| Variables in Anthropometry FORM (AMC) | ||||||||||
| Question# | Question | Field name | Responses | Responses | ||||||
| 1 | PID Number | PID | ### | |||||||
| 2 | Month number | AMC no | ## | |||||||
| 4 | Child PID | amc _A | 9### | |||||||
| 5 | Initials of the participant mother | amc _B | XX | |||||||
| 6 | Researcher code | amc_C | ## | |||||||
| 7 | Date
of Interview (According to English calender) |
amc _D | ##-XXX-## | dd-mmm-yy (99/999/99 if not known) | ||||||
| Measurement of the child on day of interview | ||||||||||
| 8 | Weight in kg | amc_2 | ##.## | |||||||
| 9 | Weight in kg | amc_2_i | ##.## | |||||||
| 10 | Length in CM | amc _3 | ###.# | |||||||
| 11 | Length in CM | amc _3_i | ###.# | |||||||
| 12 | Head circumference in cm | amc _4 | ##.# | |||||||
| 13 | Head circumference in cm | amc _4_i | ##.# | |||||||
| Ask for the last one month (1= Yes, 2= No, 9=Not applicable) | ||||||||||
| 14 | Has the child been taken to any health facility for health check-up | amc _5 | # | 1=Yes, 0=No | ||||||
| 15 | If yes, Place of visit | amc _5_a | ## | 1=Study site, 2= Bhaktapur hospital 3=Kanti children’s hospital,4=Patan hospital, 5= TU Teaching hospital, 6= Dhulikhel hospital, 7= Kathmandu Medical College (KMCTH), 8= Govt. Health center, 9= not applicable (if amc_5=2), 10= Private clinic/Pharmacy, 11= Other | ||||||
| 16 | How many times has the child visited health facility in the last month? | amc _5_b | ## | 99 if amc_5=2 | ||||||
| 17 | If more than one visit, are the visits related to same reason | amc _5_c | # | 1=Yes, 2=No, 9=Not applicable (if amc_5=2 or amc_5_c=1) | ||||||
| 18 | Problem/illness that the child suffered in the last month | amc _6 | ## | 2= No, 3=Nausea/vomiting, 4= Diarrhea, 5=Cough /cold, 6= Fever, 7= Abdomen pain , 8= Skin problem, 9=NA, 10=Respiratory Tract Infections 11=Eye problem, 12=ENT problem, 13= seizure disorder, 14= Other | ||||||
| 19 | If others, specify | amc _6_a | TXT | TEXT
for more problems NA if no other problems |
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| 20 | If more/ other problem, specify | amc _6_b | TXT | TEXT
for more problems NA if no other problems |
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| 21 | If more problem, specify | amc _6_c | TXT | TEXT
for more problems NA if no other problems |
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| 22 | Any lab investigation done during the last month | amc _7 | # | 1=Yes, 2=No | ||||||
| If yes, specify name of the test | amc _7_a | TXT | TEXT
if amc_7=1 NA if amc_7=2 |
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| 24 | Is the test finding normal | amc _7_b | 1=Yes, 2=No, 9=Not applicable | 1=Yes, 2=No, 9=Not applicable (if amc_7=2) | ||||||
| 25 | If no specify the finding of the test. | amc _7_c | TXT | TEXT
if amc_7_b=2 NA if amc_7_b=1 |
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| 26 | Is the child being given any medication | amc _8 | # | 2=No, 3= Symptomatic, 4= Antibiotics, 5= Vitamins or nutrient, 6=Local application medicine, 7= Other | ||||||
| 27 | If yes, specify name of medicine | amc _8_a | TXT | NA
if amc_8=2 TEXT if amc_8ǂ2 |
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| 28 | If more medicines, specify. | amc _8_b | TXT | TEXT
if more medicine NA if no other medicine |
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| 29 | Is the child being given any vitamins /nutrient supplement including B12 | amc _9 | # | 1=Yes, 2=No | ||||||
| 30 | If yes, specify name of vitamins/ nutrient diet. | amc _9_a | TXT | TEXT
if amc_9=1 NA if amc_9=2 |
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| 31 | For how many days | amc _9_b | ## | 99 if amc_9=2 | ||||||
| 32 | Did the child require hospitalization/ referral to other health facility during the last month | amc _10 | # | (1= Hospitalization, 2 = No, 3= Referred) | ||||||
| 33 | If hospitalization/ referred, specify reason | amc 10txt | TXT | NA
if amc_10=2 TEXT if amc_10ǂ2 |
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| 34 | Any Immunization | amc_11 | # | 1=Yes, 2=No | ||||||
| 02= NO, 03= BCG, 04= DPT/polio/hepB/hib -I, 05=PCV- I, 06= DPT/polio/hep B/hib- II, 07=PCV- II, 08= DPT/P olio/Hep B/Hib - III, 10= IPV , 11= PCV- III, 12=MR -I, 13= JE, 14= MR -II, 15= Chicken pox, 16= Influenza, 17= Other , 99= Not Applicable | ||||||||||
| 35 | If yes, which vaccination? | amc_11_a | ## | 99 if amc_11=2 | ||||||
| 36 | If more than one, which other vaccination? | amc_11_b | ## | 99 if amc_11=2 | ||||||
| 37 | If more, which other vaccination? | amc_11_c | ## | 99 if amc_11=2; 99 if amc_11_b=2 | ||||||
| 38 | If more, specify. | amc_11_d | TXT | TEXT
if more vaccines NA if no more vaccines |
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| Feeding information of the last one months | ||||||||||
| 39 | Is the child on breastfeeding? | amc_12 | # | 1=Yes, 2=No | ||||||
| 40 | If no, specify reason. | amc_12txt | TXT | TEXT
if amc_12=2 NA if amc_12=1 |
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| 41 | Is the child exclusively breastfed? | amc_13 | # | 1=Yes, 2=No | ||||||
| 42 | Is the child getting any Ayurvedic drop/ medicine? | amc_14 | # | 3= Janmaghuti, 4= Grape water, 5= Ghotichuthi, 6= Others | ||||||
| 43 | If others, specify. | amc_14txt | TXT | TEXT
if amc_14=6 NA if amc_14ǂ6 |
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| 44 | Is the child getting water? | amc_15 | # | 1=Yes, 2=No | ||||||
| 45 | Is the child introduced to any drink? | amc_16 | # | 3= powder milk, 4=animal milk, 5= fruit juice, 6= Tea, 7= packet milk,8=others | ||||||
| 46 | If others, specify. | amc_16 txt | TXT | TEXT
if amc_16=8 NA if amc_16ǂ8 |
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| 47 | Is the child introduced to semisolid/solid food? | amc_17 | # | 2= No, 3= Cerelac, 4=Lito, 5= Jaulo/rice, 6= Biscuit, 7= Others | ||||||
| 48 | If others, specify. | amc_17txt | TXT | TEXT
if amc_17=7 NA if amc_17ǂ7 |
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| 49 | If the child is getting other food or drink before 6 months of age, specify reason | amc_18 | ## | 3=crying/hungry, 4=mother’s illness, 5=not enough breast milk, 6=working mother, 7=Not enough weight gain of child, 8= Following advice of other experienced family members/friends, 9=not applicable, 10=Others | ||||||
| 50 | If others, specify. | amc_18txt | TXT | TEXT
if amc_18=10 NA if amc_18ǂ10 |
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| 51 | Remarks | TXT | ||||||||