Report 2011 - Deepalaya
Report 2011 - Deepalaya
Report 2011 - Deepalaya
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Informations<br />
Date of the interview<br />
Context of the interview (C=Clinic, H=Home)<br />
Village<br />
Name w/o Name<br />
Age<br />
Religion (m=muslim, h=hindou, o=other)<br />
Age at marriage<br />
GPAL<br />
Did your children get full vaccination From where<br />
Are you pregnant, if so, number of weeks<br />
Educational level (last grade completed)<br />
Number of siblings (living and dead)<br />
Information on previous visits, if any<br />
Have you ever use any family planning method<br />
How many children do you want<br />
Are you presently breastfeeding<br />
When was your first pregnancy<br />
When was your last pregnancy (spacing births)<br />
Did you deliver at home(h) or in an hospital(i)<br />
Do you plan to deliver at home or in an hospital<br />
Did you receive any antenatal care for your current pregnancy<br />
Did you take iron/calcium tablets / Would you prefer iron tonic<br />
Have you visited any religious leader/doctors outside of <strong>Deepalaya</strong>'s<br />
And governmental health facilities If so, have you taken any medicine<br />
How many times have you/will you visit this clinic during your pregnancy<br />
Did you have any blood loss during your pregnancy<br />
GYN: Have you ever had any pelvic pain or vaginal discharge (infection/vaginite)<br />
At what age did you have your first menses<br />
Have your menstruations always been regular<br />
Did you have spotting<br />
Are you vegetarian(v=yes; m=eat meat)<br />
Have you changed anything in your diet during your pregnancy Explain.<br />
How do you get access to water<br />
How much water do you drink in a day<br />
Do you drink tea everyday<br />
Do you have access to toilet/latrines (o=open air defecation; l=latrines/toilets)<br />
Do you have electricity at home<br />
Do you/did you have during your pregnancy, symptoms of malaria/parasite infection<br />
Such as fever, diarrhea, abdominal pain, worms in your swoon<br />
Do you do physical work<br />
How many hours do you sleep per day<br />
Do you always wear footwear (yes=f; no=n)<br />
Do you have or have you ever had during your pregnancy,<br />
symptoms Like headaches, fatigue, weakness, dizziness,<br />
numbness/coldness in hands and feet, chestpain, rapid/irregular<br />
heartbeat, shortness of breath, etc...<br />
Do you know what is anemia or lack of blood<br />
Have you ever attended any <strong>Deepalaya</strong>'s health camp/awareness program<br />
If anemia is known, where have you learned it<br />
Do you know what cause anemia How to prevent<br />
Check for signs of anemia (pale nails, gums, bulb conjunctive)<br />
Weight (kg)<br />
Height (m)<br />
Hb if known<br />
BMI<br />
BMI for pregnant women<br />
Kaunse gaon se aayi ho<br />
Apka nam kya hai<br />
Kaap kitne saal ke ho<br />
Jab aapki shadi hui thi tab apki umar kitne thi<br />
Aapke kitne bacche hain, kya coi abortion to nahi hua<br />
Kya apne baccho ko sare thike lag wai hain, apne baccho ko thike kahan lag wai (agan wadi=small clinic)<br />
Kya aap abhi pet se ho, agar ho to kaunsa mahina chal raha hai<br />
Kahan tak parde ho/ kahan tak padhai ki hain<br />
Aapke kitne bhai-behan hai<br />
Kya aap oss badhane ki dawa le rahe ho (mala-D, saheli)<br />
Kya aap abhi apne bacche ko apna dud pilate ho<br />
Jab aap pehle bar pregnant huai the to apke umar kitne the<br />
Apke sabse chote bacche ki umar kitne hai<br />
Kya apki japa (delivery) gar par hui thi ya phir hospital mein<br />
Kya apap apne is delivery ko ghar par karoge ya hospital mein<br />
Kya apko coi ANC di gai hai ya nahi<br />
Kya aap Calcium / Iron tablets aur iron syrup le rahi ho (le the ho) ya nahi,<br />
Kya apne <strong>Deepalaya</strong> ki alawa kahi aur apna check-up karwaya hai (haan : to kaunse hospital mein)<br />
Jab aap pregnant ho the ho to tum clinic mein kitne bar checkp-up karane aate ho<br />
Pregnancy ke doran apka khun to nahi gaya<br />
Jab apko pehle bar mahina hue the to apke umar kitne thi<br />
Kya aap meat khate ho ya nahi<br />
Kya aap jab pet se the to apne apni diet mein kuch extra (zyada) lia tha, example dud, hare sabzi, dahi...<br />
Aap pani kahan se let the ho. (water pump, bring from other villages, public pump...)<br />
Aap ek din mein kitna pani peete ho/panch liter/glass aur zyada<br />
Kya aap chai roj pite ho<br />
Kya aap ke ghar mein latrine hai ya phir bahar jahte ho<br />
Kya aap ke ghar mein bijili aati hai<br />
Kya aap sirf ghar ka kam karte ho ya phir khet (field) kabhi kam karte ho<br />
Aap ek din mein kitne ghante sote ho<br />
Kya aap hamesha chapal pehen kar rakte ho<br />
Kya apko sar dard, thakan, kamzoori, chakarana, chahte mein dard, hota hai ya nahi.<br />
Kya apko anemia(/khoon ki kami) ke baj mein pata hain<br />
Kya apne <strong>Deepalaya</strong> ke swathya (swasthain) kendra mein gaye ho<br />
Ab hamapka bajen aur height lenge to aap yahan aa jaiye
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