A) SOCIODEMOGRAPHIC CHARACTERISTICS
	Please X correct answer
Serial Number:
Age of Mother: Sex of baby….. Baby date of birth………………
Place of birth:
Date of interview:
1. Age (as last birthday) in years: Age (years)
(a) 18–20
(b) 21–30
(c) 31–40
(d) 41–49
2. Marital status:
(a) Married
(b) Single
(c) Divorced
(d) Separated
(e) Widowed
(f) Cohabit
3. How many babies have you given birth to? ( Parity)
(a) primipara (1)
(b) Low parity (2–3)
(c) High parity (≥ 4)
4. Religion:
(a) Christian
(b) Muslim
(c) Traditional
(d) Other (specify)
5. Education-level completed:
(a) None
(b) Primary school
(c) Secondary school
(d) Higher than secondary
(e) Unknown
6. Employment status
(a) Government employment
(b) Privately employed
(c) Self-employment
(d) Unemployed or full-time housewife
(e) Student
(f) Volunteer
7. Does your spouse know about your HIV status?
(a) Yes
(b) No
8. Has your baby been tested for HIV?
(a) Yes
(b) No
(c) If no, why was your baby not tested…?
9. If yes what is your baby’s HIV status?
(a) Positive
(b) Negative
10. What are the methods by which HIV can be transmitted from mother to a child?
(a) During pregnancy
(b) During delivery
(c) During breastfeeding
(d) Cannot be transmitted from mother-to-child
(e) Do not know
11. Did you ever take antiretroviral (ARV)?
a) Yes
b) No
12. If yes, when did you start ARVs?
(a) Never did
(b) Only once before delivery
(c) Have been on antiretroviral before and after pregnancy
(d) Started after delivery
(e) Started during pregnancy and continue after
13. Did your child ever take antiretroviral?
a) Yes
b) No
14. If yes, when was the ARVs started after delivery?
(a) Only once after delivery
(b) Started days after delivery
(c) Immediately after delivery and continued for weeks or months
(d) Continue throughout breastfeeding
(e) Never did
B) KNOWLEDGE OF INFANT FEEDING OPTIONS
15. How satisfied were you with the amount of education and counselling on infant feeding that you received?
(a) Completely satisfied
(b) Very satisfied
(c) Somewhat satisfied
(e) Somewhat dissatisfied
(f) Very dissatisfied
(g) Completely dissatisfied
16. When did you receive any information about infant feeding options during pregnancy in the antenatal clinics (ANC)?
(a) Never received any information
(b) During pregnancy or immediately after delivery
(c) Few weeks after delivery
(d) Months after delivery
17. What are the various infant feeding options you know? *(more than one allowed)
(a) Cow’s milk
(b) Infant formula only
(c) Surrogate mother only
(d) Breastfeeding only
(e) Heat treating express breast milk
(f) Other
18. What advice were you given in terms of infant feeding during your ANC by the nurses or the counsellor?
(a) To breastfeed only
(b) To formula feed only
(c) To give both breastfeeding and formula
(d) Counselled on both exclusive breastfeeding and exclusive formula feeding and asked to make a choice
(e) Other
19. How can you reduce the risk of HIV transmission through breastfeeding?
(a) Stop breastfeeding as soon as feasible in the first few months
(b) Avoid mixed feeding or given only breast milk or formula
(c) Heat treating milk
(e) Give antiretroviral to the mother and child
(f) Other (specify)
20. Which infant feeding option has the highest risk of HIV transmission?
(a) Exclusive breastfeeding
(b) Infant formula feed
(c) Mixed feeding (giving both breast milk and formula milk)
(d) Cow’s milk
(e) Do not know
21. Do you know the benefit of exclusive breasffeeding (EBF)?
C) ATTITUDE ABOUT INFANT FEEDING OPTIONS
22. Will you have breastfed even with free supply of infant formula?
(a) Yes
(b) No
(c) I do not know
23. Which feeding option would you most like to be able to use?
(a) Exclusive breastfeeding
(b) Infant formula feed
(c) Mixed feeding (giving both breast milk and formula milk)
(d) Cow’s milk
(e) Do not know
24. Which feeding option does your partner feel you should use?
(a) Exclusive breastfeeding
(b) Infant formula feed
(c) Mixed feeding (giving both breast milk and formula milk)
(d) Cow’s milk
(e) Do not know
25. Which feeding option do other family members feel is the best to use?
(a) Exclusive breastfeeding
(b) Infant formula feed
(c) Mixed feeding (giving both breast milk and formula milk)
(d) Cow’s milk
(e) Do not know
26. Have you been told not to use any infant feeding options by family and friends?
(a) Yes
(b) No
27. Which options have you been told not to use?
(a) Exclusive breastfeeding
(b) Infant formula feed
(c) Mixed feeding (giving both breast milk and formula milk)
(d) Cow’s milk
28. Who do you listen to most about infant feeding?
(a) Partner
(b) Mother
(c) Partners
(e) Family member
(f) Friends
(e) Nurse
(f) CHW
29. Do you think breastfeeding alone is enough in the first 6 months for proper growth?
(a) Yes
(b) No
(c) I do not know
D) INFANT FEEDING PRACTICES
30. In the first 6 months what feeding options did you give to your child?
(participant can select more than one )
(a) Breastfeeding only (exclusive breastfeeding)
(b) Breastfeeding and water
(c) Formula feeding only
(d) Breastfeeding, formula feeding and water
(e) Heat-treated express milk
(f) Other
31. Who decided on the feeding option(s) that you chose for your baby?
(a) Spouse
(b) Self
(c) Family member
(d) Doctor or nurses
(e) Other
32. How long did you exclusively breastfeed (breast milk alone)?
(a) Less than 1 month
(b) 2–3 months
(c) 4–6 months
(d) Still breastfeeding
(e) Others
33. At what age did you introduce other feeds apart from breast milk?
(a) From birth
(b) 1–2 months
(c) 3–4 months
(d) 5–6 months
(e) No other feeds in first 6 months
34. If you gave breast milk and formula or water or other diets before 6 months give reason?
(a) Breast milk not enough
(b) Pressure from family or friends
(c) Cost of purchasing formula
(d) Ignorance of infant feeding option/HIV status
(e) Other
35. How long did you give both breast and formula milk?
(a) Few days
(b) Less than 1 month – 2 months
(c) 2–4 months
(d) Above 4 months
(e) Presently still given both
36. What do you feel are the main problems or challenges with exclusive formula feeding?
(a) Expensive cost of purchasing formula milk
(b) No regular supply of formula milk
(c) Pressure from relatives or friends to give water and/or adult food
(d) Problem with working and feeding
(e) No challenges
37. What do you feel are the main problems or challenges with exclusive breastfeeding?
(a) Breast milk not enough for child
(b) Pressure from relative or friends to give water or formula or adult diet
(c) Crack or sore nipple or ill mother
(d) No challenges
(e) Other
E) FORMULA-FED MOTHER
38. State the main reason why you did not breastfeed?
(a) Mother too ill or breast problem
(b) Worry about transmitting HIV
(c) Doctor or health provider advice
(d) Family advice
(e) Difficulty breastfeeding the infant
(f) Others
39. If using formula milk, in your living condition, what kind of water is used for the infant formula preparation?
(a) Piped or tap water
(b) Spring flowing
(c) Close well
(d) River or pond
40. If using formula milk what method of feeding is used?
(a) Feeding bottle
(b) Cup and spoon
(c) Both feeding bottle and cup or spoon
(d) Other
41. Does discrimination against HIV-positive mothers in the community has any effect on your choice of infant feeding options?
(a) Yes
(b) No

THANK YOU FOR YOUR TIME.