Respondent Identification
Date of Questionnaire Administration
Age of Respondent at Time of delivery
Religion of Respondent
Educational status of respondent
Respondent Occupation
Respondent marital Status
Respondent Partner Occupation
Other Occupation for Fathers
Respondent NHIS status
HH children less than 5years
Month of pregnancy for 1st ANC
Reason if 1st ANC is more than 3months
Number of ANC visits
Number of Pregnancies
Number of live deliveries
Gestational Age at delivery (In weeks)
Age Difference between previous live birth and this (in Months)
Mode of delivery
Obtetric Abnormalities During pregnancy
If yes above, what obstetric abnomaly
Number of TT injections
Number of SP doses
Malaria during pregnancy
If Yes, how many times did u have malaria
Do you sleep in ITN
How many previous CS
Where was child delivered
Did child eat any solid or semi solid food
If Yes, how many times did child eat food (24hrs)
Did Child eat any grains, roots and tubers?
Did Child eat any dairy products?
Did Child eat any flesh foods?
Did child eat any Eggs?
Did Child eat any Legumes?
Did Child eat any Vitamin A rich foods and Vegetables?
Did Child eat any other fruits and vegetables
How many food groups did child eat from?
At delivery how long did it take to initiate BF?
At delivery what did you give child to drink?
What did you do to colostrum?
Is child currently breastfeeding?
Yesterday did child drink anything from a bottle?
At what age did you give food to child?
What type of house do you live in?
What kind of toilet facility do you use?
What is the main source of lighting?
what is the main source of fuel for cooking?
Do you have Radio?
Do you have TV?
Do you have Satellite?
Do you have Sewing Machine?
Do you have Mattres?
Do you have Refrigerator?
Do you have DVD or VCD?
Do you have Computer?
Do you have Electric Fan?
Do you have Mobile Phone?
Do you have Bicycle?
How many household assets (0 to 11)?
Systolic Blood pressure at 1st trimester
Diastolic Blood pressure at 1st trimester
Systolic Blood pressure at 36 weeks
Diastolic Blood pressure at 36 weeks
Number of Malaria Infections during Pregnancy
Heamoglobin level during pregnancy
Height of mother
Weight of mother
Gender of Child
Date of Birth of Child
Birth weight of Child
Height of Child
Current weight Of child
Birth Order Of Child
Age of Child In months
Mothers Body Mass Index
Weight for Height Z Score
Wasting Nutritional status
Height for Age Z Score
Stunting Nutritional Status
Weight For Age Z Score
Underweight Nutritional Status
Caesarean Section Yes or No
Mothers occupation recoded
Recode of fathers Occupation
Household Under 5yrs recoded
Recoded maternal age
Recode month of first ANC
Number of ANC visits recoded
Difference Between Number Of Pregnancies and Deliveries
Gestational Age in weeks
Age Difference between previous and current child in months
Number of times child ate yesterday
How many food groups eaten yesterday i.e Food Diversity
Type of house
Toilet facilities
Source Of lighting
Type of Cooking
Hb level during Pregnancy Recoded
Maternal BMI Ranked
Child age Ranked Recode
Birth weight ranked Recoded
Birth Order Ranked Recoded
Blood pressure during first trim
Blood pressure at 36 weeks
Whether BP in 1st Trim and 36weeks is Same, Increased or Decreased
REGR factor score 1 for analysis 1
REGR factor score 2 for analysis 1
REGR factor score 3 for analysis 1
Rank of FAC1_1
Percentile Group of FAC1_1
Number of malarial infections during prenancy
Classification of mothers' age
Educational level of mother
Trimester of first ANC
ANC frequency
Previous caesarean section
Classification of parity
Score for house
Score for toilet
Score for light
Score for fuel
Household wealth index
Classification of wealth index
Prevalence of stunting
Prevalence of wasting
Prevalence of underweight
Prevalence of LBW
Number of pregnancies
Timing of first ANC visit
Frequency of ANC visits
Adequacy of ANC visits
Birth order classification
Current weight of child in grams
Birth weight of child in grams
Birth weight and current weight of child
Growth rate of child
Dietary diversity score
Minimum dietary diversity
Timely introduction of complementary food at 6 months
Timely initiation of breastfeeding
Score for prelacteal feeding
Score for colostrum
Score for current breastfeeding status
Score for bottle feeding
Neonatal feeding index
Classification of neonatal feeding index