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2.2. If mother alive but not the usual caregiver, specify reasons□ mother working in town □ mother living away □ mother too ill□ mother abandoned baby □ other (specify)…………………………………… |___|2.3. Vital status of the baby□ alive seen by interviewer □ baby reported alive by family□ baby reported alive by health worker □ baby reported dead by family□ baby reported dead by health worker □ vital status unknown |___|3. Usual caregiver demographics3.1. Marital status □ married □ living with partner□ single □ separated□ divorced □ widowed |___|3.2. N° children alive |___|___| pregnancies |___|___| live births |___|___|3.3. Level of education □ none □ primary□ secondary □ post-secondary |___|3.4. Employment □ formally employed □ self-employed□ homemaker □ volunteer□ other (specify) ……………… |___|3.5. Religion □ Apostolic □ Protestant □ Zion□ Muslim □ Roman Catholic□ No religion □ other (specify) ……………… |___|3.6. Number of people living in the household |___|___|4. Infant anthropometrics on day of survey4.1 Date of birth |___|___| / |___|___| / |___|___|___|___4.2 Weight |___|___|___|___| g4.3 Height |___|___|___| cm4.4 Head circumference |___|___|___| cm4.5 Middle Upper Arm Circumference |___|___|___| cm398