Guidelines for conducting the interview s and how to deal with difficult questions and difficult situations

1. Check the measurement instruments before the interview 2. 3. 4. 5. 6. 7. 8. 9. Decide who is going(1) to interview/measure and who is going (2) to document Explain the reason for conducting the survey, create a supportive environment Make sure that the household is as complete as possible Select a place with as straight wall and plain ground for measurements Avoid suggestive questions! Use what, why, how many, can you tell me.. Use festival calendar for defining birth-dates Recall the nutritionist advise for counseling whenever critical situations rise Document only facts (Names, numbers, y/n etc.)

10. Dont accuse/judge respondents 11. Dont promise anything you might not be able to deliver 12. Dont forget to thank for the interview 13. Insert the data as soon as possible into the computer! Further suggestions: 1. Please make a local events calendar with details of major festivals for past 5 years ( Jan 2007 Feb 2012). If having difficulty getting exact age of adults, get approximate age. It is not too important. 2. It is absolutely very important to get age of child below 5 years in months. Do not put in years. The age must be as accurate as possible. Check immunization card for date of BCG. That will give you an idea of month of birth at least. 3. For pregnant women and mothers of infants, ask about age at marriage and try to calculate current age. 4. For pregnant women, the option for other services received cannot mark delivery assistance (option 1) not yet delivered. The question is related to current pregnancy. 5. For mothers of infants, the option for other services received option 1 includes any trained person doctor, nurse, trained dai). If delivery conducted at home, ask if done by trained person. If not sure, do not select this option. 6. Check both PDS card and job card if available to cross check information.

7. Visit anganwadi before leaving village to cross check date of birth of children below 5 years if not sure. Nutritionist advise for PREGNANT WOMEN GENERAL ADVICE TO ALL PREGNANT WOMEN MET DURING SURVEY 1. Visit your ANM/ doctor once a month get weight and BP checked at all visits. 2. Take your medicines regularly: a. 2 TT/ Booster TT injection b. One Albendazole 400 m g tablet after 4th month of pregnant ( deworming tablet) c. Iron and Folic acid ( IFA 100 mg) 100 if not anemic; 200 if anemic 3. Eat extra pulses ( dhal, beans, nuts) green leafy vegetables and drink milk and extra water 4. Have small amounts of food at a time; eat 4- 5 times a day 5. Only let a trained person conduct your delivery in an institution preferably. 6. Start breastfeeding your baby within one hour after delivery. Give only breast milk for first six months nothing else. High risk signs Ask for complaints of: a) Giddiness, severe headache, fits b) Bleeding or discharge per vagina c) Breathlessness; feeling weak Check for a) b) c) d) e) Age less than 18 years Weight less than 45 kgs Height less than 1.52 metres Swollen feet Looking very pale

WHAT TO DO a) Fill referral slip and send to PHC medical officer b) Give name to the ANM and request to follow up urgently.

CHILDREN BELOW 5 YEARS If you see any of these signs 1. 2. 3. 4. MUAC measurement less than 11.5 cm ( in red colour zone) Child has fever, cough, diarrhea, dysentery Child has swelling in both feet Child has skin infection

ACTION Refer the child to the PHC medical officer.

GENERAL ADVICE POINTS for CHILD NUTRITION

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

All babies should be breastfed immediately after birth till the age of 6 months No other foods or milk should be given for the first 6 months of life After 6 months, start simple porridge with local cereals. Add a new food once a week. Use safe drinking water at all times Children must wash hands before and after meals. Give children pulses, green leafy vegetables daily. A child needs to eat 4-5 times a day. If available, give milk daily. Get weight checked every month. Send the child to the anganwadi regularly. If unable to go, get the take home ration.