A_1 |
Screening Number |
A_2 |
Initial of the child |
A_3 |
Date (according to English
calendar- DDMMYY) |
A_4 |
Researcher code |
A_5 |
Date of birth (if known), (English calendar-DDMMYY) |
A_6 |
Age of child (in months) |
A_7 |
Sex of child (1=Male, 2=Female) |
A_8 |
Are there any plans to migrate
within one year? |
A_9 |
Does the child have any acute
illness? |
A_10 |
Does the child have any chronic
illness? |
A_11 |
Does the child taking
multivitamins that include vitamin B12? |
A_12 |
Does the child have any food
allergy (peanut)? |
A_13 |
Does parent consenting for
participate in the study? |
A_14 |
Weight (in kg) |
A_15 |
Length (in cm) |
A _16 |
Head Circumference (cm) |
A_17 |
Length for age <-1 z score |
A_18 |
Weight for length / HC for age
≤-3 z score |
A_19 |
Hemoglobin (g/dL) |
A_20 |
Child enroll number (as on the
packet with medicine) |
|
|
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