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S.N. Question/Information Coding Categories Skip<br />

404 What was the sex of the provider who<br />

assisted the delivery of your baby at the<br />

health facility?<br />

Male ........................................................ 1<br />

Female .................................................... 2 406<br />

405 If male, would you have preferred a<br />

female health staff?<br />

406 At anytime during your care, did you<br />

request a companion (e.g. friend/ family<br />

member etc) to join you?<br />

407 Did the health provider allow to have your<br />

companion (e.g. friend / family member /<br />

FCHV) with you during the delivery and/or<br />

afterwards?<br />

Yes, I would have preferred a female<br />

health staff .............................................. 1<br />

No I was comfortable ............................. 2<br />

Yes ......................................................... 1<br />

No ........................................................... 2 408<br />

No .......................................................... A<br />

Yes – during labor ................................. B<br />

Yes – during delivery ............................. C<br />

Yes – after delivery ................................ D<br />

Yes – during treatment .......................... E<br />

408 After how long of the birth of your baby did<br />

you initiate breastfeeding? Within ................ minutes<br />

Don’t know ........................................ 9998<br />

409 Before initiating breastfeeding, did you<br />

give your baby any pre- lacteal feed?<br />

410 Did the provider put chlorhexidine (navi<br />

malam) in the baby's umbilicus?<br />

411 At the time of discharge did the health<br />

staff check/advise the following on<br />

both mother and baby?<br />

Yes ......................................................... 1<br />

No ........................................................... 2<br />

Yes ......................................................... 1<br />

No ........................................................... 2<br />

Don’t know .............................................. 8<br />

Yes No Don’t<br />

know<br />

Mother<br />

1. Check BP ........................... 1 2 8<br />

2. Check pulse ....................... 1 2 8<br />

3. Check temperature ............ 1 2 8<br />

4. Check leg for<br />

tenderness/swelling ............ 1 2 8<br />

5. Inspect perineum for tear,<br />

bleeding, swelling ............... 1 2 8<br />

6. Examine breast for<br />

retracted nipple, cracked<br />

nipple, engorgement ........... 1 2 8<br />

7. Ask she has passed urine<br />

without difficulties ................ 1 2 8<br />

8. Uterine consistency ............ 1 2 8<br />

9. Bleeding .............................. 1 2 8<br />

10. Cord care advise ................. 1 2 8<br />

11. Breastfeeding advise .......... 1 2 8<br />

12. Family Planning advise ....... 1 2 8<br />

13. Post Natal Care (PNC)<br />

check up advise .................. 1 2 8<br />

14, Carried out wound site<br />

examination (e.g. after C<br />

section/episiotomy)…………1 2 8<br />

15. Advised on danger signs<br />

during postpartum period......1 2 8<br />

Baby<br />

16. Check baby temperature<br />

by touching foot and<br />

abdomen .............................1 2 8<br />

17. Check any difficulty in<br />

breathing, grunting, chest<br />

indrawn .............................. 1 2 8<br />

18. Assess newborns general<br />

appearance color,<br />

movement and cry .............. 1 2 8<br />

19. Check umbilical cord for<br />

Appendix C • 411

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