A M E R I C A N U N I V E R S I T Y O F A R M E N I A - CHSR

children for further instrumental investigations (abdominal ultrasonography, echocardiography,
ENT and ophthalmologic observation), based on the previous data.
Anthropometrical assessment was done using UNICEF electronic scale and length/height
board. The accuracy of the scales was checked before use at least twice daily during the survey.
Field supervisors were responsible for checking the quality of measurements: this was achieved
by routinely repeating measurements. Before answering questions, taking measurements and
performing invasive procedures, mothers or other caretakers were familiarized with and signed
the consent form. Children under five years of age received simple oral explanation of the study.
Informed voluntary agreement of children in age 60-96 months was solicited in the presence of a
parent.
Each child had his own examination card. All answers and findings as well as results of the
investigations with final conclusion about the health statuses were fixed. The medical team
presented to parents the booklets on child health care, “Your Child”, published by the CHCA.
The survey lasted 8 months (November 2002- June 2003) and was implemented in 3 stages:
preliminary, preparatory, and main. Several steps were accomplished during each of the stages.
The preliminary stage included the collection of the data about size of the population, location
of selected villages, information about local customs and traditions, child health care and
nutrition, and preparing training materials for the interviewers. During the preparatory stage the
questionnaire, consent form and technical part were developed. The working group and schedule
were formatted and the administration of the selected villages and local NGO informed about the
survey. The field stage lasted 4 months and included the health assessment.
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