QUESTIONNARE

This Study is designed to study the Awareness and practice of mothers regarding children feeding less than five years. (ALL INFORMATION WILL BE KEPT CONFIDENTIONIAL). Background information:

1-Age of the mother: less than 1. 20yr 4. 30-34 5. 35+ 2 -Level of education: Primary Post graduate other 3-Occupation: Housewife Freelancers Other

2. 20-24yr Secondary

3. 25-29yr Graduate

Employee

Labor

4-Level of education of father: Primary Graduate Post graduate other 5-Occupation of father: Employee Other 6-Family income: less than 400 Labor

Secondary Freelancers

500-1000

1000+

7-No of your children (parity): . 8 -Gender: Male Female

9-Age of your child (in month( : 10- Arrangement of the child in the family (between his/ her siblings). .

Knowledge of mother regarding children feeding: 11-What should be the first food for a newborn? Breast milk Milk formula water 12-When should you start breast feeding? Immediately after delivery after few hr next day of delivery No sugar water

13-Do you hear about exclusive breast feeding? Yes 14- If yes what is it? (Answer) Right Wrong

15-Frequency of breast feeding: 3-5 16-Duration of breast feeding: 5min 5-8 5-10 8+times 10 min

17- When should you start complementary feeding? Less than 4month 4 month 6 month 6month

18-What foods are to be given to child? Liquids only food semi solid food house hold (traditional)

19-Name some semi fluid food that can be started to infant: 20-At what age can introduce extra (breast) milk to child? 4 month 4month 6month 6month 21-During child illness feeding should be: discontinued less than normal continued normal 22-Do you think caffeine& soft water safe for children: Yes 23-Did you know some food can cause allergy in children? Yes No
2

1yr give much No

Practices of mother regarding children feeding: 24-When did you start breast feeding? Immediately after delivery after few hr next day of delivery

25 -What is the first food was given to newborn? Breast milk Milk formula water Sugar water 26- When do you start complementary feeding? Less than 4month 4 month 6 month 6month

27- What type of milk gives to child? Cow goat milk formula 1 yr gradually No 2yr breast milk only 2+yr not

28-Age of weaning: 1yr weaned yet 29 - If it is suddenly

30-Usually prepare especial kind of food for the child: Yes 31-Frequency of main meals + (snack): 3 times 3-5 6 times 32-Meal time: with family especial regular time other young children

33-usually child eats with: family alone

34-Types and contents of food per meal: If at least one of food group has been given in the last 24 hr circle Y if no circle N if the respondents doesnt know, circle DK

a b c d e f g h i j k l m n

Bread, rice, noodles,,,or other food made from grains White potatoes, any other foods made from roots Pumpican,carrote,sweet potatoes that are yellow or orange inside Any foods made from beans ,, , Any dark green leafy vegetables Cooked vegetables , , Any other fruits or vegetables Liver, kidney heart, or other organ meat Any meat such as beef, goat,chiken Fresh or dried fish, or sea food Eggs Cheese, yogurt or other milk product Any sugary foods such as chocolates,sweets,candies,biscuits Any oil, fats, or foods made with any of these.

Last 24 hrs Y N DK Y Y Y Y Y Y Y Y Y Y Y Y N N N N N N N N N N N N DK DK DK DK DK DK DK DK DK DK DK DK

-Before prepare food / food safety 35-Wash hands before preparation of food: Always Usually often sometimes never No often

36-usually wash fruits and vegetables before use: Yes 37-wash hand after using toilet: always 38-Did you use dietary supplement: Multivitamins growth formula others Non usually

39-some food should be avoided given to child: put in front of this food Coffee/tea soft drinks fast food
4

others

Non

40- For infant feeding you are use: put in front of used way Bottle cup spoon finger feeding stop feeding non

41-During diarrhea: give homemade fluid give food as usual 42-vaccination: fully vaccinated partially

43-Name some under nutritional problems: 44-Frequency of regular follow up growth monitoring: Regular Not regular Non

45-Common nutritional problems facing you: . . 46-Duration of hospital admission: 47-History of similar condition: Yes No

?48-Did you have other child suffer from nutritional problem Yes No

Thank you for taking the time to complete this survey