Concurrent Evaluation of The Reach and Effectiveness of Second Phase of The NRHM BCC Campaign - Que For Fathe in Law-547

Concurrent Evaluation of the
Reach and Effectiveness Of

Second Phase of the National
Rural Health Mission BCC
Campaign
Questionnaire for Fathers/mothers In Law
“This report is made possible through USAID/India Task Order # GHS-I-01-07-00016-00”

Fathers/Mothers In Law Questionnaire
CONCURRENT EVALUATION OF THE REACH AND EFFECTIVENESS OF SECOND PHASE OF THE NATIONAL RURAL HEALTH
MISSION BCC CAMPAIGN
QUESTIONNAIRE FOR FATHERS/MOTHERS IN LAW
INTRODUCTION
“My name is … I am working with ORG Centre for Social Research, a pionoring research organization specialized in conducting surveys among different
population groups. We are conducting a study for assessing the reach and effectiveness of theNational Rural Health Mission (NRHM) behaviour change
communication (BCC) campaign in collaboration with Population Foundation of India (PFI), New Delhi , a national level organization providing
technical assistance for various health programmes in the country .
In this regard, I would like to discuss with you for about 30 minutes. We will maintain the confidentiality of the information you would provide and use the
information for the purpose of research and give feedback on the communication campaign conducted during last one month.This feedback is expected to
provide an opportunity to improve the communication strategy.
Identification Details Code

Questionnaire Serial No
Type of State. High Focus State

1
Other State 2
Name of the state High Focus Others
Uttar Pradesh 01 West Bengal 07
Orissa 02 Karnataka 08
Chhattisgarh 03 Maharashtra 09
Madhya Pradesh 04 Tamil Nadu 10
Mizoram 05 Haryana 11
Bihar 06
Name of the District
Bareilly 01 North Twenty Four Parganas 10
Meerut 02 Murshidabad 11
Barabanki 03 Belgaum 12
Mirzapur 04 Tumkur 13
Sundargarh 05 Kolhapur 14
Madhepura 06 Gondiya 15
Rajnandgaon 07 Salem 16
Narsimhapur 08 Kanniyakumari 17
Mamit 09 Faridabad 18
Type of Settlement /PSU Rural 1 Urban 2
Name of the Tehsil
(For Rural PSU)
Name of the City/Town
(For Urban PSU)
Name of the Village/Ward
HH Number (PSU wise code-1-10)
Name of the respondent
Respondent Category Father In law 1

Mother In law 2
Full address (With Landmark)
________________________________________________
________________________________________________
Interview Details
Result of the Interview
Completed ………………………….…………………….….1 Interview Date
Respondent unavailable ……………………………………..2 Day Month Year
Partially Completed …………...................… …….. …. 3
Refused ….……………………………………..………….… 4
Other (Specify) ………………………… ….…… .…… 5
Interviewed by Backchecked by Scrutinised by Entered by
_____________ _____________ _______________ _________________
Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 1
SECTION 1: BACKGROUND CHARACTERISTICS AND EXPOSURE TO TV AND RADIO

No. Questions and Filters Coding Categories Code Skip to
Q 101 How old are you?
Age (completed years)
Q 102 Educational Status? Illiterate 1
Literate without schooling 2
Primary 3
Middle 4
Secondary 5
Higher Secondary 6
Graduate and above 7
Other (Specify)________ 8
Q 103 What is the age of your youngest living child? < 6 Months 1
6-12 Months 2
12-23 Months 3
24-59 Months 4
60+ months 5
Q 104 How many daughters in law do you have in the following age
groups? 15-19 years
20-24 years
25-29 years
Total
Q 105 What is your religion? Hindu 1
Sikh 2
Christian 3
Muslim 4
Other (Specify) _______ 7
Q 106 Which social category do you belong to? SC 1
ST 2
General 3
OBC 4
Q 107 How frequently do you watch TV? Everyday 1
At least three times a week 2
Once or twice in a week 3
Once a fortnight 4
Once a month 5
Occasionally 6
CS/ No response 7
No exposure 8
Q 108 What channels do you usually watch/view most of the times?
(DO NOT PROMPT)
INS: MULTIPLE RESPONSE POSSIBLE
USE THE CODE LIST PROVIDED
Q 109 When do you usually watch television? Before 9 am A

9 am to 12 pm B
INS: MULTIPLE RESPONSE POSSIBLE 12 – 3 pm C
3 – 6 pm D
6 -9 pm E
After 9 pm F
Not fixed slot G
Q 110 What programs do you watch on these channels most of the Films A
time? News B
Reality Show C
INS: MULTIPLE RESPONSE POSSIBLE Serials D
Educational Programs E
Songs F
Talk shows G
Live Shows H
Sports I
Choupal (prog. for farmers) J
Other (Specify)___________ K
Q 111 How frequently are you listening to radio (including FM/Radio Everyday 1
in mobile phone)? At least three times a week 2
Once or twice in a week 3
Once a fortnight 4
Once a month 5
Occasionally 6
No exposure 7
CS/ No response 8
Q 112 What channel do you usually listen? All India Radio 1
FM General 2
FM Gold (106.4) 3
Radio Mirchi 4
Radio City 5
91 MH 6
INS: MULTIPLE RESPONSE POSSIBLE 93.8 7
98.3 8
104 9
Other (Specify) 10
Q 113 When do you usually listen to radio? Before 9 am A
9 am to 12 pm B
INS: MULTIPLE RESPONSE POSSIBLE 12 – 3 pm C
3 – 6 pm D
6 -9 pm E
After 9 pm F
Not fixed slot G
Q 114 What programs do you usually listen on the radio channels? News A
Educational Programs B
INS: MULTIPLE RESPONSE POSSIBLE Songs C
Talk shows D
Celebrity Shows E
Sports F
Other (Specify)___________ G
SECTION II: EXPOSURE TO TV CAMPAIGN

No. Questions and Filters Whether seen in last
Whether seen during the period starting from
Christmas to Republic day (27th December 2008 to
six months?
26th January 2009)
Any Ad Any NRHM Ad
Q 201 Have you seen any Ad on television on any health issues? Yes 1 No 2 Yes 1 No 2
Q 202 Have you seen any Ad on television on antenatal Spontaneous 1
care/institutional delivery/JSY? On Prompting 2
Yes 1 No 2 Yes 1 No 2
Aided 3
No 4
Q 203 Have you seen any Ad on television on new born care? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 204 Have you seen any Ad on television on immunisation? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 205 Have you seen any Ad on television on ntrition and breast Spontaneous 1
feeding? On Prompting 2
Aided 3
No 4
Q 206 Have you seen any Ad on television on family planning/birth Spontaneous 1
spacing/small family? On Prompting 2
Aided 3
No 4
Q 207 Have you seen any Ad on television on age of marriage? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 208 Have you seen any Ad on television on ASHA? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 209 Have you seen any Ad on television on health services at Spontaneous 1
Government hospitals? On Prompting 2
Aided 3
No 4
INS: CHECK ALL QUESTIONS FROM 201 TO 209 CODED 1 OR 2 OR 3 IN ANY QUESTION 1  Q 210
CODED 4 IN ALL QUESTIONS 2  SEC. III
Q 210 Which ad have you seen during the period starting Juhi Chawla-Antenatal care/Institutional delivery 01
from Christmas to Republic day (27th December
Juhi Chawala- immunisation 02
2008 to 26th January 2009)?
Juhi Chawala- family planning/small family 03
(DO NOT PROMPT - CIRCLE ALL
Supriya-Sachin - Antenatal care / Institutional Delivery 04
SPONTANEOUSLY MENTIONED
RESPONSES) Supriya-Sachin - Family planning/small family 05
Mona Singh (Jassi)- Immunisation 06
INS: MULITIPLE REPOSNE POSSIBLE Crystall Ball- Antenatal care /Institutional Delivery /JSY 07
Four Birds- JSY/ Antenatal care 08
Radhe Shyam’s Motror Cycle- New born care 09
Train- Family planning/oral pills 10
Breast feeding/child nutrition 11
Holi/Colourful moments-Family planning/IUD /Cu.T 12
Mehendi Occasion-Family planning/small family 13
Pragati on Medical Tour - NRHM /Health Services 14
Ek Savera , Ek Aakash- NRHM /Health Services 15
Black and White Ad- Age of marriage 16
Other 1(Specify)______________________________ 17
Other 2(Specify)______________________________ 18
Other 3(Specify)______________________________ 19
SECTION III: DETAILS OF EXPOSURE TO NRHM TV CAMPAIGN

The ministry of Health & Family Welfare (MOHFW), Government of India (GoI) has implemented the 2nd phase of Behavior Change Communication
(BCC) program as part of the National Rural Health Mission (NRHM) during the period 27th December 2008 to January 26, 2009. As a part of the NRHM
communication campaign a number of TV advertisements on issues relating to ANC, institutional delivery, JSY , immunization, breast feeding and child
nutrition , family planning, birth spacing and the role of ASHA have been aired in various TV channels. We would like to know whether you have watched
any of the NRHM TV advertisements aired during the period 27th December 2008 to January 26, 2009to as well as your feedback on the TV advertisements.
ANC AD. NO. 1 CRYSTAL BALL

Q 301 Have you seen any NRHM ad on Antenatal Care/Institutional Spontaneous Response 1
Delivery /JSY shown using a Crystall Ball during the period Prompted Response 2
starting from Christmas to Republic day (27th December 2008 to Aided response 3
26th January 2009)? No 4  Q 313
Q 302 How many times have you watched this ad during this period ? Once 1
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 303 What all you could understand from this Ad?
Q 304 Can you tell us what message was given in the ad? Spontaneous On No Were you aware
Prompting about it before
watching the Ad?
Safety of both mother and child is in the hands of both husband 1 2 3 Yes 1 No 2
and wife
Checkup in health centre 1 2 3 Yes 1 No 2
Iron tablet for 100 days 1 2 3 Yes 1 No 2
Prepare Jachcha bachcha (Mother and Child) Card 1 2 3 Yes 1 No 2
Administer 2 doses of TT injection 1 2 3 Yes 1 No 2
Deliver the child at hospital only 1 2 3 Yes 1 No 2
Feed additional diet/food 1 2 3 Yes 1 No 2
Every body remember that ASHA knows everything 1 2 3 Yes 1 No 2
Visit health centre, Register in JSY and get both safe familly and 1 2 3 Yes 1 No 2
financial benefits
Q 305 Did you find anything difficult to understand in the ad? Yes 1
No 2  Q 307
Q 306 What did you find difficult in the Ad.? Language 1
Wordings 2
INS: MULITIPLE RESPONSE POSSIBLE Message too fast 3
Too many messages 4
Other (Specify)____________ 5
Q 307 Do you feel that you have learnt some new things due to this ad? Yes 1
No 2
Q 308 Did you discuss the messages in this Ad with anyone? Yes 1
No 2  Q 310
Q 309 With whom did you discuss the messages? Spouse 01
Daughter-in-law 02
Son 03
Daughter 04
Other family members/relatives 05
Friends / Neighbours 06
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
Q 310 Have you taken any action or initiative to encourage daughter in
No response
law/other family members on the following issues after seeing Yes No
this ads ?
I Administering 2 TT shots during pregnancy 1 2 3
II Taking 100 IFA tablets during pregnancy 1 2 3
III Consulting a doctor/health center during pregnancy 1 2 3
IV Helping a women during pregnancy 1 2 3
V Ensuring rest during pregnancy 1 2 3
VI Consuming additional food during pregnancy 1 2 3
Q 311 Do you intend to take any action or initiative to encourage
No response
daughter in law/other family members on the following issues Yes No
after seeing this ads ?
II Taking 100 IFA tablets during pregnancy 1 2 3
III Consulting a doctor/health center during pregnancy 1 2 3
VI Consuming additional food during pregnancy 1 2 3
Q 312 Have you tried to / intend to gather more information on the issues Yes 1
covered in this Ad? No 2
ANC – AD NO. 2 – SACHIN & SUPRIYA

Q 313 Have you seen any NRHM ad on Antenatal Care/ Institutional Spontaneous Response 1
Delivery featuring Supriya-Sachin during the period starting Prompted Response 2
from Christmas to Republic day (27th December 2008 to 26th Aided response 3
January 2009)? No 4  Q 325
Twice 2
Thrice 3
Four time 4
Five or more time 5
watching the Ad?
Pregnant women should take rest 1 2 3 Yes 1 No 2
Pregnant women should take iron tablets 1 2 3 Yes 1 No 2
Pregnant women should be administered TT injection 1 2 3 Yes 1 No 2
Pregnant women should be checkup by doctor 1 2 3 Yes 1 No 2
If every husband take care of his wife by taking her to right doctor 1 2 3 Yes 1 No 2
for checkup and provide all love to her wife before delivery, then
every mother and her child will be healthy
Healthy Nation/Bharat begins with healthy family …from you 1 2 3 Yes 1 No 2
No 2  Q 319
Wordings 2
Too many messages 4
No 2
No 2  Q 322
Daughter-in-law 02
Son 03
Daughter 04

ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
Q 322 Have you taken any action or initiative to encourage daughter in No
law/other family members on the following issues after seeing Yes No response
this ads ?
I Administering TT during pregnancy 1 2 3
II Taking IFA tablets during pregnancy 1 2 3
III Consulting a doctor during pregnancy 1 2 3
Q 323 Do you intend to take any action or initiative to encourage No
daughter in law/other family members on the following issues Yes No response
II Taking IFA tablets during pregnancy 1 2 3
III Consulting a doctor during pregnancy 1 2 3
ANC – AD NO. 3 JUHI CHAWLA

Q 325 Have you seen any NRHM ad on Antenatal Care/Institutional Spontaneous Response 1
Delivery featuring Juhi Chawla during the period starting from Prompted Response 2
Christmas to Republic day (27th December 2008 to 26th January Aided response 3
2009) ? No 4  Q 337
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 328 Can you tell us what messages were given in the ad? Spontaneous On Prompting No Were you aware
about it before
watching the Ad?
Take care of woman during pregnancy and keep her happy 1 2 3 Yes 1 No 2
Keep in mind that she should take proper food and rest 1 2 3 Yes 1 No 2
Checkup from a doctor atleast three times 1 2 3 Yes 1 No 2
In every checkup the blood pressure should measure normal/OK 1 2 3 Yes 1 No 2
In every checkup the weight should measure normal/OK 1 2 3 Yes 1 No 2
In every ckeckup the iron measure in the blood should be OK 1 2 3 Yes 1 No 2
Delivery should take place in a hospital or under the supervision 1 2 3 Yes 1 No 2
of a doctor
Health of mother is health of family 1 2 3 Yes 1 No 2
Healthy Nation/Bharat begins with healthy family ……from you 1 2 3 Yes 1 No 2
No 2  Q 331
Wordings 2
Too many messages 4
No 2
No 2  Q 334
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
this ads ?
I ANC check ups during pregnancy 1 2 3
II Measuring of BP/ weights / Hb. level during ANC 1 2 3

III Taking good food during pregnancy 1 2 3
IV Taking rest during pregnancy 1 2 3
V Preferring delivery at hospital 1 2 3
I ANC check ups during pregnancy 1 2 3
II Measuring of BP/ weights / Hb. level during ANC 1 2 3
III Taking good food during pregnancy 1 2 3
IV Taking rest during pregnancy 1 2 3
V Preferring delivery at hospital 1 2 3
JSY – AD. NO. 4 ANIMATION – 4 BIRDS/ JAGMAG

Q 337 Have you seen any NRHM ad on JSY/ANC of mothers Spontaneous Response 1
featuring Four Birds during the period starting from Christmas Prompted Response 2
to Republic day (27th December 2008 to 26th January 2009)? Aided response 3
No 4  Q 350
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 340 Can you tell us what message was given in the ad? Spontaneous On No Were you aware about it
Prompting before watching the Ad?
Keep in mind that all care is taken till the time of delivery 1 2 3 Yes 1 No 2
It is necessary to give TT and tablets at right time 1 2 3 Yes 1 No 2
All listen to advice of ANM and ASHA 1 2 3 Yes 1 No 2
Delivering at hospital is the right decision 1 2 3 Yes 1 No 2
You also get attention of doctor, services and medicines at 1 2 3 Yes 1 No 2
hospitals
Go go go and find out the hospital near to your house 1 2 3 Yes 1 No 2
In order to reach there keep the means of transport ready day and 1 2 3 Yes 1 No 2
night
Safety of mother and child is in the hands of family 1 2 3 Yes 1 No 2
No 2  Q 343
Wordings 2
Too many messages 4
No 2
No 2  Q 346
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
No response
this ads ?
II Immunising the child 1 2 3
III Consulting ASHA/ANM for immunisation 1 2 3
IV Delivering the child in hospital 1 2 3
V Arranging transport for delivery in advance 1 2 3
No response
II Immunising the child 1 2 3
III Consulting ASHA/ANM for immunisation 1 2 3

IV Delivering the child in hospital 1 2 3
V Arranging transport for delivery in advance 1 2 3
Q 349 To what extent do you agree with the following statements? Agree to a greater Agree to some Disagree Can’t Say
extent extent
A Registration of pregnancy should be done as soon as pregnancy is 1 2 3 4
identified
B It is necessary to go for physical examination once the pregnancy 1 2 3 4
is identified
C A pregnant women must get 3 ANC Check Ups 1 2 3 4
D A pregnant women must consume 100 IFA tablets 1 2 3 4
E A pregnant women should be given 2 shots of TT 1 2 3 4
F Delivery should be planned in the hospitals 1 2 3 4
G Pregnant women should take good food and rest during pregnancy 1 2 3 4
H Only a healthy women can deliver a healthy child 1 2 3 4
I Women shoul take benefits of JSY scheme 1 2 3 4
J You feel confident to initiate discussions with any one about 1 2 3 4
ANC/Institutional delivery/JSY
K You can convince anyone on importance of ANC/Institutional 1 2 3 4
delivery/JSY
NEW BORN CARE – AD. NO. 5 RADHE SHYAM KI MOTORCYCLE

Q 350 Have you seen any NRHM ad on new born care on Radhe Spontaneous Response 1
Shyam’s Motror Cycle during the period starting from Christmas Prompted Response 2
No 4  Q 363
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 353 Can you tell us what message was given in the ad? Spontaneous On Prompting No Were you aware about it
before watching the Ad?
Keep new born with the mother 1 2 3 Yes 1 No 2

Initiate breastfeeding immediately after birth 1 2 3 Yes 1 No 2
Save the newborn from getting cold 1 2 3 Yes 1 No 2
Do not bath the child till 24 hours of birth 1 2 3 Yes 1 No 2
Take special care if the baby’s weight is less than 2 kg at the time 1 2 3 Yes 1 No 2
of birth– Such baby should be given bath only after the umbilical
cord waves off
Listen to advices of ASHA and ANM 1 2 3 Yes 1 No 2
No 2  Q 356
Wordings 2
Too many messages 4
No 2
No 2  Q 359
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
No response
this ads ?
I Keeping new born child with mother 1 2 3
II Initiating breast feeding immediately after birth 1 2 3
III Protectecting the child from cold 1 2 3

IV Taking birth wight of the child 1 2 3
V Consulting ASHA for new born care 1 2 3
No response
I Keeping new born child with mother 1 2 3
II Initiating breast feeding immediately after birth 1 2 3
III Protectecting the child from cold 1 2 3
IV Taking birth weight of the child 1 2 3
V Consulting ASHA for new born care 1 2 3
Q 362 To what extent do you agree with the following statement on new Agree to a Agree to some Disagree Can’t Say
born care greater extent
extent
A The new born child should be kept with the mother 1 2 3 4
B Breast feeding of the new born child should be initiated 1 2 3 4
immediately after birth
C The new born child should be protected from cold 1 2 3 4
D Bathing of the new born child should be avoided in first 24 hours 1 2 3 4
E Special care should be taken for the new born child having weight 1 2 3 4
less than 2 Kgs
F ASHA should be consulted for care of the new born child 1 2 3 4
FAMILY PLANNING/SMALL FAMILY AD. NO. 6 -MEHENDI OCCASION

Q 363 Have you seen any NRHM ad on family planning/small family Spontaneous Response 1
shown in Mehendi Occasion during the period starting from Prompted Response 2
2009)? No 4  Q 375
Twice 2
Thrice 3
Four time 4
Five or more time 5
watching the Ad?
We are happy as life’s every decision is taken jointly (by husband 1 2 3 Yes 1 No 2
and wife) like when to have child, spacing between children
Both of you meet ASHA in your village , She will arrange to 1 2 3 Yes 1 No 2
provide you complete information on family planning methods
from nearby health centre
Birth at right time and right interval give mother and the child 1 2 3 Yes 1 No 2
good/complete health
Because , Healthy Nation/Bharat begins with healthy family 1 2 3 Yes 1 No 2
…from you
No 2  Q 369
Wordings 2
Too many messages 4
No 2
No 2  Q 372
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
Q 372 Have you taken any action or initiative to encourage daughter in No response
Yes No
law/other family members on the following issues after seeing

this ads ?
I Interact with ASHA regarding family planning 1 2 3
II Maintain spacing between births 1 2 3
No response
I Interact with ASHA regarding family planning 1 2 3
II Maintain spacing between births 1 2 3
FAMILY PLANNING/IUD/CU.T AD. NO. - 7 HOLI / COLOURFUL MOMENTS

Q 375 Have you seen any NRHM ad on family planning/IUD/Cu.T Spontaneous Response 1
shown in Holi/Colourful moments during the period starting Prompted Response 2
January 2009)? No 4  Q 387
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 378 Can you tell us what message was given in the ad? Spontaneous On Prompting No Were you aware
about it before
watching the Ad?
There is no tension in the sweet momentsof life because new 1 2 3 Yes 1 No 2
Cu.T’s safety is always with me
In case you want to become a mother for second time it can be 1 2 3 Yes 1 No 2
easily removed also
With this new Cu.T there is no tension 1 2 3 Yes 1 No 2
Get more information from ANM of nearby health centre 1 2 3 Yes 1 No 2
Accept Cu.T from local trained health worker at the right time 1 2 3 Yes 1 No 2
This is the time of new and safe Cu.T 1 2 3 Yes 1 No 2
…from you
No 2  Q 381
Wordings 2
Too many messages 4
No 2
No 2  Q 384
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others 09
(Specify)________________________
No response
this ads ?
I Using Cu.T 1 2 3
II Visiting nearest health center/Consulting ANM for Cu.T 1 2 3
No response
I Using of Cu.T 1 2 3
II Visiting nearest health center/Consulting ANM for Cu.T 1 2 3
FAMILY PLANNING/ORAL PILLS AD. NO. - 8 TRAIN

Q 387 Have you seen any NRHM ad on family planning/oral pills Spontaneous Response 1
shown on train during the period starting from Christmas to Prompted Response 2
Republic day (27th December 2008 to 26th January 2009)? Aided response 3
No 4  Q 399
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
This is new generation contraceptive bill …Fully safe 1 2 3 Yes 1 No 2
Take one contraceptibe pill daily, If you forget take 2 pills the 1 2 3 Yes 1 No 2
next day
Around 8 coror women in the world use contraceptive pills you 1 2 3 Yes 1 No 2
also use it
No 2  Q 393
Wordings 2
Too many messages 4
No 2
No 2  Q 396
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
this ads ?
I using of oral pills 1 2 3
II Aquiring more information on oral pills 1 2 3
I using of oral pills 1 2 3
II Aquiring more information on oral pills 1 2 3
FAMILY PLANNING – AD. NO. 9 – SACHIN SUPRIYA

featuring Sachin-Supriya during the period starting from Prompted Response 2
2009)? No 4  Q 3012
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
Family should be small for which you can give right education , 1 2 3 Yes 1 No 2
better life and maintain health of children
If the family is small and there is spacing between birth of 1 2 3 Yes 1 No 2
children then both mother and child will remain healthy

Today ther are also many choices like condom, Cu.T, pill 1 2 3 Yes 1 No 2
Select any one of the method on the basis of advice of doctor or 1 2 3 Yes 1 No 2
health worker
…from you
No 2  Q 3006
Wordings 2
Too many messages 4
No 2
No 2  Q 3009
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others 09
(Specify)____________________
No response
this ads ?
I Adopting small family 1 2 3
II Ensuring proper spacing between births 1 2 3
III Accepting some family planning method 1 2 3
IV Consulting doctor/health center for family planning methods 1 2 3
No response
IV Consulting doctor/health center for family planning methods 1 2 3
FAMILY PLANNING AD NO.- 10 JUHI CHAWLA

featuring Juhi Chawla during the period starting from Christmas Prompted Response 2
No 4  Q 3025
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 3015 Can you tell us what message was given in the ad? Spontaneous On No Were you aware about it before
Prompting watching the Ad?
Daughter or son good care of children is taken in small family 1 2 3 Yes 1 No 2

By spacing the birth of children for two to three years mother’s 1 2 3 Yes 1 No 2
health is maintained
Frequent births badly affects the health of the mother 1 2 3 Yes 1 No 2
If children are born at close birth intervals , they remain weak 1 2 3 Yes 1 No 2
from the time of birth onwards
At your convenience and doctor’s advice select any one of the 1 2 3 Yes 1 No 2
family planning methods
For permanent protection operation is the easy and reliable 1 2 3 Yes 1 No 2
method
Government has made available all the facilities at your nearyby 1 2 3 Yes 1 No 2
health centre … now what is the delay for

Healthy Nation/Bharat begins with healthy family …from you 1 2 3 Yes 1 No 2
No 2  Q 3018
Wordings 2
Too many messages 4
No 2
No 2  Q 3021
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)___________________ 09
No response
this ads ?
No response
Q 3024 To what extent do you agree with the following statements? Agree to a Agree to some Disagree Can’t
greater extent Say
extent
A The decisions on when to have child and spacing between 1 2 3 4
children should be jointly taken by husband and wife
B Small family is a happy family 1 2 3 4
C There should be 2-3 years spacing between the birth of two 1 2 3 4
children
D 2-3 years spacing between the birth of two children is good for 1 2 3 4
the health of the mother and children
E There is no tension in accepting new Cu.T as it is easy to insert 1 2 3 4
and safe
F The oral pills offered now are very safe 1 2 3 4
G If one forgets to take oral pills on a particular day she cab take it 1 2 3 4
next day
H Family planning operations are reliable permanent family 1 2 3 4
planning methods
I ASHA should be contacted for getting information on various 1 2 3 4
J All family planning services are available in nearby health 1 2 3 4
facilities
K You feel confident to initiate discussions with any one about 1 2 3 4
advantages of small family
L You feel confident to initiate discussions with any one about 1 2 3 4
advantages of spacing of children
M You feel confident to initiate discussions with any one about 1 2 3 4
NRHM SERVICES/HEALTH SERVICES AD NO. 11 -PRAGATI ON MEDICAL TOUR

Q 3025 Have you seen any ad on NRHM services/Health Services Spontaneous Response 1
shown on Pragati on Medical Tour during the period starting Prompted Response 2
th th
from Christmas to Republic day (27 December 2008 to 26 Aided response 3
January 2009)? No 4 Q
3037
Q 3026 How many times have you watched this ad during this period? Once 1
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
Feel proud to see the improvement in health services in such 1 2 3 Yes 1 No 2
small villages
Fast spreading health centers 1 2 3 Yes 1 No 2
Better services, instruments, doctors, nurses 1 2 3 Yes 1 No 2
Care of new born 1 2 3 Yes 1 No 2
Increased utilization of hospitals for delivery 1 2 3 Yes 1 No 2
Increasing OPD services 1 2 3 Yes 1 No 2
Due increased funds, people themselves take decisions to fulfill 1 2 3 Yes 1 No 2
the local needs by forming Rogi Kalyan Samitis and Village
Health and Sanitation committees
No 2  Q 3031
Wordings 2
Too many messages 4
No 2
No 2  Q 3034
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
this ads ?
I Aquiring more knowledge about health services 1 2 3
II Visiting government hospitals 1 2 3
III Interacting with Rogi Kalyan Samiltis 1 2 3
Iv Interacting with Village Health & Sanitation Committees 1 2 3
III Interacting with Rogi Kalyan Samiltis 1 2 3
IV Interacting with Village Health & Sanitation Committees 1 2 3
Q 3036 Have you tried to / intend to gather more information on the Yes 1
issues covered in this Ad? No 2
NRHM SERVICES/HEALTH SERVICES AD. NO. 12 - EK SAVERA , EK AAKASH

Q 3037 Have you seen any ad on NRHM services/Health Services Spontaneous Response 1
shown on Ek Savera , Ek Aakash during the period starting Prompted Response 2
January 2009)? No 4 Q
3050
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
Healthy Nation/Bharat begins with healthy family 1 2 3 Yes 1 No 2
Trained health worker is available in every village 1 2 3 Yes 1 No 2
Every mother get proper antenatal care 1 2 3 Yes 1 No 2
See healthy child in lap of every mother 1 2 3 Yes 1 No 2
Every family get better nutrition 1 2 3 Yes 1 No 2
Let us take the oath that better health services reach every village 1 2 3 Yes 1 No 2
National Rural Health Mission 1 2 3 Yes 1 No 2
No 2  Q 3043
Wordings 2
Too many messages 4
No 2
No 2  Q 3046
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
No response
this ads ?
No response
Q 3049 To what extent do you agree with the following statements? Agree to a Agree to some Disagree Can’t Say
greater extent
extent
A The health services in Government Hospitals has significantly 1 2 3 4
improved in the recent past
B The health services are more accessible now 1 2 3 4
C The health services, instruments,doctors and nurses are better 1 2 3 4
now
D The OPD services in Government hospitals are better now 1 2 3 4
E The new born care services in Government hospitals are better 1 2 3 4
now
F The services in Government hospitals for pregnant women are 1 2 3 4
better now
G You feel confident to initiate discussions with any one about 1 2 3 4
health services in Government hos[itals
IMMUNISATION - AD. NO. 13 JUHI CHAWLA

Q 3050 Have you seen any NRHM ad on child Immunisation featuring Spontaneous Response 1
Juhi Chawla during the period starting from Christmas to Prompted Response 2
Republic day (27th December 2008 to 26th January 2009)? Aided response 3
No 4  Q 3062
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
Come out of home and immunize your child 1 2 3 Yes 1 No 2
In the fist year, vaccination/immunisation for 4 times not 2 or 3 1 2 3 Yes 1 No 2
After iimunization some children might get fever but it protects 1 2 3 Yes 1 No 2
the entire life of the child from dangerous diseases
There is only protection against measeal and that is immunization 1 2 3 Yes 1 No 2
At the age of 9 month it is necessary to administer measles 1 2 3 Yes 1 No 2
vaccine and if it is not administered due to some reason then go
immediately for administering it
Measeals make your child weak and susceptible to diarrhea and 1 2 3 Yes 1 No 2
Pneumonia
Immunization at right time will protect from measles 1 2 3 Yes 1 No 2
For immunization contact ANM or ASHA or AWW 1 2 3 Yes 1 No 2
May god save such mothers from bad eyes 1 2 3 Yes 1 No 2
No 2  Q 3056
Wordings 2
Too many messages 4
No 2
No 2  Q 3059

Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
No response
this ads ?
I Immunising the child 1 2 3
II Consulting ASHA/ANM/AWW for immunisation 1 2 3
No response
I Immunising the child 1 2 3
II Consulting ASHA/ANM/AWW for immunisation 1 2 3
IMMUNISATION AD. NO. 14 MONA SINGH

Q 3062 Have you seen any NRHM ad on TT to mothers and/or child Spontaneous Response 1
Immunisation featuring Mona Singh (Jassi) during the period Prompted Response 2
starting from Christmas to Republic day (27th December 2008 to Aided response 3
26th January 2009)? No 4  Q 3075
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
Now you get free AD injection for each immunization – now 1 2 3 Yes 1 No 2
there is no fear of infection
It is your right to ask for free AD injection for your child 1 2 3 Yes 1 No 2
Free AD injection is totally safe 1 2 3 Yes 1 No 2
Just one injection one time so what to fear of 1 2 3 Yes 1 No 2
On confirmation of pregnancy it is extremely necessary to take 2 1 2 3 Yes 1 No 2

TT injection so that at time of birth both mother and child are safe
This way in next month remember to take second dose of TT 1 2 3 Yes 1 No 2
injection
For TT injection contact ANM, ASHA or AWW 1 2 3 Yes 1 No 2
May god save such mothers from bad eyes 1 2 3 Yes 1 No 2
No 2  Q 3068
Wordings 2
Too many messages 4
No 2
No 2  Q 3071
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
this ads ?
I Useing one injection only one time 1 2 3
II Useing AD injections 1 2 3
III Immunising the child 1 2 3
IV Taking 2 doses of TT during pregnancy 1 2 3
V Consulting ASHA/ANM/AWW for immunisation 1 2 3
I Useing one injection only one time 1 2 3
II Useing AD injections 1 2 3
III Immunising the child 1 2 3
IV Taking 2 doses of TT during pregnancy 1 2 3
V Consulting ASHA/ANM/AWW for immunisation 1 2 3
Q 3074 To what extent do you agree with the following statements? Agree to a Agree to Disagree Can’t Say
greater some
extent extent
A Mothers should not get scared of immunizing the children 1 2 3 4
B One injection should be used only one time 1 2 3 4
C Four injections/shots should be given to the child in first one year 1 2 3 4
D Four injection protects the child life time 1 2 3 4
E Measles should be administered at ninth month of the child 1 2 3 4
F On confirmation of pregnancy mother should immediately go to 1 2 3 4
ASHA for registration and immunisation
G During pregnancy it is essential for mother to take 2 TT injection 1 2 3 4
H You feel confident to initiate discussions with any one about 1 2 3 4
immunisatin of mothers and children
I You can convince anyone on importance of immunization of 1 2 3 4
mothers and children
BREAST FEEDING/CHILD NUTRITION AD. NO. 15 – BADHTE SHISHU KI BADHATI JARURATE/MAA KA DUDH
6 MAHINE TAK
Q 3075 Have you seen any NRHM ad on breast feeding/child nutrition Spontaneous Response 1
during the period starting from Christmas to Republic day (27th Prompted Response 2
th
December 2008 to 26 January 2009)? Aided response 3
No 4  Q 3088
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
watching the Ad?
For better growth of the child feed the child only mothers milk 1 2 3 Yes 1 No 2
for first 6 months , After that along with breastmilk give child
other supplementary food
At the age of 6 months start feeding the child daliya made of rice 1 2 3 Yes 1 No 2
and floor
Feed the child home made Paste/Semi-solid food without spice 1 2 3 Yes 1 No 2
Give the child fruits and vegetables 1 2 3 Yes 1 No 2
Give supplementary food 5-6 times in a day) 1 2 3 Yes 1 No 2
Continue breastfeeding for 2 years 1 2 3 Yes 1 No 2
Fulfill the growing needs of the growing child through adequate 1 2 3 Yes 1 No 2
supplementary food
Immediately after birth, should definitely initiate breastfeeding 1 2 3 Yes 1 No 2
within one hour of birth
Mother first thik yellowish milk meaninig colostrum keeps the 1 2 3 Yes 1 No 2
child away from diseases
Mother fist milk also provide adequate quantities of vitamins and 1 2 3 Yes 1 No 2
proteins
For fist 6 months feed the child mothers milk only, Do not feed 1 2 3 Yes 1 No 2
any thing else other than this
Remember for first 6 months mother milk is best and complete 1 2 3 Yes 1 No 2
nutrition for the child
No 2  Q 3081
Wordings 2
Too many messages 4
No 2
No 2  Q 3084
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)____________________ 09
No response
this ads ?
I Initiatiating breast feeding within one hour of birth 1 2 3
II Feeding cholostrum to the child 1 2 3
III Ensuring exclusive breast feeding for 1st 6 months 1 2 3
IV Initiating supplementary feeding from 6 months onwards 1 2 3
No response
I Initiatiating breast feeding within one hour of birth 1 2 3
II Feeding cholostrum to the child 1 2 3
III Ensuring exclusive breast feeding for 1st 6 months 1 2 3
IV Initiating supplementary feeding from 6 months onwards 1 2 3
Q 3087 To what extent do you agree with the following statements? Agree to a Agree to Disagree Can’t Say
greater some
extent extent
A A child should be given execlusive breast feeding for 6 months 1 2 3 4
B A child should be given supplementary feeding from 6 months 1 2 3 4
onwards
C A mother should initiate breast feeding within one hour of birth 1 2 3 4
of the baby
D The first milk containing cholostrum should be fed to the baby
E You feel confident to initiate discussions with any one about 1 2 3 4
diarrhea / breast feeding
F You can convince anyone on importance of diarrhea / breast 1 2 3 4
feeding
AGE OF MARRIAGE AD. NO. -16 BLACK AND WHITE AD

Q 3088 Have you seen any NRHM ad on age of marriage in Black and Spontaneous Response 1
White Ad during the period starting from Christmas to Republic Prompted Response 2
day (27th December 2008 to 26th January 2009)? Aided response 3
No 4  Q 401
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 3091 Can you tell us what message was given in the ad? Spontaneou On Prompting No Were you aware about
s it before watching the
Ad?
Keep the dreams and health you daughters intact 1 2 3 Yes 1 No 2
Get them married only after the age of 18 years 1 2 3 Yes 1 No 2
National Rural Health Mission…...... Healthy Nation/Bharat 1 2 3 Yes 1 No 2
begins with healthy family …from you
No 2  Q 3094
Wordings 2
Too many messages 4
No 2
No 2  Q 3097
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
this ads ?
I Marriage of girl child after the age of 18 years 1 2 3
II Keeping the health of daughters intact 1 2 3
I Marriage of girl child after the age of 18 years 1 2 3
II Keeping the health of daughters intact 1 2 3
greater extent Say
extent
A For the good health of a girl as well as her children it is very 1 2 3 4
important to marry a girl child after 18
B Physically and mentally a girl becomes ready for marriage after 1 2 3 4
18 years only
Q 3101 Has the NRHM TV campaign, in any way, increased your Yes 1
knowledge about various NRHM/Health services offered at No 2
Government health facilities? Not exposed the NRHM TV campaign 3  SEC. IV
Q 3102 What are the services on which you could aquire more OPD services 01
knowledge through the NRHM TV campaign? Rogi Kalyan Samitis 02
Village Health & Sanitation Commeetees 03
Village health and nutrition days 04
ASHA 05
Ante natal care 06
Institutional delivery 07
JSY 08
Child Immunisation 09
Immunisation of mothers 10
Diarrhoea/Breast feeding 11
New born care 12
Child nutrition 13
Family planning/birth spacing 14
Other (Specify)______________ 15
SECTION IV: EXPOSURE TO RADIO CAMPAIGN

No. Questions and Filters Whether heard in
Whether heard during the period starting from
Christmas to Republic day (27th December 2008 to
last six months?
26th January 2009)
Any Ad Any NRHM Ad
Q 401 Have you heard any Ad on radio on any health issues? Yes 1 No 2 Yes 1 No 2
Q 402 Have you heard any Ad on radio on antenatal Spontaneous 1
care/institutional delivery/JSY? On Prompting 2
Aided 3
No 4
Q 403 Have you heard any Ad on radio on immunization? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 404 Have you heard any Ad on radio on Vitamin -A? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 405 Have you heard any Ad on radio on family planning/birth Spontaneous 1
spacing/small family? On Prompting 2
Aided 3
No 4
Q 406 Have you heard any Ad on radio on ASHA? Spontaneous 1
On Prompting 2
Aided 3
No 4
Q 407 Have you heard any Ad on radio on NRHM/health services at Spontaneous 1
Government hospitals? On Prompting 2
Aided 3
No 4
INS: CHECK ALL QUESTIONS FROM 401 TO 407 CODED 1 OR 2 OR 3 IN ANY QUESTION 1  Q 408
CODED 4 IN ALL QUESTIONS 2  SEC. V
Q 408 Which ad have you heard on radio during the period Conversation of a Women With ASHA 01
starting from Christmas to Republic day (27th
Pragati talking with a saheli/friend 02
December 2008 to 26th January 2009)?
Pragati talking with Papa on Phone 03
(DO NOT PROMPT - CIRCLE ALL
Khushi Journalist 04
SPONTANEOUSLY MENTIONED
RESPONSES) ASHA Jingle/JSY 05
CU. T – Gulabi Chunaria 06
INS: MULITIPLE REPOSNE POSSIBLE Mehendi/Bhabi –Bbirth Spacing 07
Vitamin-A 08
Other 1(Specify)______________________________ 09
Other 2(Specify)______________________________ 10
SECTION V: DETAILS OF EXPOSURE TO NRHM RADIO CAMPAIGN

The ministry of Health & Family Welfare (MOHFW), Government of India (GoI) has implemented the 2nd phase of Behavior Change Communication
(BCC) program as part of the National Rural Health Mission (NRHM) during the period 27th December 2008 to January 26, 2009. As a part of the NRHM
BCC campaign a number of Radio spots on issues relating to ANC, institutional delivery, JSY , immunization, family planning, birth spacing and the role of
ASHA have been aired in various Radio channels. We would like to know whether you have heard any of the NRHM Radio advertisements aired during the
period 27th December 2008 to January 26, 2009 to as well as your feedback on the radio advertisements.
PRAGATI – TALKING TO PAPA - SPOT. NO. 1

Q 501 Have you heard any NRHM ad on Antenatal Care/ Spontaneous Response 1
Institutional Delivery on Pragati on medical tour to a Prompted Response 2
village/talking on phone with her father during the period Aided response 3
starting from Christmas to Republic day (27th December No 4  Q 513
2008 to 26th January 2009) ?
Q 502 How many times have you heard this ad during this period ? Once 1
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 504 Can you tell us what message was given in the ad? Spontaneous On No Were you aware about
Prompting it before hearing the
Ad?
Checkups of pregnant women are done on village health & 1 2 3 Yes 1 No 2
nutrition day
Tetnus injections are given Yes 1 No 2
Iron pills are given 1 2 3 Yes 1 No 2
Nutrition related advice is given 1 2 3 Yes 1 No 2
Children are immunized 1 2 3 Yes 1 No 2
Their (children’s) weight is taken 1 2 3 Yes 1 No 2
Better health services have reached the door step of people of 1 2 3 Yes 1 No 2
villages. Many more people than before are taking benefits
of these services.
National Rural Health Mission – Because , Healthy 1 2 3 Yes 1 No 2
Nation/Bharat begins with healthy family …from you
No 2  Q 507
Wordings 2
Too many messages 4
Q 507 Do you feel that you have learnt some new things due to this Yes 1
ad? No 2
No 2  Q 510
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
Q 510 Have you taken any action or initiative to encourage No
daughter in law/other family members on the following Yes No response
issues after seeing this ads ?
I Paricipating in village health and nutrition days 1 2 3
II Availing services on village health and nutrition days 1 2 3
I Paricipating in village health and nutrition days 1 2 3
II Availing services on village health and nutrition days 1 2 3
CONVERSATION OF A WOMAN WITH ASHA ON ANTENATAL CARE -SPOT NO. 2

Q 513 Have you heard any NRHM ad on Antenatal Care in Spontaneous Response 1
conversation of a Woman with ASHA during the period Prompted Response 2
th
starting from Christmas to Republic day (27 December Aided response 3
2008 to 26th January 2009)? No 4  Q 525
Twice 2
Thrice 3
Four time 4
Five or more time 5
Ad?
What should be done on confirmation of pregnancy? After 1 2 3 Yes 1 No 2
checkup at health centre, jaccha baccha (mother-child) card
should be prepared
Definitely take iron tablets for 100 days 1 2 3 Yes 1 No 2
If the women is pregnant, take care now, then they will 1 2 3 Yes 1 No 2
remain healthy themselves and the child will also be born
healthy
During pregnancy along with additional food and work, rest 1 2 3 Yes 1 No 2
is also important
Definitely administer 2 Tetnus injections at the interval of 1 2 3 Yes 1 No 2
one month
Get registered in Janani Suraksha Yojna and get both safe 1 2 3 Yes 1 No 2
delivery and financial assitance
National Rural Health Mission – Because , Healthy 1 2 3 Yes 1 No 2
Nation/Bharat begins with healthy family …from you
No 2  Q 519
Wordings 2
Too many messages 4
ad? No 2
No 2  Q 522
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
II Consuming IFA during pregnancy 1 2 3
III Receiving ANC check up at health centers 1 2 3
IV Preparing jaccha baccha (mother-child) card at health
1 2 3
centers
V Ensuring good food during pregnancy 1 2 3
VI Ensuring rest during pregnancy 1 2 3
VII Taking advantages of JSY 1 2 3
II Consuming IFA during pregnancy 1 2 3
III Receiving ANC check up at health centers 1 2 3
IV Preparing jaccha baccha (mother-child) card at health
1 2 3
centers
V Ensuring good food during pregnancy 1 2 3
VI Ensuring rest during pregnancy 1 2 3
VII Taking advantages of JSY 1 2 3
INSTITUTIONAL DELIVERY /JSY AD BY A JOURNALIST CALLED KHUSHI - SPOT NO. 3

Q 525 Have you heard any NRHM ad on Institutional Delivery Spontaneous Response 1
/JSY by a journalist called Khushi during the period Prompted Response 2
starting from Christmas to Republic day (27th December Aided response 3
th
2008 to 26 January 2009)? No 4  Q 537
Twice 2
Thrice 3
Four time 4
Five or more time 5
Ad?
The birth of every child should take place at hospital 1 2 3 Yes 1 No 2
Proper care of both mother and the child is taken in the 1 2 3 Yes 1 No 2
hospital
In case of any complications during delivery , there are good 1 2 3 Yes 1 No 2
doctors and nurses to take care of it at the hospital. All
medicines are also immediately available there.
More than 1 crore women have benefitted from the services 1 2 3 Yes 1 No 2
and financial assistance from Janani Suraksha Yojana of
National Rural Health Mission
Deliver the child only at the hospital 1 2 3 Yes 1 No 2
…from you
No 2  Q 531
Wordings 2
Too many messages 4
ad? No 2
No 2  Q 534
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
I Delivering child in hospital 1 2 3
II Taking advantages of JSY 1 2 3
II Taking advantages of JSY 1 2 3
INSTITUTIONAL DELIVERY IN THE FORM OF A JINGLE/SONG - SPOT NO. 4

Q 537 Have you heard any musical NRHM ad on Institutional Spontaneous Response 1
Delivery in the form of a jingle/song during the period Prompted Response 2
starting from Christmas to Republic day (27th December Aided response 3
th
2008 to 26 January 2009)? No 4  Q 550
Twice 2
Thrice 3
Four time 4
Five or more time 5
Q 540 Can you tell us what message was given in the ad? Spontaneous On Prompting No Were you aware about
it before hearing the
Ad?
Getting delivery done in hospital is a wise decision 1 2 3 Yes 1 No 2
Find out which hospital is near to your house 1 2 3 Yes 1 No 2
Arrangement to reach there (hospital) from your house 1 2 3 Yes 1 No 2
should be available day and night
Get registered in Janani Suraksha Yojna of NRHM and get 1 2 3 Yes 1 No 2
both safe delivery and financial assitance
…from you
No 2  Q 543
Wordings 2
Too many messages 4
ad? No 2
No 2  Q 546
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
Q 546 Have you taken any action or initiative to encourage
No response
daughter in law/other family members on the following Yes No
II Enquiring about nearest health faciltyfor delivery 1 2 3
III Arranged transport in advance for delivery 1 2 3
IV Taking advantages of JSY 1 2 3
No response
II Enquiring about nearest health faciltyfor delivery 1 2 3
III Arranged transport in advance for delivery 1 2 3
IV Taking advantages of JSY 1 2 3
Q 549 To what extent do you agree with the following statements ? Agree to a greater Agree to Disagree Can’t
extent some extent Say
A A pregnant women must visit health centers for Check Ups 1 2 3 4
B A pregnant women must consume 100 IFA tablets 1 2 3 4
C A pregnant women should be given 2 shots of TT 1 2 3 4
D Delivery should be planned in the hospitals 1 2 3 4
E Arrangement of transportation for reaching hospitals for 1 2 3 4
delivery should be planned much in advance
F Pregnant women should take good food and rest 1 2 3 4
G Proper care of both the mother and the child is taken at the 1 2 3 4
Government hospitals
H Government hospitals have good doctors and nurses 1 2 3 4
I Women shoul take benefits of JSY scheme 1 2 3 4
J You feel confident to initiate discussions with any one about
1 2 3
ANC/Institutional delivery 4
K You can convince anyone on importance of
1 2 3
ANC/Institutional delivery 4
FAMILY PLANNING/CU.T STARTING WITH A HOLI SONG - SPOT NO. 5

Q 550 Have you heard any NRHM ad on family planning/Cu.T Spontaneous Response 1
starting with a Holi Song during the period starting from Prompted Response 2
Christmas to Republic day (27th December 2008 to 26th Aided response 3
January 2009)? No 4  Q 562
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
hearing the Ad?
There is no tension in the sweet momentsof life because new 1 2 3 Yes 1 No 2
Cu.T’s safety is always with me
In case you want to become a mother for second time it can 1 2 3 Yes 1 No 2
be easily removed also
With this new Cu.T there is no tension 1 2 3 Yes 1 No 2
Get more information from ANM of nearby health centre 1 2 3 Yes 1 No 2
Accept Cu.T from local trained health worker at the right 1 2 3 Yes 1 No 2
time
This is the time of new and safe Cu.T 1 2 3 Yes 1 No 2
…from you
No 2  Q 556
Wordings 2
Too many messages 4
ad? No 2
No 2  Q 559
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
No response
I Accepting Cu.T 1 2 3
II Visiting nearest health center/ Consulting ANM for Cu.T 1 2 3
No response
I Accepting Cu.T 1 2 3
II Visiting nearest health center/ Consulting ANM for Cu.T 1 2 3
FAMILY PLANNING/BIRTH SPACING STARTING WITH A MARRIAGE/MEHENDI SONG - SPOT NO. 6

Q 562 Have you heard any NRHM ad on family planning/birth Spontaneous Response 1
spacing starting with a marriage/mehendi Song during the Prompted Response 2
period starting from Christmas to Republic day (27th Aided response 3
th
December 2008 to 26 January 2009)? No 4  Q 575
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
hearing the Ad?
We are happy as life’s every decision is taken jointly (by 1 2 3 Yes 1 No 2
husband and wife) like when to have child, spacing between
children
Both of you meet ASHA in your village , She will arrange to 1 2 3 Yes 1 No 2
provide you complete information on family planning
methods from nearby health centre
Birth at right time and right interval give mother and the 1 2 3 Yes 1 No 2
child good/complete health
…from you
No 2  Q 568
Wordings 2
Too many messages 4
ad? No 2
No 2  Q 571
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
No response
I Interacted with ASHA for family planning 1 2 3
II Discussion about small family/birth spacing 1 2 3
No response
I Interacted with ASHA for family planning 1 2 3
II Discussion about small family/birth spacing 1 2 3
greater extent Say
extent
A The decisions on when to have child and spacing between 1 2 3 4
children should be jointly taken by husband and wife
B There is no tension in accepting new Cu.T as it is easy to 1 2 3 4
insert and safe
C ASHA should be contacted for getting information on 1 2 3 4
various family planning methods
D You feel confident to initiate discussions with any one about 1 2 3 4
advantages of spacing of children
E You feel confident to initiate discussions with any one about 1 2 3 4
new Cu.T
PRAGATI TALKING WITH HER FATHER ABOUT NRHM /HEALTH SERVICES - SPOT NO. 7
Q 575 Have you heard any ad on NRHM services/Health Services Spontaneous Response 1
shown on Pragati talking with her friend about a medical Prompted Response 2
tour to a village during the period starting from Christmas to Aided response 3
Republic day (27th December 2008 to 26th January 2009)?? No 4  Q 588
Twice 2
Thrice 3
Four time 4
Five or more time 5
about it before
hearing the Ad?
There has been so much improvement in the health services 1 2 3 Yes 1 No 2
in small village
People are getting together to think of solutions for health 1 2 3 Yes 1 No 2
problems of the villages- such a good change!

Like Rogi Kalyan Samitis in hospitals are getting together 1 2 3 Yes 1 No 2
with local people for development of health services
Funds have increased, new health centres are coming up, 1 2 3 Yes 1 No 2
better facilities, instruments, doctors, nurses, increase in use
of hospitals for delivery, care of new born babies- Looking at
all this today I feel proud to be an Indian!
National Rural Health Mission – because a healthy nation 1 2 3 Yes 1 No 2
starts with a healthy family- with you!
No 2  Q 581
Wordings 2
Too many messages 4
ad? No 2
No 2  Q 584
Daughter-in-law 02
Son 03
Daughter 04
ANM/ AWW/ASHA 07
Doctor 08
Others (Specify)________________________ 09
I Enquiring about services at Govt. hospitals 1 2 3
II Availing health services from Govt. hospitals 1 2 3
I Enquiring about services at Govt. hospitals 1 2 3
II Availing health services from Govt. hospitals 1 2 3
greater extent Say
extent
A The health services in Government Hospitals has 1 2 3 4
significantly improved in the recent past
B The health services are more accessible now 1 2 3 4
C The health services, instruments,doctors and nurses are 1 2 3 4
better now
D The OPD services in Government hospitals are better now 1 2 3 4
E The new born care services in Government hospitals are 1 2 3 4
better now
F The services in Government hospitals for pregnant women 1 2 3 4
are better now
G Rogi Kalyan Samitis are promoting health services in 1 2 3 4
collaboration with local people
Q 588 Has the NRHM radio campaign, in any way, has increased Yes 1
your knowledge about various NRHM/Health services No 2  TERMINATE
offered at Government health facilities? Not exposed to NRHM radio campaign 3 INTERVIEW
Q 589 What are the services on which you could aquire more OPD services 01
knowledge through the NRHM radio campaign? Rogi Kalyan Samitis 02
Village Health & Sanitation 03
Commeetees 04
Village health and nutrition days 05
ASHA 06
Ante natal care 07
Institutional delivery 08
JSY 09
Child Immunisation 10
Immunisation of mothers 11
Diarrhoea/Breast feeding 12
New born care 13
Child nutrition 14
Family planning/birth spacing 15
Other (Specify)______________ 16
This report is made possible by the support of the American People through the United States Agency for International Development (USAID). The contents of this document are the sole responsibility of Emerging
Markets Group Ltd. and do not necessarily reflect the views of USAID or the United States Government
Upper Ground 4-9, Mohta Building Tel.: +91-11-46749900 USAID/India Order # GHS-I-01-07-00016-00
4 Bhikaiji Cama Place, New Delhi - 110 066 Fax: +91-11-46749904
Website: www.mchstar.org E-mail: info@mchstar.org

Concurrent Evaluation of The Reach and Effectiveness of Second Phase of The NRHM BCC Campaign - Que For Fathe in Law-547

Hochgeladen von

Dokumentinformationen

Originalbeschreibung:

Originaltitel

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

Concurrent Evaluation of The Reach and Effectiveness of Second Phase of The NRHM BCC Campaign - Que For Fathe in Law-547

Hochgeladen von

Copyright:

Verfügbare Formate

Concurrent Evaluation of the

Reach and Effectiveness Of

Questionnaire for Fathers/mothers In Law

“This report is made possible through USAID/India Task Order # GHS-I-01-07-00016-00”

QUESTIONNAIRE FOR FATHERS/MOTHERS IN LAW

Identification Details Code

Type of State. High Focus State

HH Number (PSU wise code-1-10)

Name of the respondent

Respondent Category Father In law 1

SECTION 1: BACKGROUND CHARACTERISTICS AND EXPOSURE TO TV AND RADIO

(DO NOT PROMPT)

INS: MULTIPLE RESPONSE POSSIBLE

USE THE CODE LIST PROVIDED

Q 109 When do you usually watch television? Before 9 am A

SECTION II: EXPOSURE TO TV CAMPAIGN

SECTION III: DETAILS OF EXPOSURE TO NRHM TV CAMPAIGN

No. Questions and Filters Coding Categories Code Skip to

ANC AD. NO. 1 CRYSTAL BALL

ANC – AD NO. 2 – SACHIN & SUPRIYA

Other family members/relatives 05

ANC – AD NO. 3 JUHI CHAWLA

II Measuring of BP/ weights / Hb. level during ANC 1 2 3

JSY – AD. NO. 4 ANIMATION – 4 BIRDS/ JAGMAG

III Consulting ASHA/ANM for immunisation 1 2 3

NEW BORN CARE – AD. NO. 5 RADHE SHYAM KI MOTORCYCLE

Keep new born with the mother 1 2 3 Yes 1 No 2

III Protectecting the child from cold 1 2 3

FAMILY PLANNING/SMALL FAMILY AD. NO. 6 -MEHENDI OCCASION

law/other family members on the following issues after seeing

FAMILY PLANNING/IUD/CU.T AD. NO. - 7 HOLI / COLOURFUL MOMENTS

FAMILY PLANNING/ORAL PILLS AD. NO. - 8 TRAIN

FAMILY PLANNING – AD. NO. 9 – SACHIN SUPRIYA

children then both mother and child will remain healthy

FAMILY PLANNING AD NO.- 10 JUHI CHAWLA

Daughter or son good care of children is taken in small family 1 2 3 Yes 1 No 2

health centre … now what is the delay for

NRHM SERVICES/HEALTH SERVICES AD NO. 11 -PRAGATI ON MEDICAL TOUR

Q 3027 What all you could understand from this Ad?

NRHM SERVICES/HEALTH SERVICES AD. NO. 12 - EK SAVERA , EK AAKASH

IMMUNISATION - AD. NO. 13 JUHI CHAWLA

Q 3058 With whom did you discuss the messages? Spouse 01

IMMUNISATION AD. NO. 14 MONA SINGH

On confirmation of pregnancy it is extremely necessary to take 2 1 2 3 Yes 1 No 2

AGE OF MARRIAGE AD. NO. -16 BLACK AND WHITE AD

SECTION IV: EXPOSURE TO RADIO CAMPAIGN

SECTION V: DETAILS OF EXPOSURE TO NRHM RADIO CAMPAIGN

No. Questions and Filters Coding Categories Code Skip to

PRAGATI – TALKING TO PAPA - SPOT. NO. 1

CONVERSATION OF A WOMAN WITH ASHA ON ANTENATAL CARE -SPOT NO. 2

INSTITUTIONAL DELIVERY /JSY AD BY A JOURNALIST CALLED KHUSHI - SPOT NO. 3

INSTITUTIONAL DELIVERY IN THE FORM OF A JINGLE/SONG - SPOT NO. 4

FAMILY PLANNING/CU.T STARTING WITH A HOLI SONG - SPOT NO. 5

FAMILY PLANNING/BIRTH SPACING STARTING WITH A MARRIAGE/MEHENDI SONG - SPOT NO. 6

problems of the villages- such a good change!

Das könnte Ihnen auch gefallen