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Annexe 4. Questionnaire de l’enquête sur les services d’éducation et de suivi en matièrede nutrition infantile.Interview N° |___|___|___|Date|___|___| / |___|___| / |___|___|___|___|Clinic ………………………… |___|Informant □ DHE □ sister in charge □ health staff |___|1. Socio-demographics1.1. Age |___|___|1.2. Sex □ female □ male |___|1.3. Marital status □ married □ living with partner □ single□ separated □ divorced □ widowed |___|1.4. Number of children: alive |___|___| total |___|___|1.5. Level of education□ none □ primary □ secondary □ post-secondary |___|2. Definition of infant feeding education and support services2.1 What do you think constitutes infant feeding education and support? (Show responses tointerviewee, instruct him/her to choose and prioritise by importance from 1 to 4- group education |___| - training |___|- medical consultation |___| - psychological support |___|- home visits |___| - food support |___|- community education |___| - referral to community groups |___|- counselling |___| - other (specify)………………………... |___|2.2. What do you think is the purpose of infant feeding education and support services? (Showresponses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4- provide new information to mothers |___|- provide new information to families |___|- enable women to make their own informed decisions |___|- build up the skills of mothers |___|- improve infant feeding practices at community level |___|- ensure cultural approach to infant feeding |___|- provide IEC material |___|- build-up community support |___|- provide food |___|- other (specify) ……………………..……………. |___|2.3. What issues do you think infant feeding education and support address in priority? (Showresponses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4- breastfeeding position |___| - duration of breastfeeding |___|- exclusive breastfeeding |___| - mixed feeding |___|- cessation of breastfeeding |___| - weaning foods |___|- breast health |___| - baby oral health |___|- mother’s worries |___| - enabling family environment |___|- safer breastfeeding |___| - other (specify)……………….……………… |___|410