List of forms and activities for the
breastfeeding / micronutrient study |
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Form |
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Name |
Info from |
Filled by |
When |
filled in at |
idenfication |
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child |
child |
mother |
BFA |
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Baseline enrollment |
C |
FW/doctor |
enrollment |
clinic |
chsuno |
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BFB |
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Baseline Surveilance |
M + C |
FW |
Start surveilance |
Home |
chsuno |
|
BFM |
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Monthly Surveilance |
C |
FW |
Montly |
Home |
chsuno |
|
BF1 |
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Screening |
M + C |
Doctor/FW |
Enrollment MN |
Clinic |
chsuno |
chsno |
chsno+10000 |
BF2 |
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Morbidity |
M |
Doctor/FW |
Enrollment MN |
Clinic |
chsuno |
|
chsno+10000 |
BF3 |
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Laboratory |
M + C |
Doctor/lab |
Enrollment MN |
Clinic |
|
chsno |
chsno+10000 |
BF4 |
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Laboratory-BF |
M |
Doctor/lab |
Enrollment MN |
Clinic |
|
chsno+10000 |
BFC |
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Clinical |
C |
Doctor/FW |
Enrollment MN |
Clinic |
chsuno |
chsno |
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Recall |
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24 hour dietary recall |
M |
FW |
Enrollment MN |
Clinic |
chsuno |
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chsno+10000 |
Socioec |
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Expanded Socioec form |
Family |
FW |
After enrollment |
Home |
chsuno |
|
chsno+10000 |
Recall |
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24 hour dietary recall |
M + F |
FW |
After enrollment |
Ckinic |
chsuno |
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chsno+10000 |
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Surveilance
(longitutdinal) |
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Form |
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Study start |
BFB |
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1 |
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BFM |
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2 |
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BFM |
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3 |
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BFM |
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4 |
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BFM |
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5 |
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Monthly visits every child |
BFM |
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6 |
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BFM |
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7 |
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BFM |
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8 |
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BFM |
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9 |
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BFM |
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12 |
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BFM |
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Survey
(cross sectional) |
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At clinic,
once for every child and mother pair: |
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By |
Form |
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Child |
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Screening |
Doctor |
BF1 |
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Clinical examination |
Doctor |
BFC |
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Blood sampling |
Doctor/lab |
BF3 |
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Mother |
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Screening |
Doctor |
BF1 |
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Clinical examination |
Doctor |
BF2 |
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Blood sampling |
Doctor/lab |
BF3 |
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Breast milk sampling |
Doctor/lab |
BF4 |
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24 h diietary recall |
FW |
Recall |
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At home (two
visits) |
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Expanded Socioec form |
FW |
Socioec |
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24 hour dietary recall |
FW |
Reacall |
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FW |
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Field worker |
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M |
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Mother |
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C |
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Child |
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F |
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Father |
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lab |
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Laboratory technician |
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