D_1 |
Initials of the child |
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D_2 |
Field Worker code |
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D_3 |
Date of Interview |
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D_4 |
Age of Mother |
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D_5 |
Gravida |
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D_6 |
Paria |
|
D_7 |
Regular ANC visit for last
pregnancy? (Yes=1, No=2) |
|
D_8ia |
Folate (vitamin/mineral
supplement during last pregnancy start trimester) |
|
D_8iia |
Iron (vitamin/mineral
supplement during last pregnancy start trimester) |
|
D_8iiia |
Calcium ((vitamin/mineral
supplement during last pregnancy start trimester) |
|
D_8iva |
Taken any other medicines? |
|
D_8v.txt |
D_8v. Specify: |
|
D_8ib |
Folate (vitamin/mineral
supplement during last pregnancy duration ) |
|
D_8iib |
Iron (vitamin/mineral
supplement during last pregnancy duration) |
|
D_8iiib |
Calcium (vitamin/mineral
supplement during last pregnancy duration) |
|
D_8ivb |
Taken any other medicines? |
|
D_9 |
Any illness during pregnancy?
(1=Yes, 2=No) |
|
D_9_txt |
If yes, Specify? |
|
D_10 |
Has the women been hospitalized
during pregnancy? (Yes=1, No=2) |
|
D_10_txt |
If yes, specify cause. |
|
D_11 |
Any current illness?
(1=Yes, 2=No) |
|
D_11_txt |
If yes, specify |
|
D_12 |
Does the women/spouse use any
kind of contraception (2 = No, 3 = Condom,4 =Progesterone injection, 5 =
Pills, 6 = IUCD, 7=Norplant, 8 = She or husband has gone through operation, 9
= Not applicable) |
|
D_13 |
Measure weight of mother (kgs) |
|
D_14 |
Measure height of mother (cms) |
|
D_15_s |
Measure Blood pressure systolic |
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D_15_d |
Measure Blood pressure diastolic |
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