadi worker staff and
others who helped to conduct the FGD successfully.
The complete process was tape-recorded and two people wrote down
Particulars of the participants attended at Indira Nagar, Katapadi
Sl.
No. Name
Age
in
Years
Sex Education Occupation
No of <5
Children
1
Vijaya N Shenoy 39 F B.A. House Wife 1
2
Harinakshi 26 F 10th
House Wife 2
3
Yashoda 25 F 7th
House Wife 1
4
Usha 27 F 3rd
Beedi rolling 2
5
Shaila 33 F 10th
House Wife 1
6
Shobha 25 F PUC House Wife 1
7
Rahamath 23 F 7th
Beedi rolling 1
8
Shameena 25 F 10th
House Wife 3
9
Chandika 35 F PUC Beedi rolling 1
10
Shameera 26 F 10th
House Wife 1
Appendices
P a g e | 262
Particulars of the participants attended at Polipu anganwadi centre, Kaup
Sl.
No. Name
Age in
Years Sex Education Occupation
No of <5
Children
10 Usha 32 F 7th
House Wife 1
2.
Sheela 31 F B.A. House Wife 1
3
Mohini 31 F 8th
House Wife 1
4
Hemavathi 28 F 2nd
House Wife 2
5
Sunitha 27 F 10th
Beedi rolling 1
6.
Vimala 31 F 8th
House Wife 2
7
Nalini 32 F 10th
Clarical 2
8
Shailaja 28 F 10th
House Wife 1
9
Thejavathi 35 F 10th
House Wife 1
10
Radhika 32 F 10th
House Wife 1
11
Sunitha Babu 23 F 10th
House Wife 1
12
Savitha 32 F PUC House wife -
13
Nethravathi 29 F 7th
House wife 2
Appendices
P a g e | 263
Appendix – 5
Health Education Module
(46 pages –English, attached to thesis)
Appendices
P a g e | 264
Appendices
P a g e | 265
Appendices
P a g e | 266
Appendices
P a g e | 267
Appendices
P a g e | 268
Appendices
P a g e | 269
Appendices
P a g e | 270
Appendix – 6
Appendices
P a g e | 271
Appendix – 7
Flip chart - Kannada
Appendices
P a g e | 272
Appendix – 8
Calendar
Appendices
P a g e | 273
Appendix -9
Important messages from formative research
1. Breastfeeding – Breast-feed the newborn immediately after the birth. Do not give any
kind of fluids to newborn baby before initiating breast milk like glucose water, warm
water, sugar water, honey, lactogen milk or cow’s milk etc.
2. Signs of proper positioning and attachment – To give maximum benefit of the
breastfeeding hold the baby in the correct position close to your breast.
3. Optimal breastfeeding – Initiation of breastfeeding immediately after birth, allow the
baby to remain with mother, breastfeed frequently (demand feeding), exclusive
breastfeeding till 6 months of age, continue breastfeeding even if mother or child
becomes sick, avoid bottle feeding and mothers should eat and drink sufficiently to
satisfy their hunger and thirst.
4. Growth monitoring – Weigh the child frequently at the nearby anganawadi and see
that your child is moving in the right direction (road to health) using the growth chart.
5. Home management of ADD and ARI – Breast-feed frequently, give oral rehydration
solution (ORS), continue normal food and if any danger signs, shift the child
immediately to hospital. Keep the child warm, if within one-day fever doesn’t subside,
shift the child to hospital, breast feed frequently, put wet cloth on forehead, hand and
legs, seek medical help.
6. Optimal feeding practices – Start complementary foods at 6 months of age, slowly
increase the quantity, frequency, and thickness of the food, and give iron and vitamin
A. rich foods. Do not give tea/coffee to your child; sit with the child and feed.
Appendices
P a g e | 274
Appendix - 10
List of experts involved in the study
1. Dr. Asha Hegde
Associate Professor,
Department of Pediatrics,
Dr. T. M. A. Pai Rotary Hospital,
Karkala – Udupi district.
2. Dr. Suma Nair
Associate Professor,
Department of Community Medicine,
Kasturba Medical College –Manipal.
3. Dr. Rathna Prakash
Professor,
Manipal College Of Nursing – Manipal.
4. Dr. George P. Jacob
Assistant Professor,
Department of Community Medicine,
Kasturba Medical College – Manipal.
5. Dr. Maya Ranganathan
Professor,
Manipal Collge of Communications Manipal.
Appendices
P a g e | 275
Appendix -11
Health education approach (model) followed in the study
The health education approach adopted to impart the intervention was through counseling the
mother and other family members at their residence. Other family members like husband,
mother, mother-in-law and any other family members available at home during the
intervention were involved in the discussion. Follow the sequence and talk to mother and give
few suggestions at the end.
1. Introduce yourself to the family member
2. Explain the purpose of the visit
3. Ask about the pregnant mother /child, the health condition, how are you etc. with
casual talk.
4. Start the discussion talking about one problem brought by them. Slowly build it
with the main topic of discussion.
Model question - Topic breastfeeding, how is the breastfeeding going on? In addition,
what else do you feed to your child? If mother fed little water to the child, ask her
whether breast milk and water which of this is better for the child. Then continue
question and answer session like if breast milk is good why you are feeding water.
Child will take whatever you feed, the quantity and type of food. So when you have
enough milk why you have to feed water. Explain the content of the breast milk that it
contains 88% of water so that at any season you need not feed extra water to the child
until the age of six months. So let the mother decide and give which feed is better for
her child. Let her bring the problem and discuss the advantages and disadvantages so
finally let her decide which one to follow.
5. Show the concerned pictures to confirm the statement that already made, and any
evidence or examples that are relevant to the topic of discussion. Ask do you have any
doubts or quarries and conclude the discussion telling the mother that these are the
recommended practices, which will help your child.
6. Say thanks for spending the valuable time and making the discussion live. Tell her that
you will be re-visiting and confirm whether she will be following all the practices that
she agreed to follow here onwards.
Appendices
P a g e | 276
Appendix - 12
Letter of approval from Ethics committee, Masturbate Hospital –Manipal
Ap
pen
dic
es
Pa
ge
|27
7
Ap
pen
dix
– 1
3
Lis
t o
f re
gis
tere
d p
reg
nan
t w
om
en w
ith
mo
nth
of
reg
istr
ati
on
– c
on
trol
gro
up
Sl.
No.
Nam
e of
the
pre
gn
ant
wo
men
Hu
sban
d’s
nam
e
An
g.
Code
L.M
.P.
E
.D.D
.
Dat
e of
Del
iver
y
Co
nta
ct
nu
mber
s
01
. R
ekh
a D
’So
uza
A
ni;
l D
’so
uza
6
0
3/0
2/2
00
6
10
/11
/20
06
3/1
1/2
00
6
02
. A
nit
ha
S
ure
sh K
oti
an
4
14
/02
/20
06
2
1/1
1/2
00
6
17
11
/20
06
03.
Vin
oda
S
hai
lesh
shet
ty
5
14/0
6/2
006
21/0
3/2
007
05/0
3/2
007
04
. Ir
ine
Vic
tor
D’S
ou
za
7
13/0
2/2
006
20/1
1/2
006
16/1
1/2
006
05
S
ath
yak
ka
Lax
man
5
1
5/0
2/2
006
22/1
1/2
006
07/1
1/2
006
06.
Jyoth
i A
ust
in L
obo
7
10/0
3/2
006
17/1
2/2
006
12/1
2/2
006
07
L
axm
i P
rab
hu
P
rab
hak
ar P
rab
hu
5
14/0
3/2
006
21/1
2/2
006
05/0
1/2
007
08
Lax
mi
Mohan
Nai
k
5
08/0
5/2
006
15/0
2/2
007
11/0
2/2
007
09
A
shal
ath
a
Um
esh
Nay
ak
5
07
/06
/20
06
1
4/0
3/2
00
7
04
/03
/20
07
10
. R
ath
na
Sh
etty
B
has
kar
Sh
etty
6
28/0
2/2
006
05/1
2/2
006
11/1
2/2
006
11.
Vil
asin
i S
het
ty
Uday
a S
het
ty
2
05/0
5/2
006
12/0
2/2
007
10/0
2/2
007
12
. S
mit
h V
. P
ai
Vid
yad
har
a P
ai
3
20/0
6/2
006
27/0
3/2
007
13/0
3/2
007
13.
Shas
hik
ala
S
athis
h J
ogi
3
27/0
7/2
006
03/0
5/2
007
05/0
5/2
007
Hom
e del
iver
y
14.
Shsh
ila
Gir
isha
5
20/0
5/2
006
27/0
2/2
007
21/0
2/2
007
15
Van
itha
Vin
cent
Med
ndonza
3
28/0
4/2
006
05/0
2/2
007
05/0
2/2
007
16
. S
ug
un
a U
mes
h N
ayak
5
2
2/0
5/2
00
6
29
/02
/20
07
2
2/0
2/2
00
7
17
. S
hak
un
thal
a D
ines
h
5
10
/04/2
006
17/0
1/2
007
03/0
1/2
007
18.
Sunit
ha
Ven
ugopal
7
20/0
5/2
006
27/0
2/2
007
28/0
2/2
007
19.
Sri
dev
i R
ames
h
5
20/0
6/2
006
27/0
3/2
007
24/0
3/2
007
20.
Sush
eela
H
aris
h
5
23/0
7/2
006
30/0
4/2
007
27/0
4/2
007
21.
Sudha
Sal
ian
Shubhak
ar
3
23/0
6/2
006
30/0
3/2
007
13/0
3/2
007
22
. Ja
yas
hee
la
Sat
his
h
1
03
/08
/20
06
1
0/0
5/2
00
7
25
/04
/20
07
23
. S
uja
tha
G
anes
h
1
03
/06
/20
06
1
0/0
3/2
00
7
06
/03
/20
07
24.
Jayan
thi
Har
ish
1
02/0
7/2
006
09/0
4/2
007
16/0
4/2
007
25
. S
um
ana
Sh
ank
ara
Nar
ayan
a 5
20/0
6/2
006
27/0
3/2
007
11/0
3/2
007
Ap
pen
dic
es
Pa
ge
|27
8
Lis
t o
f p
regn
an
t w
om
en r
egis
tere
d f
or
the
stu
dy
C
on
tro
l g
rou
p
Sl.
No.
Nam
e of
the
pre
gn
ant
wo
men
Hu
sban
d’s
nam
e
An
g.
Code
L.M
.P.
E
.D.D
.
Dat
e of
Del
iver
y
Co
nta
ct
nu
mber
s
26.
Vid
yal
atha
Day
anan
da
5
29/0
6/2
006
05/0
4/2
007
09/0
4/2
007
27
. G
eeth
a P
aras
hu
ram
5
01/0
2/2
006
08/1
1/2
006
03/1
1/2
006
28.
Mal
lika
Nar
ayan
a 6
05/0
8/2
006
12/0
5/2
007
12/0
5/2
007
29
. S
hal
ini
A
lwin
e
7
13
/07
/20
06
2
0/0
4/2
00
7
14
/04
/20
07
30
D
ivy
a
Vis
hw
anth
6
1
4/0
7/2
006
21/0
4/2
007
15/0
4/2
007
31.
Sunit
ha
Har
ish P
ooja
ry
6
03/0
8/2
006
10/0
5/2
007
12/0
5/2
007
32
. M
alli
ka
S
hiv
aji
ku
lal
2
25/0
5/2
006
05/0
3/2
007
02/0
3/2
007
33.
Shre
ya
S
hri
niv
as
7
24/0
7/2
006
01/0
5/2
007
24/0
4/2
007
34
. V
idy
a k
amat
h
Lee
lad
har
Kam
ath
3
10
/09
/20
06
1
7/0
6/2
00
7
08
/06
/20
07
35
. G
eeth
a
Su
resh
Nai
k
5
13
/02
/20
06
20/1
1/2
006
12/1
1/2
006
Mig
rate
d
36.
Gee
tha
S
udhak
ar
4
02/0
8/2
006
09/0
5/2
007
05/0
5/2
007
37
P
oo
rnim
a N
ith
yan
ada
5
09
/07
/2006
16/0
4/2
007
12/0
4/2
007
Mig
rate
d
Ap
pen
dic
es
Pa
ge
|27
9
Lis
t o
f p
regn
an
t w
om
en r
egis
tere
d f
or
the
stu
dy
I
nte
rven
tio
n g
rou
p
Sl.
No.
Nam
e of
the
pre
gn
ant
wo
men
Hu
sban
d’s
nam
e
An
g.
Code
L.M
.P.
E
.D.D
.
Dat
e of
Del
iver
y
Co
nta
ct
nu
mber
s
1.
Ak
shat
ha
Pra
bh
u
Gan
esh
Pra
bhu
4
09/0
2/2
006
16/1
1/2
006
09/1
1/2
006
2.
Bh
arat
hi
V
ijay
end
ra N
aik
1
09/0
2/2
006
16/1
1/2
006
14/1
1/2
006
3.
Shas
hik
ala
Sri
kan
tha
2
13/0
2/2
006
20/1
1/2
006
10/1
1/2
006
4.
Vin
oda
See
thar
am
7
23/0
3/2
006
30/1
2/2
006
29/1
1/2
006
5.
Aru
na
Rao
V
itta
l R
ao
3
15
/04
/20
06
22
/01
/20
07
11
/01
/20
07
6.
Ren
uka
Rav
indra
1
24/0
3/2
006
31/1
2/2
006
31/1
2/2
006
7.
Bhar
athi
See
thar
am
6
26/0
4/2
006
03/0
2/2
007
26/0
1/2
007
8.
Bhar
athi
Sure
sh P
ooja
ry
6
24/0
2/2
006
01/1
2/2
006
29/1
1/2
006
9.
San
gee
tha
Su
dh
arsh
an
6
23/0
3/2
006
30/1
2/2
006
02/1
2/2
006
10.
Jyoth
i U
llas
Shet
ty
4
03/0
5/2
006
10/0
2/2
007
18/0
1/2
007
11.
Sundar
i
Raj
u
5
10/0
3/2
006
17/1
2/2
006
17/1
1/2
006
Mig
rate
d
12
Pra
jna
H
aris
h S
het
ty
4
28/0
5/2
006
07/0
3/2
007
01/0
3/2
007
13
. M
amat
ha
Ash
ok
4
0
1/0
6/2
00
6
08
/04
/20
07
0
4/0
4/2
00
7
14
. B
hag
yal
axm
i N
agar
aj
3
01
/06/2
006
08/0
3/2
007
23/0
2/2
007
15.
Jull
itte
Jo
hn
5
11/0
5/2
006
18/0
2/2
007
02/0
2/2
007
Mig
rate
d
16.
Pri
ya
Har
ish
3
29/0
5/2
006
06/0
3/2
007
23/0
2/2
007
17.
Bhar
athi
Chan
rayya
6
23/0
2/2
006
30/1
1/2
006
29/1
1/2
006
18
. M
ain
a L
ewis
S
teev
an L
ewis
3
03/0
4/2
006
10/0
1/2
007
03/0
1/2
007
19.
Gay
athri
S
athis
h n
ayak
6
28/0
5/2
006
07/0
3/2
007
04/0
3/2
007
20.
Sure
kha
S
ure
ndra
Ach
ary
6
02/0
8/2
006
09/0
4/2
007
06/0
4/2
007
21
. S
ush
eela
U
mes
h S
het
ty
4
08
/09
/20
06
1
5/0
6/2
00
7
16
/06
/20
07
22
. M
amat
ha
G
anes
h
5
15
/06
/20
06
2
2/0
3/2
00
7
22
/03
/20
07
23.
Shan
thi
Pra
kas
h
5
16/0
7/2
006
23/0
4/2
007
27/0
4/2
007
24.
Sah
adev
i K
rish
na
2
01/0
6/2
006
08/0
3/2
007
21/0
2/2
007
25
. A
sha
Um
esh
2
2
6/0
7/2
00
6
03
/04
/20
07
2
4/0
3/2
00
7
Ap
pen
dic
es
Pa
ge
|28
0
Lis
t o
f p
regn
an
t w
om
en r
egis
tere
d f
or
the
stu
dy
I
nte
rven
tio
n g
rou
p
Sl.
No.
Nam
e of
the
pre
gn
ant
wo
men
Hu
sban
d’s
nam
e
An
g.
Code
L.M
.P.
E
.D.D
.
Dat
e of
Del
iver
y
Co
nta
ct
nu
mber
s
26
. Jy
oth
i V
itta
la
3
23
/02
/20
06
30
/11
/20
06
26
/11
/20
06
27
. A
mit
ha
P
ura
nd
ar
7
20
/06
/20
06
2
7/0
3/2
00
7
19
/03
/20
07
28
. S
has
hik
ala
So
man
ath
3
09/0
7/2
006
16/0
4/2
007
04/0
4/2
007
29.
Pra
full
a Ja
nar
dhan
a 3
26/0
7/2
006
02/0
5/2
007
11/0
5/2
007
30.
Suja
tha
Pra
kas
h
6
23/0
7/2
006
30/0
4/2
007
27/0
4/2
007
31.
Mal
lika
Rav
indra
3
11/0
9/2
006
18/0
6/2
007
11/0
6/2
007
32
. S
mit
ha
Pra
kas
h
3
05
/08
/20
06
1
2/0
5/2
00
7
02
/05
/20
07
33
. V
arij
a
Vit
tala
4
1
9/0
7/2
00
6
26
/04
/20
07
24
/04
/20
07
Infa
nt
dea
th
34
. S
ug
and
hi
Kri
shn
a N
aik
2
14/0
9/2
006
21/0
6/2
007
10/0
6/2
007
35.
Judit
h L
ewis
R
onal
d L
ewis
3
22/0
5/2
006
01/0
3/2
007
19/0
2/2
007
Mig
rate
d
36.
Nam
itha
shre
e P
rom
odh
3
08/0
9/2
006
15/0
6/2
007
28/0
5/2
007
37
. S
hre
emat
hi
Sad
anan
da
7
10/1
0/2
006
17/0
7/2
007
04/0
7/2
007
38.
Gee
tha
B
has
kar
6
14/1
0/2
006
21/0
7/2
007
17/0
7/2
007
39
. K
usu
ma
S
hek
ar
7
11
/08
/20
06
1
8/0
5/2
00
7
05
/05
/20
07
In
fan
t d
eath
40.
Pre
ma
S
hek
ar
6
22/1
0/2
006
29/0
7/2
007
24/0
7/2
007
Appendices
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Appendix - 14
Distribution of study subjects anganawadi wise in intervention group and control group
1. Intervention area
Sl.
No.
Name of
anganawadi
Nov.
2006
Dec.
2006
Jan.
007
Feb.
2007
March
2007
April
2007
May
2007
June
2007
July
2007
Total
1. Golikatte 1 1 - - - - - - - 2
2. Kelinje 1 - - 1 1 - 1 - 4
3. Herebettu 1 - 2 2 - 1 3 1 - 10
4. Padunittur 1 - 1 - 1 1 - 1 - 5
5. D.kumeri - - - - 1 1 - - - 2
6. L.V.P.1 2 1 1 - 1 2 - - 2 9
7. Muggeri 1 - - - 1 - - - 1 3
Total 7 2 4 3 5 5 3 3 3 35
2. Control group
Sl.
No.
Name of
anganawadi
Nov.
2006
Dec.
2006
Jan.
007
Feb.
2007
March
2007
April
2007
May
2007
June
2007
July
2007
Total
1. Nellikatte - - - - 1 2 - - - 3
2. K.karia - - - 1 1 - - - - 2
3. Moodubelle - - - 1 2 - 1 1 - 5
4. Kudi. 82 1 - - -- - - -1 - - 2
5. Bhairanje 2 - 2 3 3 2 - - - 12
6. Devaragudda 1 1 - 1 - 1 1 - - 5
7. Kattingeri 1 1 - 1 - 2 - - - 5
Total 5 2 2 7 7 7 3 1 34
3. Details of subjects recruited for the study
Sl.No. Details Intervention
group
Control
group
Total
1. Total number of pregnant mothers
registered for the study
40 37 77
2. Total number of children for the
study
40 37 77
3. Lot for follow up
1. Infant death
2. Home delivery
3. Migration
2
-
3
-
1
2
2
1
5
4. Total number of children lost for
follow up
5 3 8
5. Total number of children followed
up for 24 months
35 34 69
Appendices
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Appendix – 15
Patient’s information sheet, Informed consent form (English and Kannada)
Title of the study: Effect of educational intervention on growth pattern and feeding practices
in children (less than 24 months of age) in Udupi district – A community-based cluster
randomized controlled trial.
Investigator: Guide:
Mr. Divakar Nayak S. Dr. Nagaraj Kondagunta
Department of Community medicine Additional Professor,
Kasturba Medical College, Manipal, Dept. of Community Medicine
Udupi district – 576104, Karnataka, India, Kasturba Medical College, Manipal
Tel. No. 0820 – 2571201 ext. 22234, 22275. Udupi district-576104, Karnataka.
e-mail – [email protected] Tel. No.0820-2575771,
I am Mr. Divakar Nayak S, working in the department of Community Medicine, Kasturba
Medical College, Manipal. I am doing a study on effect of an educational intervention on
growth pattern and feeding practices of children below 24 months of age in Udupi taluk
Purpose
Malnutrition is a very common problem in children below 2 years of age. I would like to find
out whether an educational intervention to mothers will improve the growth pattern and
feeding practices, so that malnutrition can be reduced.
Research Intervention
The study will involve mothers and the newborn children. The study will be conducted in two
randomly selected areas, one will be the intervention group and the other one will be the
control group. In intervention group the mothers will receive specially designed health
education. If you decide to be in the study and are selected for educational intervention your
participation will be required once during 36 to 38 weeks of gestational age and there after at
repeated intervals (at the age of 2, 5, 8, 11, 14, 16 and 20 months of your child)
You may have to answer some of my questions to assess your baseline knowledge about
feeding practices using a questionnaire. The intervention messages cover the appropriate
feeding practices, which will be based on “Integrated Management of Childhood Illness
Training Manual on Nutrition Counseling” by WHO.
Participant’s selection
All the pregnant mothers who are residents in the selected anganawady area will be included
during study period.
Appendices
P a g e | 283
Voluntary Participation
Your participation in this research study is voluntary. It is your choice to participate or not.
You may change your mind and withdraw from the study even if you have agreed earlier
Description of the Process
- During the research study, I will be visiting seven times to your house and each visit will
not be more than 15 to 20 minutes.
- A survey questionnaire will be used to assess the socio-demographic details and feeding
practices.
- When your child is 4, 6, 9, 12, 15 18 and 24 months of age the anthropometric
measurements like height, weight, mid-arm circumference, chest circumference and a
diet assessment will be done. The study will take place over 24 months in total.
Discomforts
I under stand that by participating in this research study you may experience some
discomforts such as answering the questions and your child may experience minimum
discomfort during the time of taking the measurements.
Benefits
If you participate in this study, you may have the benefit of knowing about the growth of the
child. There may not be any benefit for you but your participation is likely to help us to find
the answer to our research question. There may not be any benefit to the society at this stage
of research, but future generations may likely to benefit.
Confidentiality
Information that is collected from you will be kept confidential and no one but the researcher
will be able to see it. It will not be shared with or given to anyone except MAHE University
(Manipal Academy of Higher Education, Manipal).
Sharing the results
The Knowledge that we get from doing this research will be shared with you before it is
widely available to the public. Confidential information will not be shared. There will be a
small meeting in the community and these findings will be informed. After these meetings,
we will publish the results in order that other interested people may learn from our research.
Right to refuse or withdraw
You do not have to take part in this research if you do not wish to do so. You may withdraw
from the study at any time you choose. It is your choice and all of your right that will be
respected.
Whom to Contact
If you have, any questions you may ask them now or later, even after the study has started you
can contact any time Dr. Suma Nair. Assistant Professor, Dept. of Community Medicine,
Kasturba Medical College, Manipal, Tele. No. 0820 – 2571201, ext. 22234, 22275. e –mail –
Appendices
P a g e | 284
Informed consent form
Title of the study: Effect of educational intervention on growth pattern and feeding practices
in children (less than 24 months of age) in Udupi district – A community-based cluster
randomized controlled trial.
Investigator: Guide:
Mr. Divakar Nayak S. Dr. Nagaraj Kondagunta
Department of Community medicine Additional Professor,
Kasturba Medical College, Manipal, Dept. of Community Medicine
Udupi district – 576104, Karnataka, India, Kasturba Medical College, Manipal
Tel. No. 0820 – 2571201 ext. 22234, 22275. Udupi district-576104, Karnataka.
e-mail – [email protected] Tel. No.0820-2575771,
Namaskara,
I Mrs…………………………………………………(Name) aged……Years, have understood
to my satisfaction the objectives and implications of the above mentioned research study, as
explained to me by Mr. Divakar Nayak S.
This study is being conducted to study the effect of an educational intervention on growth
pattern and feeding practices in children less than 24 months of age in Udupi district,
Karnataka.
If you decide to be in the study and are selected for educational intervention your participation
will be required once during 36 to 38 months of gestational age and thereafter at repeated
intervals (at the age of 2, 5, 8, 11, 14, 16, and 20 months of your child). I understand that it
will involve collecting information on feeding practices and dietary assessment through an
interview and taking the anthropometric measurements of my new born child at different age
intervals (4, 6, 9, 12, 15 18 and 24 months of age)
I am aware that there may be no benefit to me or to my child personally by participating in
this study. I understand that participating in this research study, I may experience some
discomfort such as answering the questions and my child may experience some minimum
discomfort during the time of taking the measurements.
I am aware that my identity will not be disclosed and results obtained from this study will be
used exclusively for research purpose.
Appendices
P a g e | 285
There is no direct or indirect commercial interest behind this work. I am convinced that the
information collected during the study will be kept confidential and will not be shared with or
given to anyone except MAHE University.
I had the opportunity to ask questions about this study and my questions have been answered
to my satisfaction. I have voluntarily consented to participate in this research and understand
that I have the right to withdraw from the research study at any time without in any way
affecting my medical care.
I am aware that if I have any doubt or clarifications regarding the study, I am at my liberty to
contact Dr. Suma Nair. Assistant Professor, Dept. o f Community Medicine, Kasturba
Medical College, Manipal, Tele. No. 0820 – 2571201, ext. 22234, 22275.
e –mail – [email protected]
Name of Participant …………………………….. Signature of the Participant
Place: …………………. Date: ……………………..
I have witnessed the accurate reading of the consent form by the potential participant, and the
individual has had the opportunity to ask questions. I confirm that the individual has given
consent voluntarily.
Name of Witness …………………….. Thumb print of Participant
Signature of witness …………………. Date: …………………….
I have accurately read or witnessed the accurate reading of the consent form by the potential
participant, and the individual has had the opportunity to ask questions. I confirm that the
individual has given consent voluntarily.
Name of Researcher …………………………….. Signature of Researcher
Place: ………………….. Date: ………………….
A copy of this informed consent form has been provided to participant ………….
(Initiated by the researcher/ assistant)
Appendices
P a g e | 286
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Appendices
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²PÀëtzÀ ¸ÀAzÀ¨sÀðzÀ°è ¤ÃªÀÅ ªÀÄUÀÄ«£À ¥ÉÇõÀuÉ0iÀÄ°è JzÀÄj¸ÀĪÀ ¸ÀªÀĸÉåUÀ¼À §UÉÎ ZÀað¸À¯ÁUÀĪÀÅzÀÄ. F DgÉÆÃUÀå ²PÀët «µÀ0iÀÄUÀ¼À£ÀÄß eÁUÀwPÀ DgÉÆÃUÀå ¸ÀA¸ÉÜ0iÀÄ ªÀiÁ»w0iÀÄ£ÀÄß DzsÀj¹ vÀ0iÀiÁj¸À¯ÁVzÉ. ¨sÁUÀªÀ»¸ÀĪÀ ¸ÁévÀAvÀæ÷å: F CzsÀå0iÀÄ£ÀzÀ°è ¨sÁUÀªÀ»¸ÀĪÀÅzÀÄ ¤ªÀÄä ¸ÀévÀAvÀæ ¤zsÁðgÀªÁVgÀÄvÀÛzÉ. EzÀgÀ°è ¨sÁUÀªÀ»¸À¨ÉÃPÉà ¨ÉÃqÀªÉà JAzÀÄ ¤zsÀðj¸À®Ä ¤ÃªÀÅ ¸ÀévÀAvÀæjgÀÄwÛÃj. ¤ÃªÀÅ 0iÀiÁªÀÅzÉà ¸ÀAzÀ¨sÀðzÀ°è F CzsÀå0iÀÄ£À¢AzÀ »AvÉUÉzÀÄPÉƼÀî®Ä ¤ªÀÄä EZÉÒ0iÀÄAvÉ £ÀqÉzÀÄPÉƼÀî®Ä CºÀðjgÀÄwÛÃj. ¨sÁUÀªÀ»¸ÀĪÀªÀgÀ£ÀÄß Dj¸ÀĪÀ «zsÁ£À: CzsÀå0iÀÄ£ÀPÉÌ Dj¸À®àlÖ CAUÀ£ÀªÁrà PÉÃAzÀæzÀ°è SÁ0iÀÄA DV ªÁ¹¸ÀĪÀ J¯Áè UÀ©üðt ¹ÛçÃ0iÀÄgÀ£ÀÄß F ¸ÀAzÀ¨sÀðzÀ°è zÁR°¹PÉƼÀî¯ÁUÀĪÀÅzÀÄ. CzsÀå0iÀÄ£ÀzÀ ¸ÀÆÜ® ¥ÀjZÀ0iÀÄ: F CzsÀå0iÀÄ£ÀzÀ ¸ÀAzÀ¨sÀðzÀ°è £Á£ÀÄ ¤ªÀÄä ªÀÄ£ÉUÉ 7 ¸À® ¨sÉÃnPÉÆqÀ°zÀÄÝ ¥Àæw¸À®zÀ ¨sÉÃn0iÀÄÄ 15jAzÀ 20 ¤«ÄµÀ «ÄÃj EgÀĪÀÅ¢®è. MAzÀÄ ¥Àæ±ÁߪÀ½0iÀÄ£ÀÄß §¼À¹PÉÆAqÀÄ ¤ªÀÄä ªÀÄ£É0iÀÄ DyðPÀ ºÁUÀÆ ¸ÁªÀiÁfPÀ ¹ÜwUÀw, ¸ÁA¸ÁjPÀ ªÀiÁ»w EvÁå¢UÀ¼À£ÀÄß ¸ÀAUÀ滸À¯ÁUÀĪÀÅzÀÄ. ¤ªÀÄä ªÀÄUÀÄ«UÉ 4, 6, 9, 12, 15, 18 ªÀÄvÀÄÛ 24£Éà wAUÀ¼À ªÀ0iÀĹì£À°è ªÀÄUÀÄ«£À vÀÆPÀ, JvÀÛgÀ, JzÉ0iÀÄ ¸ÀÄvÀÛ¼ÀvÉ ªÀÄvÀÄÛ vÀ¯É0iÀÄ ¸ÀÄvÀÛ¼ÀUÀ¼À£ÀÄß ¥ÀqÉzÀÄPÉƼÀî¯ÁUÀĪÀÅzÀÄ ºÁUÀÆ £Á®ÄÌ ¸À® ªÀÄUÀÄ«£À DºÁgÀ ¸ÉêÀ£É0iÀÄ ªÀiÁ»w0iÀÄ£ÀÄß ¥ÀqÉ0iÀįÁUÀĪÀÅzÀÄ. F CzsÀå0iÀÄ£ÀªÀÅ ¤ªÀÄä ªÀÄUÀÄ«UÉ 24 wAUÀ¼ÀÄ vÀÄA§ÄªÀ vÀ£ÀPÀ ªÀÄÄAzÀĪÀj0iÀÄĪÀÅzÀÄ. C£Á£ÀÄPÀÆ®vÉUÀ¼ÀÄ: F CzsÀå0iÀÄ£ÀzÀ°è ¥Á¯ÉÆμÀÄîªÀÅzÀjAzÀ ¤ÃªÀÅ £À£Àß PÉ®ªÀÅ ¥Àæ±ÉßUÀ½UÉ GvÀÛj¸ÀĪÀ ºÁUÀÆ ¤ªÀÄä ªÀÄUÀÄ«UÉ vÀÆPÀ, JvÀÛgÀ EvÁå¢ C¼ÀvÉUÀ¼À£ÀÄß vÉUÉ0iÀÄĪÁUÀ GAmÁUÀĪÀ vÉÆAzÀgÉUÀ¼ÀÄ CvÀå®àªÁVgÀÄvÀÛªÉ. C£Á£ÀÄPÀÆ®vÉUÀ¼ÀÄ: F CzsÀå0iÀÄ£ÀzÀ°è ¨sÁUÀªÀ»¸ÀĪÀÅzÀjAzÀ ¤ÃªÀÅ ¤ªÀÄä ªÀÄUÀÄ«£À ¨É¼ÀªÀtÂUÉ0iÀÄ §UÉÎ w½zÀÄPÉƼÀÀÄzÀÄ. EzÀgÀ ºÉÆgÀvÀÄ ¤ªÀÄUÉ 0iÀiÁªÀÅzÉà ¥Àæ0iÉÆÃd£À«gÀĪÀÅ¢®è. DzÀgÉ ¤ÃªÀÅ EzÀgÀ°è ¨sÁUÀªÀ»¸ÀĪÀÅzÀjAzÀ £ÀªÀÄUÉ £ÀªÀÄä ¸ÀA±ÉÆÃzsÀ£É0iÀÄ ¥Àæ±ÉßUÉ GvÀÛgÀ PÀAqÀÄPÉƼÀî®Ä ¸ÁzsÀåªÁUÀÄvÀÛzÉ. F ºÀAvÀzÀ°è ¸ÀªÀiÁdPÉÌ EzÀjAzÀ 0iÀiÁªÀÅzÉà ¥Àæ0iÉÆÃd£À«®è¢gÀ§ºÀÄzÀÄ. DzÀgÉ ªÀÄÄA¢£À d£ÁAUÀ EzÀgÀ ¥Àæ0iÉÆÃd£À ¥ÀqÉ0iÀÄĪÀ ¸ÁzsÀåvÉUÀ½ªÉ. UË¥ÀåvÉ: F CzsÀå0iÀÄ£ÀzÀ CªÀ¢ü0iÀÄ°è ¤«ÄäAzÀ ¸ÀAUÀ滹zÀ ªÀiÁ»w0iÀÄ£ÀÄß UË¥ÀåªÁV Ej¸À¯ÁUÀĪÀÅzÀÄ. F CzsÀå0iÀÄ£ÀzÀ ¸ÀA±ÉÆÃzsÀPÀjUÉ ºÉÆgÀvÀÄ ¨ÉÃgÉ 0iÀiÁjUÀÆ EzÀgÀ ®¨sÀåvÉ EgÀĪÀÅ¢®è. F ªÀiÁ»w0iÀÄ£ÀÄß ¸ÀA±ÉÆÃzsÀPÀgÀÄ ºÁUÀÆ ªÀiÁºÉ «±Àé«zÁ央0iÀÄ ªÀiÁvÀæ ºÀAaPÉƼÀÄîvÀÛªÉ ªÀÄvÀÄÛ ªÀÄÄAzÉ ¥sÀ°vÁA±ÀUÀ¼ÀÄ ¥ÀæPÀlUÉÆAqÀgÀÆ ¤ªÀÄä UÀÄgÀÄvÀ£ÀÄß §»gÀAUÀ¥Àr¸ÀĪÀÅ¢®è. ¥sÀ°vÁA±ÀUÀ¼À£ÀÄß ºÀAaPÉƼÀÄîªÀÅzÀÄ: F ¸ÀA±ÉÆÃzsÀ£É¬ÄAzÀ ºÉÆgÀ ºÉÆ«ÄäzÀ ¥sÀ°vÁA±ÀªÀ£ÀÄß ¸ÁªÀðd¤PÀjUÉ ©qÀÄUÀqÉ ªÀiÁqÀĪÀ ªÉÆzÀ®Ä ¤ªÉÆäA¢UÉ ºÀAaPÉƼÀî¯ÁUÀĪÀÅzÀÄ. UË¥ÀåvÉ0iÀÄ «ZÁgÀUÀ¼À£ÀÄß ºÀAaPÉƼÀî¯ÁUÀĪÀÅ¢®è. ¸ÀªÀÄÄzÁ0iÀÄzÀ°è MAzÀÄ aPÀÌ ¸À¨sÉ £Àqɹ CzsÀå0iÀÄ£ÀzÀ ¥sÀ°vÁA±ÀUÀ¼À£ÀÄß w½¸À¯ÁUÀĪÀÅzÀÄ. C£ÀAvÀgÀ EzÀ£ÀÄß ¨ÉÃgÉ0iÀĪÀgÀ ¸À¢é¤0iÉÆÃUÀPÁÌV ¥ÀæPÀn¸À¯ÁUÀĪÀÅzÀÄ.
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¨ÉõÀgÀvÁÛV »AzÉ ¸Àj0iÀÄĪÀÅzÀÄ: F CzsÀå0iÀÄ£ÀzÀ°è ¤ªÀÄUÉ ªÀÄ£À¹ì®è¢zÀÝgÉ ¨sÁUÀªÀ»¸ÀĪÀ CªÀ±ÀåPÀvÉ E®è. ¤ÃªÀÅ EzÀjAzÀ 0iÀiÁªÀÅzÉà ¸ÀAzÀ¨sÀðzÀ°è »AzÉ ¸Àj0iÀÄ®Ä ¸ÀévÀAvÀægÁVgÀÄwÛÃj. ¤ÃªÀÅ F 0iÉÆÃd£É¬ÄAzÀ 0iÀiÁªÀÅzÉà ¸ÀAzÀ¨sÀðzÀ°è »AzÉ ¸Àj0iÀÄ®Ä CxÀªÁ ¸ÀºÀ ¨sÁVvÀéªÀ£ÀÄß ªÉÆlPÀÄUÉƽ¸À®Ä ¸ÀA¥ÀÇtð §zÀÞgÁVgÀÄwÛÃj. ¥Àæ±ÉßUÀ¼ÀÄ: ¤ªÀÄUÉ F CzsÀå0iÀÄ£ÀzÀ §UÉÎ 0iÀiÁªÀÅzÉà ¸ÀAzÉúÀ«zÀÝ°è FUÀ £À£Àß°è PÉüÀ§ºÀÄzÀÄ CxÀªÁ C£ÀAvÀgÀ qÁ| ¸ÀĪÀÄ £Á0iÀÄgï, C¹¸ÉÖAmï ¥ÉÇæ¥sɸÀgï, ¸ÀªÀÄÄzÁ0iÀÄ ªÉÊzÀåQÃ0iÀÄ «¨sÁUÀ, PÉ.JA.¹ ªÀÄtÂ¥Á® - 576 104, vÀAw : 2571201 Extn : 22234, EªÀgÀ£ÀÄß ¨sÉÃn ªÀiÁr ¤ªÀÄä ¸ÀAzÉúÀªÀ£ÀÄß ¥ÀjºÀj¹PÉƼÀî®Ä ¸ÀévÀAvÀæjgÀÄwÛÃj.
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M¦àUÉ ¥ÀvÀæ
CzsÀå0iÀÄ£ÀzÀ ºÉ¸ÀgÀÄ: ºÀÄnÖ¤AzÀ 24 wAUÀ¼À ¥Áæ0iÀÄzÀªÀgÉV£À ªÀÄPÀ̼À ¨É¼ÀªÀtÂUÉ0iÀÄ UÀw ºÁUÀÆ ¥ÉÇõÀuÉ0iÀÄ C¨sÁå¸ÀUÀ¼À ªÉÄÃ¯É DgÉÆÃUÀå ²PÀëtzÀ ¥ÀjuÁªÀÄzÀ §UÉÎ GqÀĦ f¯Éè0iÀÄ°è PÉÊUÉÆAqÀ MAzÀÄ CzsÀå0iÀÄ£À.
ªÀÄÄRå C£ÉéõÀPÀgÀÄ: ªÀiÁUÀðzÀ±ÀðPÀgÀÄ ²æÃ0iÀÄÄvÀ ¢ªÁPÀgÀ £Á0iÀÄPï qÁ. £ÁUÀgÁeï ¸ÀªÀÄÄzÁ0iÀÄ ªÉÊzÀåQÃ0iÀÄ «¨sÁUÀ C¸ÉÆù0iÉÄÃmï ¥ÉÇæ¥sɸÀgï PÀ¸ÀÆÛ¨Áð ªÉÊzÀåQÃ0iÀÄ ªÀĺÁ «zÁå®0iÀÄ ¸ÀªÀÄÄzÁ0iÀÄ ªÉÊzÀåQÃ0iÀÄ «¨sÁUÀ ªÀÄtÂ¥Á® 576 104, PÀ£ÁðlPÀ, ¨sÁgÀvÀ, PÀ¸ÀÆÛ¨Áð ªÉÊzÀåQÃ0iÀÄ ªÀĺÁ «zÁå®0iÀÄ vÀAw: 0820- 2571201 Extn:22234, 22275 ªÀÄtÂ¥Á® 576 104, PÀ£ÁðlPÀ, ¨sÁgÀvÀ, [email protected] ¥sÉÇãï : 0820- 2571201 Email: [email protected]
²æêÀÄw _____________________________________, __________ ªÀµÀð ªÀ0iÀĹì£ÀªÀ¼ÁzÀ £Á£ÀÄ ªÉÄÃ¯É w½¹zÀ ¸ÀA±ÉÆÃzsÀ£Á CzsÀå0iÀÄ£ÀzÀ §UÉÎ ²æÃ0iÀÄÄvÀ ¢ªÁPÀgÀ £Á0iÀÄPï EªÀgÀÄ «ªÀj¹zÀ ¥ÀæPÁgÀ vÀȦÛPÀgÀªÁV CjvÀÄPÉÆArgÀĪɣÀÄ. F CzsÀå0iÀÄ£ÀªÀÅ GqÀĦ f¯Éè0iÀÄ°è Dj¹zÀ CAUÀ£ÀªÁr PÉÃAzÀæzÀ ¥ÀæzÉñÀzÀ°è d¤¹zÀ ªÀÄPÀ̼À£ÀÄß 24 wAUÀ¼ÀªÀgÉUÉ CªÀgÀ ¨É¼ÀªÀtÂUÉ0iÀÄ UÀw ºÁUÀÆ ¥ÉÇõÀuÉ0iÀÄ ¥ÀjuÁªÀÄUÀ¼À §UÉÎ CjvÀÄPÉƼÀÄîªÀÅzÁVgÀÄvÀÛzÉ. MAzÀÄ ¥Àæ±ÁߪÀ½0iÀÄ£ÀÄß G¥À0iÉÆÃV¹ ¸ÀAzÀ±Àð£ÀzÀ ªÀÄÆ®PÀ ªÀÄUÀÄ«£À ¥ÉÇõÀuÉ0iÀÄ C¨sÁå¸ÀUÀ¼ÀÄ ºÁUÀÆ DºÁgÀzÀ §UÉÎ ªÀÄvÀÄÛ ªÀÄUÀÄ«£À vÀÆPÀ EvÁå¢ C¼ÀvÉUÀ¼À£ÀÄß ¤UÀ¢vÀ ¸ÀªÀÄ0iÀÄzÀ°è (4, 6, 9, 12, 15, 18 ªÀÄvÀÄÛ 24 wAUÀ¼À°è) ¥ÀqÉ0iÀÄĪÀÅzÁVgÀÄvÀÛzÉ JAzÀÄ £Á£ÀÄ w½zÀÄPÉÆArgÀÄvÉÛãÉ.
¤ÃªÀÅ F CzsÀå0iÀÄ£ÀzÀ°è ¥Á¯ÉÆμÀî®Ä M¦àPÉÆAqÀ°è ªÀÄvÀÄÛ DgÉÆÃUÀå ²PÀëtzÀ UÀÄA¦UÉ Dj¸À®àlÖgÉ ¤ªÀÄUÉ 36 jAzÀ 38 ªÁgÀUÀ¼À UÀ©üðt EzÁÝUÀ MAzÀÄ ¸À® DgÉÆÃUÀå ²PÀët PÁ0iÀÄðPÀæªÀÄ«gÀÄvÀÛzÉ.
F CzsÀå0iÀÄ£ÀzÀ°è ¥Á¯ÉÆμÀÄîªÀÅzÀjAzÀ £À£ÀUÉ ºÁUÀÆ £À£Àß ªÀÄUÀÄ«UÉ 0iÀiÁªÀÅzÉà jÃw0iÀÄ
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F CzsÀå0iÀÄ£ÀzÀ §UÉÎ J¯Áè ªÀiÁ»w0iÀÄ£ÀÄß £À£ÀUÉ w½¸À¯ÁVzÀÄÝ, £À£Àß ¸ÀA±À0iÀÄUÀ¼À£ÀÄß £À£ÀUÉ
vÀȦÛ0iÀiÁUÀĪÀAvÉ «ªÀj¸À®Ä CªÀPÁ±À PÀ°à¸À¯ÁVzÉ. £Á£ÀÄ ¸Àé0iÀÄA ¥ÉæÃgÀuɬÄAzÀ F CzsÀå0iÀÄ£ÀzÀ°è ¥Á¯ÉÆμÀÄîwÛzÀÄÝ. £Á£ÀÄ 0iÀiÁªÀÅzÉà ºÀAvÀzÀ°è £À£Àß ¸Àé EZÉÒ¬ÄAzÀ 0iÀiÁªÀÅzÉà PÁgÀt CxÀªÁ ¥ÀǪÀð ¸ÀÆZÀ£É0iÀÄ£ÀÄß PÉÆqÀzÉ F ¸ÀA±ÉÆÃzsÀ£É¬ÄAzÀ »AvÉUÉzÀÄPÉÆAqÀ°è £À£ÀUÉ 0iÀiÁªÀÅzÉà vÉÆAzÀgÉ DUÀĪÀÅ¢®èªÉAzÀÄ w½¢gÀĪɣÀÄ.
£À£ÀUÉ F CzsÀå0iÀÄ£ÀzÀ §UÉÎ 0iÀiÁªÀÅzÉà ¸ÀAzÉúÀ«zÀÝ°è CzÀ£ÀÄß ¥ÀjºÀj¹PÉƼÀî®Ä £Á£ÀÄ qÁ|
¸ÀĪÀÄ £Á0iÀÄgï, C¹¸ÉÖAmï ¥ÉÇæ¥sɸÀgï, ¸ÀªÀÄÄzÁ0iÀÄ ªÉÊzÀåQÃ0iÀÄ «¨sÁUÀ, PÉ.JA.¹. ªÀÄtÂ¥Á® - 576 104, vÀAw : 0820- 2571201 Extn : 22234 E-mail [email protected]. EªÀgÀ£ÀÄß ¨sÉÃn ªÀiÁqÀ®Ä ¸ÀA¥ÀÇtð ¸ÁévÀAvÀæ÷å«zÉ JAzÀÄ £À£ÀUÉ w½¢gÀÄvÀÛzÉ.
F ¸ÀA±ÉÆÃzsÀ£É0iÀÄ GzÉÝñÀ ¥ÀjuÁªÀÄUÀ¼À£ÀÄß ºÁUÉ0iÉÄà EzÀgÀ°è £À£Àß ºÀPÀÄÌUÀ¼À£ÀÄß CjvÀÄPÉÆAqÀÄ
C£ÉéõÀPÀjUÉ CªÀ±ÀåPÀ ªÀiÁ»w0iÀÄ£ÀÄß PÉÆlÄÖ F ¸ÀA±ÉÆÃzsÀ£É0iÀÄ°è ¸ÀºÀPÀj¸À®Ä ¥ÀÇwð M¦àUÉ PÉÆnÖgÀĪɣÀÄ. ¨sÁUÀªÀ»¸ÀĪÀªÀgÀ ºÉ¸ÀgÀÄ: ¸À»: ¸ÀܼÀ: ¢£ÁAPÀ :
£À£Àß ¸ÀªÀÄPÀëªÀÄzÀ°è C£ÉéõÀPÀgÀÄ ¸ÀA±ÉÆÃzsÀ£Á CzsÀå0iÀÄ£ÀzÀ §UÉÎ «ªÀgÀªÁV w½¹gÀÄvÁÛgÉ. ¨sÁUÀªÀ»¸ÀĪÀªÀgÀÄ J¯Áè «µÀ0iÀÄUÀ¼À §UÉÎ «ªÀgÀªÁV w½zÀÄPÉÆAqÀÄ M¦àUÉ0iÀÄ£ÀÄß ¤ÃrgÀÄvÁÛgÉ. ¸ÁQëzÁgÀgÀ ºÉ¸ÀgÀÄ : ¸À»: ¸ÀܼÀ : ¢£ÁAPÀ: C£ÉéõÀPÀgÀ ºÉ¸ÀgÀÄ: ¸À» : ¸ÀܼÀ : ¢£ÁAPÀ: F M¦àUÉ ¥ÀvÀæzÀ MAzÀÄ ¥Àæw0iÀÄ£ÀÄß C£ÉéõÀPÀgÀ ¸À»0iÉÆA¢UÉ ¨sÁUÀªÀ»¸ÀĪÀªÀjUÉ MzÀV¸À¯ÁVzÉ.
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Appendix – 16
Proforma on screening procedures followed to assess the new born
Serial No: _____ Date of Visit ___/____/______
Intervention (1) Control (2) Anganwadi: (1), (2), (3), (4), (5), (6), (7).
Name of the mother: ________________ Date of birth: ______________________
The newborn will be screened for the presence of any anomalies or other diseases. If the
newborns are found to have any anomaly or major disorder, they will be excluded from the
study.
Screening procedures:
The newborn will be assessed for the presence of any morbidity based on the delivery records.
A symptom questionnaire will be used to screen the new born for any morbidity pertaining to
different systems of the body. Those new born who are suspected to have morbidity would be
referred and evaluated by a Pediatrician. If the newborns are found to have diseases like
congenital heart diseases, or other congenital anomalies, such children will be excluded from
the study.
Screening Method:
If the answer to the following questions is ‘NO’ such child a will not be included in the
study:
1. Is the mother permanently residing in the Anganawadi area? Yes / No
2. Is the birth weight of the child available? Yes /No
The following details will be collected from the hospital records.
If any of the following answers are found to be ‘Yes’ then such a child will not be
included in the study:
1. Is the delivery preterm? Yes / No
(Less than 36 weeks of gestation)
2. Did the child have any structural anomalies like Cleft lip/palate? Yes /No
3. Does the Child have any h/o birth asphyxia? Yes /No
4. Does the child have any chromosomal anomaly like Down’s syndrome? Yes /No
5. Does the child have any congenital heart disease? Yes /No
6. Does the child have any congenital renal disease? Yes /No
Appendices
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Appendix -17
Report of analysis, which compares anthropometric measurements taken
by investigator and independent observer
ICC measure of agreement for the parameters
Sl.No. Characteristics ICC
Values
1. Weight 0.99
2. Height 0.944
3. Chest circumference 0.91
4. Head circumference 0.765
5. Mid arm circumference
0.805
There may be a scope for selection bias during the process of assessment of
anthropometric outcomes as the investigator himself did the intervention and ascertained the
outcomes. Therefore, to address this issue an independent observer (not connected with the
study) has ascertained the outcomes measurements (anthropometry) independently. Research
guide randomly selected the subjects and assigned the job to collect the measurements on the
following day after the researcher collect the data. The anthropometric measurements
ascertained by the investigator and those ascertained by independent observer were compared.
It was found that there was strong agreement, which was statistically significant between the
anthropometric measurements. ICC of more than 0.7 consider to be good
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Appendix -18
Proforma to assess socio-demographic characteristics
Serial No. ____________ Date of interview:
____/____/____
Name of Head of the family: ____________ Village:
_____________________
Intervention group (1) Control group (2) Anganawady: (1), (2), (3), (4), (5), (6), (7).
1. FAMILY – GENERAL INFORMATION:
1) Religion: (1) Hindu (2) Muslim (3) Christian (4) Others (Specify)
2) If Hindu which Caste do you belong: (1) SC (2), ST (3), OBC (4), FC (0), not
applicable
2. Particulars of family members:Sl.
N.
Name Age Sex Relation
to Head
Marital
status
Edu. Occu. Income
Monthly
Habits/
Remarks
1.
2.
3.
4.
5.
6.
7.
8.
Literacy: (1) Illiterate (2) Primary (1-5) (3) Secondary (6-8) (4) High school (9-12)
(5) University (6) Others (Specify) _______________________________
Occupation: (1) Professional (2) Skilled (3) Semi Skilled (4) Unemployed (5) Housewife
(6) Others (Specify) ____________________________
1. Family type: (1) Nuclear (2) Joint (3) Extended family.
2. Percapita Income: Rs ____________
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3. How much do you spend for food per month? Rs ____________
3. ENVIRONMENT:
1. House: (1) Kutcha (2) Pucca (3) Mixed 2. Ventilation: (1) Adequate (2)
Inadequate
3. Light: (1) Adequate (2) Inadequate 4. Overcrowding: (1) Yes (2) No
5. Separate kitchen: (1) Yes (2) No 6. Smoke outlet: (1) Yes (2) No
7. Animal and pets: (1) Yes (2) No 8. Electricity: (1) Yes (2) No
9. Source of Drinking water supply: (1) Open well (2) Open well with Pump (3) Deep well
(4) Household Tap (5) Public Tap (6) Pond (7) Others (Specify) _____________
10. Time to get drinking water: (1) less than 15 minutes (2) more than 15 minutes
(3) Actual time (Specify) ____________
11. Method of drinking water purification: (1) Strains water by cloth (2) Uses alum
(3) Water filter (4) Boils water (5) Electric purifier (6) does not purify
(7) any others specify _______________________________________
12. Distance to Primary Health Centre/ Hospital:
(1) Actual (2) less than 5 KM (3) 5-9 KM (4) >9 KM
4. Mode of disposal of domestic waste:
1. Refuse: (1) Dumping indiscriminately (2) Dumping in pit (3) Community dumping
(4) Manure pit (5) Burning (6) others
2. Sullage: (1) Soakage pit (2) Open drain (3) Public drain (4) Kitchen garden (5) others
3. Human excreta disposal: (1) Open air (2) Public latrine (3) Household latrine
(4) Flush toilet (5) Any other ____________________
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Appendix – 19
Proforma to assess socio-economic status (as per Udai Pareek scale)
B1. Type of Houses: Code
Kutcha 02
Mixed 03
Pacca 05
B7. Socio-Participation Code
No Participation 00
Member of one Organization 05
More than one Organization 10
Office holder 15
Wide public leader 20
B2. Ownership Code
Own 05
Rental 03
Free 00
B8. Occupation of eldest earning
member of the household
Code
Professional/ White collar 15
Business 10
Skilled 08
Semiskilled 06
Coolie/ unskilled 05
Unemployed 00
B3. Land holding Code
<100 cents (1 acre) 02
(1- 4) acres 05
(5- 9) acres 10
>10 acres 15
B9. Highest literacy status of eldest
earning member of the household
Code
Post graduation and above 20
Graduation 15
PUC 12
Middle & High school (5- 10) 10
Primary (1- 4) 05
Illiterate 00
B4. Vehicles Code
Bicycle 02
Two- wheeler 04
Auto/ Boat 08
Four wheeler 10
B10. Family members working abroad
Code
Yes 05
No 00
B5. Household Belongings
Code
Radio 02
Television 05
Telephone 08
Total score: ______________
SE Status: ______________
B6. Livestock Code
Goat 02
Cow 02
Buffalo 04
Score Grade Code
0- 39 Low 01
40- 69 Middle 02
>70 High 03
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Appendix – 20
Proforma to assess base-line knowledge of mothers
Pregnant mother-
Serial No: ____________ Date of interview: ____________
Intervention (1) Control (2) Anganawady: (1), (2), (3), (4), (5), (6),
(7).
Name of the mother: ___________ Age: _______years
Occupation: ___________ Education: _____________
1. When should breast- feeding be started for the newborn after the delivery?
(1) < 30 minutes (2) 30 to 60 minutes (3) 1 hour to 4 hour (4)1 to 2 days
(5) 3rd
day on wards (9) don’t know
2. Do you think the yellow thick milk (colostrums) which comes during first few days
after delivery should be fed to the baby?
(1) Yes (2) No (9) don’t know
3. According to you, is it required to give prelecteal feeds to the baby?
(1) Yes (2) No (9) don’t know
4. According to you, what is the correct positioning to breast- feed the child?
(9) Don’t know
(1) Baby’s head back and buttocks are in a straight line (1) Yes (2) No (9) DK
(2) Baby’s chin is touching the breast (1) Yes (2) No (9) DK
(3) Baby’s mouth is wide open (1) Yes (2) No (9) DK
(4) Baby’s face is close to the breast (1) Yes (2) No (9) DK
(5) More areola is showing above the baby’s upper lip than lower lip
(1) Yes (2) No (9) DK
(6) Baby is brought to the breast buttocks supported (1) Yes (2) No (9) DK
(7) Baby is taking slow and deep sucks (1) Yes (2) No (9) DK
(8) Mother does not feel nipple pain and breast feels softer after feeding
(1) Yes (2) No (9) DK
(10) Baby is relaxed and satisfied at the end of the feed (1) Yes (2) No (9) DK
(11) Baby’s whole body is facing the breast and stomach is touching mother’s
stomach
(1) Yes (2) No (9) DK
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5. What is exclusive breast- feeding?
(1) Child is fed only breast milk nothing else
(2) Child is fed with breast milk and water in between the feeds
(3) Child is fed breast milk and extra milk
(9) Don’t know
(4) Any other (Specify)
6. What are the benefits of exclusive breast- feeding?
(1) Breast milk is better for the baby
(2) Breast feeding helps prevent allergies
(3) Breast feeding is more convenient and cheaper (9) don’t know
(4) Any other (Specify) ____________
7. What is the duration of exclusive breast- feeding?
(1) 0-3 months (2) 3-4 months (3) 4-6 months
(4) 6 months (5) 7-9 months (9) Don’t know
8. Do you think that before 6 months of age, any extra milk is required?
(1) Yes (2) No (9) don’t know
9. If top milk is to be given to the child during this time, it is to be diluted?
(1) Yes (2) No (9) don’t know
10. Do you think water has to be given to the child during the first 6 months of age?
(Period of exclusive breast- feeding)
(1) Yes (2) No (9) don’t know
11. Do you think drinking lactation; mother has to take any extra food?
(1) Yes (2) No (9) don’t know
12. According to you if mother is anemic, (anemic has to be explained) can she breast-
feed adequately?
(1) Yes (2) No (9) don’t know
13. In your opinion what should be the duration of breast- feeding?
(1) 6 months (2) 6months to 12 months (3) 12months to 18 months
(4) 24 months (5) More than 24 months (9) don’t know
14. Can you name the vaccines a child has to receive before the child completes the first
birthday? (BCG, ‘0’ OPV, DPT I, II, III, OPV I, II, III, Measles, DPT +OPV 1st
booster)
(1) All correct (2) Partially correct (9) don’t know
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15. What are the breast feeding problems a mother can come across during breast- feeding
her child?
(1) Inverted nipples (2) Cracked or sore nipples
(3) Baby gets too much milk (4) Baby gets milk too fast
(5) Baby too tired to feed (6) Difficulty in expressing milk
(7) Baby not gaining enough weight (8) Baby has difficulty in sucking
(9) Breast engorged (too full) (10) Baby doesn’t wake up for feeds
(11) Not enough milk
(12) Feeling that I’m not doing well at Breast feeding
(13) Any other reason (Specify) ____________
(9) Don’t know
16 What is the ideal age of the following foods to the child with breast milk?
Sl. No. Age of the child Liquid type of
food
Semisolid type
of food
Solid type
of food
1.
2.
3.
17. At what age child is able to eat family foods?
(1) 9 months of age (2) 12 months of age (3) 18 months of age
(4) 24- months of age (9) don’t know
18. Where do you plan your delivery?
(1) Hospital (2) Home (9) don’t know
19. If hospital specify the name ______________
20. LMP: date _____day___month ______year. EDD: ______day ______month _____year
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Appendix – 21
Proforma to assess neonatal history of the newborn
1. Family particulars: Schedule No. V Serial No.
______
1) Name of mother: ___________ 2) Name of Father:
____________
3) History of consanguinity: (1) Yes (2) No
4) Age of marriage (mother): ________years
2. NEONATAL DETAILS:
1) Date of birth ____/ ____/ ______
2) Sex (1) M (2) F 3) No. of antenatal visits: __________
4) Birth order: 1 / 2 / 3 / 4 5) Birth interval: (1) <24 m (2) >24 m (0)
NA
6) Age of previous child: …..yrs (0) NA 7) Gestational period: ……. weeks
8) Did the baby cried immediately after the birth: (1) Yes (2) No (3) Don’t know
9) Place of delivery: (1) Hospital (2) Home
10) If hospital, specify the name ________________
11) Mode of delivery: (1) Vaginal (2) Caesarian section (3) Instrumental
12) Birth attendant: (1) Doctor (2) ANM (3) TBA (4) UTBA (5) Family member
13) Was the baby kept by the side of the mother (rooming): (1) Yes (2) No
14) How many days baby was stayed in hospital? _____days.
15) Whether baby friendly hospital: (1) Yes (2) No
16) Did anybody taught you about breast feeding method in the hospital: (1) Yes (2)
No
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3. Anthropometric measurements:Date of Birth: …. day … month … year
Sl.
NO.
Age in
months
Date
of
visit
Weight/
(kg)
Height/
Length/
(cm)
Chest
Circumfe
rence
(cm)
Head
Circumfe
rence
(cm)
Mid arm
circumfer
ence (cm)
Remarks
1. At birth
4. Any foods initiated:
Sl. No. Age of the child Liquid type of food Semisolid type of
food
Solid type of food
1.
5. Childhood morbidity: (for the last two weeks)
Sl. No. Age in
months
ADD ARI Measles Polio Worms
1.
2.
6. Immunization status:
Vaccine Due date Date given (1) In time
(2) Late
Remarks
‘O’ dose OPV
BCG
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Appendix – 22
Proforma to assess feeding practices, hygienic practices, anthropometric
measurements and immunization status
0 to 15 days child
Serial No. _________________ Date of interview:
_________________
Intervention (1) / Control (2) Anganawady: (1), (2), (3), (4), (5), (6),
(7).
Name of the mother: ______________________________
Breastfeeding:
1. Do you Breast-feed your child currently? (If no, go to Q. No. 13)
(1) Yes (2) No
2. If yes when did you start breast- feeding the child after delivery?
(0) Not Applicable (1) Within ½ hour (2) ½ hour to 2 hours (3) 2 to 4 hours
(4) More than 4 hours less than 24 hours (5) after 24 hours (6) after 3 days
3. Did you give any other feeds (prelecteal feeds) before starting breast- feeding?
(1) Yes (2) No (9) don’t know
4. Did you give the first yellow thick milk (Colostrum) to the child first three days?
(0) NA (1) Yes (2) No (9) don’t know
5. Was the baby kept the side of the mother to start breast- feeding immediately after
birth? (1) Yes (2) No (9) don’t know
6. How do you breast- feed your child?
(0) NA (1) On demand (2) Once in 2 hours (3) Once in 4hours
(4) Others (specify) __________________
7. Do you follow the following positioning of breast- feeding to breast- feed your child?
(0) Not Applicable
(1) Baby’s head back and buttocks are in a straight line (1) Yes (2) No (9) DK
(2) Baby’s chin is touching the breast (1) Yes (2) No (9) DK
(3) Baby’s mouth is wide open (1) Yes (2) No (9) DK
(4) Baby’s face is close to the breast (1) Yes (2) No (9) DK
(5) More areola is showing above the baby’s upper lip than lower lip
(1) Yes (2) No (9) DK
(6) Baby is brought to the breast buttocks supported (1) Yes (2) No (9) DK
(7) Baby is taking slow and deep sucks (1) Yes (2) No (9) DK
(8) Mother does not feel nipple pain and breast feels softer after feeding
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(1) Yes (2) No (9) DK
(9) Baby is relaxed and satisfied at the end of the feed (1) Yes (2) No (9) DK
(10) Baby’s whole body is facing the breast and stomach is touching mother’s
stomach (1) Yes (2) No (9) DK
8. How many times you breast- feed your child in a day (24 hours)?
(0) NA, Daytime ____________ Nighttime ____________
9. Do you feel you have sufficient breast milk to feed your child? (If yes, go to Q. No.
11)
(0) NA (1) Yes (2) No (9) don’t know
10. If no, how do you confirm this?
(0) NA (1) Child is crying even after feeding
(2) Urine output is less (less than six times)
(3) Not gaining weight (4) Not active (5) Very thin (6) any other (specify)
__________
11. Are you currently exclusively breast- feeding the child?
(Exclusive breast- feeding means only breast milk, nothing else even a drop of water)
(0) NA (1) Yes (2) No (9) don’t know
12. How long does your baby spend at the breast for a feed?
(0) NA (1) Less than 15 minutes (2) 15 minutes to half an hour
(3) Half an hour to 1 hour (4) Child is bottle fed (5) don’t know
Introducing other foods:
13. If not breast- feeding, when did you stop breast- feeding?
(0) Not applicable (1) Actual day’s _______________
14. When did you introduce other foods?
(0) Not applicable (1) Actual time / day’s _______________
15. Did you introduce milk to your child?
(0) NA (1) Yes (2) No
16. If yes, what type of milk do you give your child?
(0) NA (1) Cow’s milk (2) Buffalo milk (3) Tin milk (4) Dairy milk
(5) Any other (specify) ________________
17. Did you give water to your child in between the feeds?
(0) NA (1) Yes (2) No
18. If yes, what type of water do you give to your child?
(0) NA (1) Boiled (2) Not boiled (3) Mineral water
(4) any other (specify) ___________
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19. How do you administer these feeds?
(0) NA (1) Feeding bottle (2) Cup and spoon
(3) Tumbler (4) any other (specify) ______________
20. If feeding bottle is used, how do you clean the bottle?
(0) NA (1) Boil in water after every feed (2) Boil in water once a day
(3) Cleaning in normal water (4) others (specify) ________________
21. Did you give any multi vitamin syrup to the child?
(1) Yes (2) No (9) don’t know
22. Did you give gripe water/ Benison to the child?
(1) Yes (2) No (9) don’t know
23. Do you give any other herbal/ Ayurvedic medicines?
(1) Yes (2) No (9) don’t know
24. Are you sick for the last 15 days? (If no, go to Q. No. 26)
(1) Yes (2) No (9) don’t know
25. If yes, did you continue breast- feeding your child?
(0) NA (1) Yes (2) No
26. Did your child have any illness for the last 15 days? (If no, go to Q. No. 32)
(1) Yes (2) No (9) don’t know
27. If yes, what was the problem?
(0) NA (1) ARI, fever (2) Diarrhoea, vomiting (3)
Eye
(4) Skin Eczema (5) Gastrointestinal (6) Colic (7) Nappy rash
(8) Ear (9) Mouth
28. How do you feed your baby when child is sick?
(0) NA
(1) Breast feeding in small quantity in more frequently
(2) Continue the normal foods
(3) Feed more liquids
(4) Give ORS if child has diarrhoea (above 6 months)
(5) Stop giving liquids
(6) Stop giving other foods
(7) Any other (specify) ____________________
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29. What measures have you taken at home, when your child was sick?
(0) NA
(1) Continue breast feeding (1) Yes (2) No
(2) Homemade fluids (1) Yes (2) No
(3) ORS (1) Yes (2) No
(4) Continue normal foods (1) Yes (2) No
(5) Small feeds more frequently (1) Yes (2) No
(6) Putting wet cloth on the head (1) Yes (2) No
(7) Consulted health worker (1) Yes (2) No
(8) Consulted Doctor (1) Yes (2) No
(9) Don’t know
(10) Any other specify _____________________________________
30. When the child was sick, did you try any home remedies?
(0) NA (1) Yes (2) No (9) don’t know
31. Feeding practices during illness: Breast- milk other foods
(0) NA
(1) During fever (1) Yes (2) No
(2) During cough and cold (1) Yes (2) No
(3) During diarrhea (1) Yes (2) No
32. When did you start giving bath to your child?
Actual days - (1), (2), (3), (4), (5), (6), (7), after 7 days (8).
33. Did you find any danger sign in your child?
(If the respiratory rate is high, (>60/min. in 0-2months, 50/min. in 2- 12 months,
>40/min. in 1- 5 years) difficulty in breathing, difficulty in sucking the breast milk,
child is very sick, if high fever is present)
(1) Yes (2) No (9) don’t know
34. If yes, what did you do?
(0) NA (1) Consulted a health worker (2) Consulted a Doctor (3) Did not do anything
(4) Any other (specify) __________________________
35. Is your child immunized to the age, as per the national immunization schedule?
(1) Yes (2) No (9) don’t know
36. Do you consume extra food during lactation period especially first 6 months?
(1) Yes (2) No (9) don’t know
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Feeding- Practices
4 and 6 months child
Serial No. ____________ Date of interview: _____________
Intervention (1) Control (2) Anganawady: (1), (2), (3), (4), (5), (6), (7).
Name of the mother: ______________________________
Breast- feeding
1. Do you Breast-feed your child currently? (If no, go to Q. No. 9)
(1) Yes (2) No
2. If yes, how do you breast- feed your child?
(0) NA (1) On demand (2) Once in 2 hours (3) Once in 4hours
(4) Others (specify) __________________
3. Do you follow the following positioning of breast- feeding to breast- feed your child?
(0) Not Applicable
(1) Baby’s head back and buttocks are in a straight line (1) Yes (2) No (9) DK
(2) Baby’s chin is touching the breast (1) Yes (2) No (9) DK
(3) Baby’s mouth is wide open (1) Yes (2) No (9) DK
(4) Baby’s face is close to the breast (1) Yes (2) No (9) DK
(5) More areola is showing above the baby’s upper lip than lower lip
(1) Yes (2) No (9) DK
(6) Baby is brought to the breast buttocks supported (1) Yes (2) No (9) DK
(7) Baby is taking slow and deep sucks (1) Yes (2) No (9) DK
(8) Mother does not feel nipple pain and breast feels softer after feeding
(1) Yes (2) No (9) DK
(9) Baby is relaxed and satisfied at the end of the feed (1) Yes (2) No (9) DK
(10) Baby’s whole body is facing the breast and stomach is touching mother’s
stomach
(1) Yes (2) No (9) DK
4. How many times you breast- feed your child in a day (24 hours)?
(0) NA, Daytime ____________ Nighttime ____________
5. Do you feel you have sufficient breast milk to feed your child? (If yes, go to Q. No. 7)
(0) NA (1) Yes (2) No (9) don’t know
6. If no, how do you confirm this?
(0) NA (1) Child is crying even after feeding (2) Urine output is less (less than six
times) (3) Not gaining weight (4) Not active (5) Very thin
(6) Any other (specify) _____________________
7. Are you currently exclusively breast- feeding the child? (If no, go to Q. No. 9)
(Exclusive breast- feeding means only breast milk, nothing else even a drop of water)
(0) NA (1) Yes (2) No (9) don’t know
8. How long does your baby spend at the breast for a feed?
(0) NA (1) Less than 15 minutes (2) 15 minutes to half an hour
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(3) Half an hour to 1 hour (4) Child is bottle fed (5) don’t know
Introducing other foods:
9. If not breast- feeding, when did you stop breast- feeding?
(0) Not applicable (1) Actual month’s _______________
10. When did you introduce other foods?
(0) Not applicable (1) Actual Day’s / Month’s _______________
11. Did you introduce milk to your child?
(0) NA (1) Yes (2) No
12. If yes, what type of milk do you give your child?
(0) NA (1) Cow’s milk (2) Buffalo milk (3) Tin milk (4) Dairy milk
(5) Any other (specify) ________________
13. Do you give water to your child in between the feeds?
(0) NA (1) Yes (2) No
14. If yes, what type of water do you give to your child?
(0) NA (1) Boiled (2) Not boiled (3) Mineral water (4) any other (specify)
___________
15. How do you administer these feeds?
(0) NA (1) Feeding bottle (2) Cup and spoon
(3) Tumbler (4) any other (specify) ______________
16. If feeding bottle is used, how do you clean the bottle?
(0) NA (1) Boil in water after every feed (2) Boil in water once a day
(3) Cleaning in normal water (4) others (specify) ________________
17. Did you start any complementary foods to your child?
(0) NA (1) Yes (2) No
18. How much food is given to baby in one sitting?
(0) NA (Quantity with the standardized cups) Cup No. ___________
19. How do you decide the amount of food to be given at a time?
(0) NA (1) Child starts refusing the food (2) Finish the quantity prepared
(3) Any other (specify) _________
20. What do you do if your child does not want to eat?
(0) NA (1) Sit with the child and make child to eat
(2) Give small quantity more frequently (3) Change the food and feed
(4) Any other (specify) ____________________
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21. Did you give any multi vitamin syrup to the child?
(1) Yes (2) No (9) don’t know
22. Did you give gripe water/ Benison to the child?
(1) Yes (2) No (9) don’t know
23. Do you give any other herbal/ Ayurvedic medicines?
(1) Yes (2) No (9) don’t know
24. Are you sick for the last 3 months? (If no, go to Q. No. 26)
(1) Yes (2) No (9) don’t know
25. If yes, did you continue breast- feeding your child?
(0) NA (1) Yes (2) No
26. Did your child have any illness for the last 3 months? (If no, go to Q. No. 32)
(1) Yes (2) No (9) don’t know
27. If yes, what was the problem?
(0) NA
(1) ARI, fever (2) Diarrhoea, vomiting (3) Eye
(4) Skin 5) Gastrointestinal (6) Colic
(7) Nappy rash (8) Ear (9) Mouth
28. How do you feed your baby when child is sick?
(0) NA
(1) Breast feeding in small quantity in more frequently
(2) Continue the normal foods
(3) Feed more liquids
(4) Give ORS if child has diarrhoea (above 6 months)
(5) Stop giving liquids
(6) Stop giving other foods
(7) Any other (specify) ____________________
29. What measures have you taken at home, when your child was sick?
(0) NA
(1) Continue breast feeding (1) Yes (2) No
(2) Homemade fluids (1) Yes (2) No
(3) ORS (1) Yes (2) No
(4) Continue normal foods (1) Yes (2) No
(5) Small feeds more frequently (1) Yes (2) No
(6) Putting wet cloth on the head (1) Yes (2) No
(7) Consulted health worker (1) Yes (2) No
(8) Consulted Doctor (1) Yes (2) No
(9) don’t know
(10) Any other specify _____________________________________
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30. When the child was sick, did you try any home remedies?
(1) Yes (2) No (9) don’t know
31. Feeding practices during illness: Breast- milk other foods
(0) NA
(1) During fever (1) Yes (2) No (1) Yes (2) No
(2) During cough and cold (1) Yes (2) No (1) Yes (2) No
(3) During diarrhea (1) Yes (2) No (1) Yes (2) No
32. Did you find any danger sign in your child? (If no, go to Q. No. 48)
(If the respiratory rate is high, (>60/min. in 0-2months, 50/min. in 2- 12 months,
>40/min. in 1- 5 years) difficulty in breathing, difficulty in sucking the breast milk,
child is very sick, if high fever is present)
(1) Yes (2) No (9) don’t know
33. If yes, what did you do?
(0) NA (1) Consulted a health worker
(2) Consulted a Doctor (3) did not do anything
(4) Any other (specify) __________________________
34. Is your child immunized to the age, as per the national immunization schedule?
(1) Yes (2) No (9) don’t know
35. According to you, is your child growing normally? (If no, go to Q. No. 41)
(1) Yes (2) No (9) don’t know
36. If yes, how do you confirm this?
(0) NA (1) Weighing the child (2) Cloth gets tight
3) Age specific activities (4) any other (specify) _____________________
37. If not, what did you do?
(0) NA (1) Consulted the health worker (2) Consulted the doctor
(3) Took advice from family members (4) did not do anything
(5) First child also like this only (6) Any other reason (specify)
_________
38. Do you spend enough time playing with your child?
(1) Yes (2) No (3) No time (9) don’t know
39. If yes, how much time do you spend playing with your child per day?
(0) NA (1) ½ an hour (2) 1 hour
(3) More than 2 hours- less than 4 hours (4) More than 5 hours
40. Are you a working mother?
(1) Yes (2) No (9) don’t know
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41. If yes, how do you breast- feed your child?
(0) NA (1) Express the milk and keep to feed in my absence
(2) No breast milk in my absence (3) only cow’s milk in feeding bottle
(4) only cow’s milk in cup and spoon (5) any other (specify)
________________
42. How old were you when you started working?
(0) NA, Actual month’s _________________
43. What are the other foods do you feed you are not there?
(0) NA, specify the foods ____________________
44. Can you tell which foods you avoid giving to your child?
(0) NA (1) Banana (2) Papaya (3) Any fruits (4) Spicy foods
(5) Meat (6) Egg (7) Fish (8) Vegetables (9) Cucumber
(10) Potato (11) Carrot (12) any other (specify) ___________
45. What are the hygienic practices do you follow before feeding the child?
(0) NA (9) don’t know
(1) Hands washed before preparing food (1) Yes (2) No
(2) Fruits washed before eating (1) Yes (2) No
(3) Hands of the child washed before eating a meal (1) Yes (2) No
(4) Bottle used is clean and covered (1) Yes (2) No
(5) Clean appropriate places for child to stay (1) Yes (2) No
(6) Kitchen floor clean (1) Yes (2) No
(7) Living room floor clean (1) Yes (2) No
(8) Barriers against animals in the house (1) Yes (2) No
(9) All water vessels for drinking water covered (1) Yes 2) No
(10) No human faces around the house (1) Yes (2) No
(11) No animal faces around the house (1) Yes (2) No
(12) Mother washes hands after visiting latrine (1) Yes (2) No
(13) Washing hands with soap and water both mother and child before each feed
(1) Yes (2) No
(14) Washing hands with only normal water both mother and child before each feed
(1) Yes (2) No
46. Do you consume extra food during lactation period especially first 6 months?
(1) Yes (2) No (9) don’t know
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3. Anthropometric measurements
Date of birth: day …. Month … Year ……..
Sl.
NO.
Age in
months
Date
of
visit
Weight/
(kg)
Height/
Length
/ (cm)
Chest
Circumf
erence
(cm)
Head
Circumf
erence
(cm)
Mid arm
circumfe
rence
(cm)
Remarks
1.
4. Complementary foods initiated: Sl. No. Age of the child Liquid type of
food
Semisolid type
of food
Solid type of
food
1.
2.
3.
5. Developmental history Development mile stones Expected Age Actual age Normal Yes (1)
No (2) Remarks
1. Social smile 6-8 weeks
2. Holds head erect 3 months
3. Turning over 3 months
4. Sits without support 6-8 months
6. Childhood morbidity: (for the last two weeks) Sl. No. Age in
months
ADD ARI Measles Polio Worms
1.
2.
3.
4.
7. Immunization status: Vaccine Due date Date given (1) In time(2) Late Remarks
‘O’ OPV
BCG
DPT + OPV 1st
DPT + OPV 2nd
DPT + OPV 3rd
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Feeding- Practices
9 and 12 months child Schedule No. X
Serial No. ____________ Date of interview: _____________
Intervention (1) Control (2) Anganawady: (1), (2), (3), (4), (5), (6),
(7).
Name of the mother: ______________________________
Breast- feeding
1. Do you Breast-feed your child currently? (If no, go to Q. No. 7)
(1) Yes (2) No
2. If yes, how do you breast- feed your child?
(0) NA (1) On demand (2) Once in 2 hours (3) Once in 4hours
(4) Others (specify) __________________
3. How many times you breast- feed your child in a day (24 hours)?
(0) NA, Daytime ____________ Nighttime ____________
4. Do you feel you have sufficient breast milk to feed your child?
(0) NA (1) Yes (2) No (9) don’t know
5. Are you currently exclusively breast- feeding the child?
(Exclusive breast- feeding means only breast milk, nothing else even a drop of water)
(0) NA (1) Yes (2) No (9) don’t know
6. How long does your baby spend at the breast for a feed?
(0) NA (1) Less than 15 minutes (2) 15 minutes to half an hour
(3) Half an hour to 1 hour (4) Child is bottle fed (5) don’t know
Introducing other foods:
7. If not breast- feeding, when did you stop breast- feeding?
(0) Not applicable (1) Actual month’s _______________
8. When did you introduce other foods?
(0) Not applicable (1) Actual Day’s / Month’s _______________
9. Did you introduce milk to your child?
(0) NA (1) Yes (2) No
10. If yes, what type of milk do you give your child?
(0) NA (1) Cow’s milk (2) Buffalo milk (3) Tin milk (4) Dairy milk
(5) Any other (specify) ________________
11. Do you give water to your child in between the feeds?
(0) NA (1) Yes (2) No
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12. If yes, what type of water do you give to your child?
(0) NA (1) Boiled (2) Not boiled (3) Mineral water
(4) any other (specify) ___________
13. How do you administer these feeds?
(0) NA (1) Feeding bottle (2) Cup and spoon
(3) Tumbler (4) any other (specify) ______________
14. If feeding bottle is used, how do you clean the bottle?
(0) NA (1) Boil in water after every feed (2) Boil in water once a day
(3) Cleaning in normal water
(4) others (specify) ________________
15. Did you start any complementary foods to your child?
(0) NA (1) Yes (2) No
16. Did you start feeding your child from the family pot?
(Ask if child is more than 9 months of age and (if yes, go to Q. No. 18)
(1) Yes (2) No (9) don’t know
17. If not, do you prepare special food for the child?
(1) Yes (2) No (9) don’t know
18. If yes, what do you prepare for the child?
(Information is derived from the diet survey schedule)
19. Do you provide separate plate for the child and make the child to sit with the family
members to eat?
(1) Yes (2) No (9) don’t know
20. What do you do if your child does not want to eat?
(0) NA (1) Sit with the child and make child to eat
(2) Give small quantity more frequently (3) Change the food and feed
(4) Any other (specify) ____________________
21. How much food is given to baby in one sitting?
(0) NA (Quantity with the standardized cups) Cup No. ___________
22. How do you decide the amount of food to be given at a time?
(0) NA (1) Child starts refusing the food (2) Finish the quantity prepared
(3) Any other (specify) _________
23. Did you give any multi vitamin syrup to the child?
(1) Yes (2) No (9) don’t know
24. Did you give gripe water/ Benison to the child?
(1) Yes (2) No (9) don’t know
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25. Do you give any other herbal/ Ayurvedic medicines?
(1) Yes (2) No (9) don’t know
26. Are you sick for the last 3 months? (If no, go to Q. No. 28)
(1) Yes (2) No (9) don’t know
27. If yes, did you continue breast- feeding your child?
(0) NA (1) Yes (2) No
28. Did your child have any illness for the last 3 months? (If no, go to Q. No. 34)
(1) Yes (2) No (9) don’t know
29. If yes, what was the problem?
(0) NA
(1) ARI, fever (2) Diarrhoea, vomiting (3) Eye
(4) Skin Eczema (5) Gastrointestinal (6) Colic
(7) Nappy rash (8) (9) Mouth
30. How do you feed your baby when child is sick?
(0) NA
(1) Breast feeding in small quantity in more frequently
(2) Continue the normal foods
(3) Feed more liquids
(4) Give ORS if child has diarrhoea (above 6 months)
(5) Stop giving liquids
(6) Stop giving other foods
(7) Any other (specify) ____________________
31. What measures have you taken at home, when your child was sick?
(0) NA
(1) Continue breast feeding (1) Yes (2) No
(2) Homemade fluids (1) Yes (2) No
(3) ORS (1) Yes (2) No
(4) Continue normal foods (1) Yes (2) No
(5) Small feeds more frequently (1) Yes (2) No
(6) Putting wet cloth on the head (1) Yes (2) No
(7) Consulted health worker (1) Yes (2) No
(8) Consulted Doctor (1) Yes (2) No
(9) don’t know
(10) Any other specify _____________________________________
32. When the child was sick, did you try any home remedies?
(1) Yes (2) No (9) don’t know
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33. Feeding practices during illness: Breast- milk other foods
(0) NA
(1) During fever (1) Yes (2) No (1) Yes (2) No
(2) During cough and cold (1) Yes (2) No (1) Yes (2) No
(3) During diarrhea (1) Yes (2) No (1) Yes (2) No
34. Did you find any danger sign in your child? (If no, go to Q. No. 45)
(If the respiratory rate is high, (>60/min. in 0-2months, 50/min. in 2- 12 months,
>40/min. in 1- 5 years) difficulty in breathing, difficulty in sucking the breast milk,
child is very sick, if high fever is present)
(1) Yes (2) No (9) don’t know
35. If yes, what did you do?
(0) NA (1) Consulted a health worker (2) Consulted a Doctor
(3) Did not do anything (4) any other (specify) __________________________
36. Is your child immunized to the age, as per the national immunization schedule?
(1) Yes (2) No (9) don’t know
37. According to you, is your child growing normally? (If no, go to Q. No. 48)
(1) Yes (2) No (9) don’t know
38. If yes, how do you confirm this?
(0) NA (1) Weighing the child (2) Cloth gets tight
(3) Age specific activities (4) any other (specify) _____________________
39. If not, what did you do?
(0) NA (1) Consulted the health worker (2) Consulted the doctor
(3) Took advice from family members (4) did not do anything
(5) First child also like this only
(6) Any other reason (specify) ___________________
40. Do you spend enough time playing with your child? (If no, go to Q. No. 42)
(1) Yes (2) No (3) No time (9) don’t know
41. If yes, how much time do you spend playing with your child per day?
(0) NA (1) ½ an hour (2) 1 hour (3) More than 2 hours- less than 4 hours
(4) More than 5 hours
42. Are you a working mother?
(1) Yes (2) No (9) don’t know
43. If yes, how do you breast- feed your child?
(0) NA (1) Express the milk and keep to feed in my absence
(2) No breast milk in my absence (3) only cow’s milk in feeding bottle
(4) only cow’s milk in cup and spoon (5) any other (specify) ______________
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44. How old were you when you started working?
(0) NA, Actual month’s _________________
45. What are the other foods do you feed you are not there?
(0) NA, specify the foods ____________________
46. Can you tell which foods you avoid giving to your child?
(0) NA (1) Banana (2) Papaya (3) Any fruits
(4) Spicy foods (5) Meat (6) Egg (7) Fish
(8) Vegetables (9) Cucumber (10) Potato (11) Carrot
(12) any other (specify) ___________
47. What are the hygienic practices do you follow before feeding the child?
(0) NA (9) don’t know
(1) Hands washed before preparing food (1) Yes (2) No
(2) Fruits washed before eating (1) Yes (2) No
(3) Hands of the child washed before eating a meal (1) Yes (2) No
(4) Bottle used is clean and covered (1) Yes (2) No
(5) Clean appropriate places for child to stay (1) Yes (2) No
(6) Kitchen floor clean (1) Yes (2) No
(7) Living room floor clean (1) Yes (2) No
(8) Barriers against animals in the house (1) Yes (2) No
(10) All water vessels for drinking water covered (1) Yes (2) No
(11) No human faces around the house (1) Yes (2) No
(12) No animal faces around the house (1) Yes (2) No
(13) Mother washes hands after visiting latrine (1) Yes (2) No
(14) Washing hands with soap and water both mother and child before each feed
(1) Yes (2) No
(15) Washing hands with only normal water both mother and child before each feed
(1) Yes (2) No
48. Do you consume extra food during lactation period especially first 6 months?
(1) Yes (1) No (9) don’t know
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3. Anthropometric measurements Date of birth: day …month … year
…….
Sl.
NO.
Age in
months
Date
of
visit
Weight/
(kg)
Height/
Length
/ (cm)
Chest
Circumf
erence
(cm)
Head
Circum
ference
(cm)
Mid arm
circumfe
rence
(cm)
Remarks
1.
4. Complementary foods initiated:
Sl. No. Age of the child Liquid type of
food
Semisolid type
of food
Solid type
of food
1.
2.
3.
5. Developmental history
Development mile
stones
Expected Age Actual age Normal Yes (1)
No (2) Remarks
1. Social smile 6-8 weeks
2. Holds head erect 3 months
3. Turning over 3 months
4. Sits without
support
6-8 months
5. Crawling 9-10 months
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6. Childhood morbidity: (for the last two weeks)
Sl. No. Age in
months
ADD ARI Measles Polio Worms
1.
2.
3.
4.
7. Immunization status:
Vaccine Due date Date given (1) In time
(2) Late
Remarks
‘O’ OPV
BCG
DPT + OPV 1st
DPT + OPV 2nd
DPT + OPV 3rd
Measles
Vit. A
Hep ‘O’ dose
Hep 1st dose
Hep 2nd
dose
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Feeding- Practices
15, 18 and 24 month’s child
Serial No. ____________ Date of interview: _____________
Intervention (1) Control (2) Anganawady: (1), (2), (3), (4), (5), (6), (7).
Name of the mother: ______________________________
1. Breast- feeding
1. Do you Breast-feed your child currently? (If no, go to Q. No. 4)
(1) Yes (2) No
2. How many times you breast- feed your child in a day (24 hours)?
(0) NA, Daytime ____________ Nighttime ____________
3. Do you feel you have sufficient breast milk to feed your child?
(0) NA (1) Yes (2) No (9) don’t know
2. Introducing other foods:
4. If not breast- feeding, when did you stop breast- feeding?
(0) Not applicable (1) Actual month’s _______________
5. When did you introduce other foods?
(0) Not applicable (1) Actual Day’s / Month’s _______________
6. Did you introduce milk to your child?
(0) NA (1) Yes (2) No
7. If yes, what type of milk do you give your child?
(0) NA (1) Cow’s milk (2) Buffalo milk (3) Tin milk
(4) Dairy milk (5) any other (specify) ________________
8. Do you give water to your child in between the feeds?
(0) NA (1) Yes (2) No
9. If yes, what type of water do you give to your child?
(0) NA (1) Boiled (2) Not boiled (3) Mineral water
(4) any other (specify) ___________
10. How do you administer these feeds?
(0) NA (1) Feeding bottle (2) Cup and spoon
(3) Tumbler (4) any other (specify) ______________
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11. If feeding bottle is used, how do you clean the bottle?
(0) NA (1) Boil in water after every feed (2) Boil in water once a day
(3) Cleaning in normal water (4) others (specify) ________________
12. Did you start any complementary foods to your child?
(0) NA (1) Yes (2) No
13. Did you start feeding your child from the family pot?
(Ask if child is more than 9 months of age and if yes, go to Q. No. 15)
(1) Yes (2) No (9) don’t know
14. If not, do you prepare special food for the child?
(1) Yes (2) No (9) don’t know
15. If yes, what do you prepare for the child?
(Information is derived from the diet survey schedule)
16. Do you provide separate plate for the child and make the child to sit with the family
members to eat?
(1) Yes (2) No (9) don’t know
17. What do you do if your child does not want to eat?
(0) NA (1) Sit with the child and make child to eat
(2) Give small quantity more frequently (3) Change the food and feed
(4) Any other (specify) ____________________
18. How much food is given to baby in one sitting?
(0) NA (Quantity with the standardized cups) Cup No. ___________
19. How do you decide the amount of food to be given at a time?
(0) NA (1) Child starts refusing the food (2) Finish the quantity prepared
(3) Any other (specify) _________
20. Did you give any multi vitamin syrup to the child?
(1) Yes (2) No (9) don’t know
21. Did you give gripe water/ Benison to the child?
(1) Yes (2) No (9) don’t know
22. Do you give any other herbal/ Ayurvedic medicines?
(1) Yes (2) No (9) don’t know
23. Are you sick for the last 3 months? (If no, go to Q. No. 25)
(1) Yes (2) No (9) don’t know
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24. If yes, did you continue breast- feeding your child?
(0) NA (1) Yes (2) No
25. Did your child have any illness for the last 3 months? (If no, go to Q. No. 32)
(1) Yes (2) No (9) don’t know
26. If yes, what was the problem?
(0) NA
(1) ARI, fever (2) Diarrhoea, vomiting (3) Eye
(4) Skin Eczema (5) Gastrointestinal (6) Colic
(7) Nappy rash (8) Ear (9) Mouth
27. How do you feed your baby when child is sick?
(0) NA
(1) Breast feeding in small quantity in more frequently
(2) Continue the normal foods
(3) Feed more liquids
(4) Give ORS if child has diarrhoea (above 6 months)
(5) Stop giving liquids
(6) Stop giving other foods
(7) Any other (specify) ____________________
28. What measures have you taken at home, when your child was sick?
(0) NA
(1) Continue breast feeding (1) Yes (2) No
(2) Homemade fluids (1) Yes (2) No
(3) ORS (1) Yes (2) No
(4) Continue normal foods (1) Yes (2) No
(5) Small feeds more frequently (1) Yes (2) No
(6) Putting wet cloth on the head (1) Yes (2) No
(7) Consulted health worker (1) Yes (2) No
(8) Consulted Doctor (1) Yes (2) No
(9) Don’t know
(10) Any other specify _____________________________________
29. When the child was sick, did you try any home remedies?
(1) Yes (2) No (9) don’t know
30. Feeding practices during illness: Breast- milk other foods
(0) NA
(1) During fever (1) Yes (2) No (1) Yes (2) No
(2) During cough and cold (1) Yes (2) No (1) Yes (2) No
(3) During diarrhea (1) Yes (2) No (1) Yes (2) No
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31. Did you find any danger sign in your child? (If no, go to Q. No. 45) (If the respiratory
rate is high, (>60/min. in 0-2months, 50/min. in 2- 12 months, >40/min. in 1- 5 years)
difficulty in breathing, difficulty in sucking the breast milk, child is very sick, if high
fever is present)
(1) Yes (2) No (9) don’t know
32. If yes, what did you do?
(0) NA (1) Consulted a health worker (2) Consulted a Doctor
(3) Did not do anything (4) any other (specify) _______________
33. Is your child immunized to the age, as per the national immunization schedule?
(1) Yes (2) No (9) don’t know
34. According to you, is your child growing normally? (If no, go to Q. No. 36)
(1) Yes (2) No (9) don’t know
35. If yes, how do you confirm this?
(0) NA (1) Weighing the child (2) Cloth get tight (3) Age specific activities
(4) Any other (specify) _____________________
36. If not, what did you do?
(0) NA (1) Consulted the health worker (2) Consulted the doctor
(3) Took advice from family members (4) did not do anything
(5) First child also like this only (6) any other reason (specify)
____________
37. Do you spend enough time playing with your child? (If no, go to Q. No. 39)
(1) Yes (2) No (3) No time (9) don’t know
38. If yes, how much time do you spend playing with your child per day?
(0) NA (1) ½ an hour (2) 1 hour (3) More than 2 hours- less than 4 hours
(4) More than 5 hours
39. Are you a working mother?
(1) Yes (2) No (9) don’t know
40. If yes, how do you breast- feed your child?
(0) NA (1) Express the milk and keep to feed in my absence
(2) No breast milk in my absence (3) Only cow’s milk in feeding bottle
(4) only cow’s milk in cup and spoon (5) any other (specify)
________________
41. How old were you when you started working?
(0) NA, Actual month’s _________________
42. What are the other foods do you feed you are not there?
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(0) NA, specify the foods ____________________
43. Can you tell which foods you avoid giving to your child?
(0) NA (1) Banana (2) Papaya (3) Any fruits
(4) Spicy foods (5) Meat (6) Egg (7) Fish
(8) Vegetables (9) Cucumber (10) Potato (11) Carrot
(12) any other (specify) ___________
44. What are the hygienic practices do you follow before feeding the child?
(0) NA (9) don’t know
(1) Hands washed before preparing food (1) Yes (2) No
(2) Fruits washed before eating (1) Yes (2) No
(3) Hands of the child washed before eating a meal (1) Yes (2) No
(4) Bottle used is clean and covered (1) Yes (2) No
(5) Clean appropriate places for child to stay (1) Yes (2) No
(6) Kitchen floor clean (1) Yes (2) No
(7) Living room floor clean (1) Yes (2) No
(8) Barriers against animals in the house (1) Yes (2) No
(10) All water vessels for drinking water covered (1) Yes (2) No
(11) No human faces around the house (1) Yes (2) No
(12) No animal faces around the house (1) Yes (2) No
(13) Mother washes hands after visiting latrine (1) Yes (2) No
(14) Washing hands with soap and water both mother and child before each feed
(1) Yes (2) No
(15) Washing hands with only normal water both mother and child before each feed
(1) Yes (2) No
45. Do you consume extra food during lactation period especially first 6 months?
(1) Yes (1) No (9) don’t know
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3. Anthropometric measurements Date of birth: day … Month ….
Year…
Sl.
NO.
Age in
months
Date
of
visit
Weight/
(kg)
Height/
Length
/ (cm)
Chest
Circumf
erence
(cm)
Head
Circum
ference
(cm)
Mid arm
circumfe
rence
(cm)
Remarks
1.
4. Complementary foods initiated:
Sl. No. Age of the child Liquid type of
food
Semisolid type
of food
Solid type
of food
1.
2.
3.
5. Developmental history
Development mile
stones
Expected Age Actual age Normal Yes (1)
No (2) Remarks
1. Social smile 6-8 weeks
2. Holds head erect 3 months
3. Turning over 3 months
4. Sits without
support
6-8 months
5. Crawling 9-10 months
6. Stands with support 10-11 months
7. Speaking few
words
10-11 months
8. Short sentences and
running
24 months
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6. Childhood morbidity: (for the last two weeks)
Sl. No. Age in
months
ADD ARI Measles Polio Worms
1.
2.
3.
4.
7. Immunization status:
Vaccine Due date Date given (1) In time
(2) Late
Remarks
‘O’ OPV
BCG
DPT + OPV 1st
DPT + OPV 2nd
DPT + OPV 3rd
Measles
DPT+ OPV – 1st
BOOSTER
Hep ‘O’ dose
Hep 1st dose
Hep 2nd
dose
Vit. A
Vit. A
Vit. A
Vit. A
Ap
pen
dic
es
Pa
ge
|325
Ap
pen
dix
- 2
3
Pro
form
a t
o a
sses
s d
ieta
ry i
nta
ke
Dat
e o
f in
terv
iew
;_
__
___
__
__
__
__
_ S
ched
ule
no
.__
__
__
__
__
_ V
illa
ge
__
__
__
__
__
__
__
Nam
e o
f A
ng
anaw
ady
__
__
__
__
__
__
__
__
_
Nam
e _
__
__
__
__
__
__
__
__
__
__
__
__
__
_A
ge_
__
__
__
__
__
__
__
__
__
Inte
rven
tio
n /
Co
ntr
ol
gro
up
__
__
__
__
__
__
__
__
__
__
__
__
__
__
_
Mea
l
pa
tter
n
Na
me
of
the
pre
pa
rati
on
Na
me
of
food
stu
ff
Fo
od
co
de
To
tal
raw
qty
. co
de
Ra
w
qty
.(g)
To
tal
coo
ked
–
cod
e
To
tal
coo
ked
(g
)
Inta
ke
cod
e
Inta
ke
Bre
ak
fast
Lu
nch
Even
ing
Din
ner
Appendices
P a g e | 326
Appendix – 24
Photographs showing procedures followed during data collection
Appendices
P a g e | 327
Appendix – 25
Infant and young child feeding (IYCF) training certificate