Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Purpose

Obtain information on health and care received by the mother during pregnancy, labour and delivery, as well as the weight of the child at birth and breastfeeding at time of birth

Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Eligibility

•

Questions are asked of women of reproductive age (15-49 years) who have had a live birth in the two years preceding the date of interview

Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Goals

•

WFFC:

Access through primary health-care system to reproductive health for all individuals of appropriate ages as soon as possible and no later than 2015.

•

WFFC:

Reduction in the rate of low birth weight by at least one third of the current rate.

•

WFFC:

Special emphasis must be placed on prenatal and post-natal care, essential obstetric care and care for newborns, particularly for those living in areas without access to services.

Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Indicators

• • • • • • • • Antenatal care Skilled attendant at delivery Institutional deliveries Proportion of low-birth-weight infants Proportion of infants weighed at birth Timely initiation of breastfeeding Vitamin A supplementation (post-partum mothers) HIV testing

Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Content

•

Questions are asked about the following:

– Providers of antenatal care during last pregnancy – Procedures that were done during antenatal care (including counseling and testing for HIV) – – – – – Providers of delivery care Place of delivery Size and weight at birth Timely initiation of breastfeeding Supplementation with vitamin A post-partum

Women’s Questionnaire

MATERNAL AND NEWBORN HEALTH MODULE

Preparation

Coding categories must be locally adapted based on the pretest for questions on:

• Type of provider for antenatal care • • Type of provider for delivery care – Maintain the broad categories shown in the model Q. – Doctors, nurses midwives and auxiliary midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications Place of delivery

MATERNAL AND NEWBORN HEALTH MODULE MN

THIS MODULE IS TO BE ADMINISTERED TO ALL WOMEN WITH A LIVE BIRTH IN THE 2 YEARS PRECEDING DATE OF INTERVIEW.

CHECK CHILD MORTALITY MODULE CM12 AND RECORD NAME OF LAST-BORN CHILD HERE _____________________.

USE THIS CHILD’S NAME IN THE FOLLOWING QUESTIONS, WHERE INDICATED.

MN1. In the first two months after your last birth [the birth of

name

], did you receive a Vitamin A dose like this?

SHOW 200,000 IU CAPSULE OR DISPENSER.

Yes No DK 1 2 8 Y  MN7 MN2. Did you see anyone for antenatal care for this pregnancy?

If yes

: Whom did you see? Anyone else?

PROBE FOR THE TYPE OF PERSON SEEN AND CIRCLE ALL ANSWERS GIVEN.

MN3. As part of your antenatal care, were any of the following done at least once?

A. Were you weighed?

B. Was your blood pressure measured?

C. Did you give a urine sample?

D. Did you give a blood sample?

Health professional: Doctor Nurse/midwife Auxiliary midwife Other person Traditional birth attendant Community health worker Relative/friend Other (

specify

) No one Weight Blood pressure Urine sample Blood sample A B C D E F X Y 1 No Yes 2 1 1 1 2 2 2

MN4. During any of the antenatal visits for the pregnancy, were you given any information or counseled about AIDS or the AIDS virus?

MN5. I don’t want to know the results, but were you tested for HIV/AIDS as part of your antenatal care?

MN6. I don’t want to know the results, but did you get the results of the test?

Yes No DK Yes No DK MN7. Who assisted with the delivery of your last child (

or name

)?

Anyone else?

PROBE FOR THE TYPE OF PERSON ASSISTING AND CIRCLE ALL ANSWERS GIVEN.

Yes No DK Health professional: Doctor Nurse/midwife Auxiliary midwife Other person Traditional birth attendant Community health worker Relative/friend Other (

specify

) No one 1 2 8 A B C D E F X Y 1 2 8 1 2 8 2  MN7 8  MN7

Maternal and Newborn Health Module

MN8. Where did you give birth to

(name)

? Home Your home Other home Public sector Gov’t hospital Gov’t clinic/health center Other public (

specify

) 11 12 21 22 26 Private Medical Sector Private hospital Private clinic Private maternity home Other private Other

(specify)

31 32 33 medical

(specify)

96 36 MN9. When your last child (

name

) was born, was he/she very large, larger than average, average, smaller than average, or very small?

Very large Larger than average Average Smaller than average Very small DK 8 1 2 3 4 5

MN10. Was (

name

) weighed at birth?

Yes……………………………………………. 1 No…………………………………………….. 2 DK…………………………………………….. 8 2  MN12 8  MN12 MN11. How much did (

name

) weigh?

RECORD WEIGHT FROM HEALTH CARD, IF AVAILABLE.

From card From recall DK 99998 1 (kilograms) __ . __ __ __ 2 (kilograms) __ . __ __ __ MN12. did you ever breastfeed

(name)

?

Yes……………………………………………. 1 No…………………………………………….. 2 MN13. How long after birth did you first put

(name)

to the breast?

IF LESS THAN 1 HOUR, RECORD ‘00’ HOURS.

IF LESS THAN 24 HOURS, RECORD HOURS.

OTHERWISE, RECORD DAYS.

Immediately 000 Hours ………………………………………1 __ __

OR

Days………………………………………..2 __ __ Don’t know/remember 998 2  next mod ule