Period been living in the settlement
Respondent relation to child (Under 6 months)
Age of mother/caregiver (Completed years)
What is you marital status?
Type of marriage (In case applicable)
Highest education level of mother or carer
What is your occupation?
Other specify
How many children have you given birth to?
Your ethnicity/Tribe
What is your religion?
Country of origin
For Ugandan, district of origin
Sex of your youngest child
Age of youngest child in completed months
Are you currently breast feeding?
Has the baby ever been breastfed?
Was the baby breast fed in the last 24 hours?
Did the baby consume breast milk by spoon, cup or bottle in the last 24 h
Was baby given any vitamin A drops or other medicines as drops in the last
Was baby given  ORSin the last 24 hours?
How old was your baby when you first gave other drinks/foods apart from br
Has the baby ever received pre-lacteals?
Which pre-lacteal feeds did the baby receive?
Is the first yellowish milk called colostrum important?
What is the importance of colostrum?
Did you give colostrum to your baby?
After how long after birth should a baby be put on the breast?
For how long after birth should a baby receive ONLY breast milk?
Plain water?
Infant formula such as Sma ,Nan, Cerilac?
Number of times
Milk such as tinned, powdered, or fresh animal milk?
Juice or juice drinks?
Clear broth?
?
Thin porridge (Use local name)?
Any other liquids such as  glucose solution
Did the babyeat any solid, semi-solid, or soft foods in the last 24 hours?
IF'YES'  What kind... did the baby eat?
Did the baby drink anything from a bottle with a nipple in the last 24 ho
Mixed feeding (breast feeding and giving other foods and drinks) before ?
Health worker
Radio
Friends
Newspapers
Peers/friends
Community meetings
Others specify
None
Malaria
Measles
Diarrhoea
ARI/cough
Skin diseases
Eye diseases
Others, specify
No illness
Did the baby sleep under a mosquito net last night?
How did you clean the baby's cord in the first 3 days after birth?
What did you put on the cord to help it heal?
How long after delivery did you bathe the baby for the first time?
Wrapped baby in warm clothes
Used cape and socks
Kept the child indoors
Put child near fireplace
Tied baby in my chest (KMC)
Other (Specify)
After work
Before preparing baby's food
Before feeding baby
After cleaning soiled baby
After using toilet
Did your baby fall sick in the first one month?
If baby fell sick, did you seek treatment outside the home?
If you sought treatment outside home, where did you go?
How long after recognising that baby was sick did you go out to seek care?
If you did not seek care outside home, what did you do?
thermal care
cord care
breast feeding initiation
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