Variables in Mother's Information Form (MIF)
Question# Question Field name  Response nature Response options
1 PID Number     PID ###  
2 Initials of the mother mif_A XX  
3 Field Worker code  mif_B ##  
4 Date of interview
(According to English calender)
mif_C ##-XXX-##  dd-mmm-yy 
5 Age of the pregnant mother
(completed years)
mif_1 ##  
6 How many years are you in married life? mif_2 ## 00 if less than 1 year; mention completed years
7 Years of schooling of  pregnant mother mif_3 ##  
8 Occupation of pregnant mother mif_4 # 1=Housewife, 3=Agriculture, 4=Carpet worker, 5=Daily wage earner, 6=Business, 7=Government employee, 8= Services in private sector, 9=NA, 10=Foreign employment
10 Any h/o previous illness that required hospital admission?  mif_5 # 1=Yes, 2=No
11 If yes, specify mif_5txt TXT TEXT if mif_5=1
NA if mif_5ǂ1
12 Cigarette /other tobacco smoking?  mif_6 # 1=Yes, regularly, 2=No, 3=Yes, occasionally, 4=Previous smoker
14 Consuming alcohol ? mif_7 # 1=Yes, 2= No,  3= Yes, in past
15 If yes, how often?  mif_7i TXT NA, if mif_7= 2 or 3
Following options if mif_7=1:
1= Daily, 2= 2-4 times a week, 3=Once a week, 4=2-4 times a month, 5=once a month or less
16 Did you or your spouse use any kind of contraception before pregnancy mif_8 # 2=No, 3=Condom, 4=Three monthly injection (Depo), 5=Pills, 6=IUCD, 7=Implant (Norplant), 8=She or husband has gone through operation, 10=Calendar method, 11=Other
17 Is this first pregnancy?   mif_9 # 1=Yes, 2=No
Is this first pregnancy?   lab _11 If other investigation, specify result  
18 Remarks   TXT