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| Section one: Socio-demographic characteristics |
| 1 | What is the name of this village? |
| 2 | How many children are under your care in this homestead? |
| 3 | How many are below five (5) years of age? |
| 4 | How far is it from this homestead to the nearest health facility? a) ≤5 km∙s b) > 5 km∙s |
| 5 | What is the general cleanliness of the compound and house? (researcher and research assistant observes) a) Clean b) Dirty |
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| Section Two: Dietary determinants of stunting |
| 6 | Which source do you obtain water for domestic use in this home? a) Tap b) River c) Stream d) other (specify) |
| 7 | Do you possess a pit latrine in this homestead? a) Yes b) No |
| 8 | Where do you fetch water for drinking? a) Tap b) River c) Stream d) other (specify) |
| 9 | How far is it from this homestead to a safe water source? a) ≤1.5 km∙s b) > 1.5 kms |
| 10 | How do you prepare water for drinking in this homestead? a) Boiling b) water guard c) None |
| 11 | Which food crops do you grow in this home? a) Matooke b) Cassave c) Doddo d) Beans/g∙nuts e) None f) other (specify) |
| 12 | How do you store food to ensure availability even in dry season? a) We have a food store b) We do not store any food |
| 13 | Which animals and birds do you rear or keep in this homestead? a) Cows b) Goats c) Chicken d) None e) Other (specify) |
| 14 | Do you have food stock for the next dry season? a) Yes b) No |
| 15 | How did you feed your child from 0-6 months of age? a) Breastfeeding only b) breastfeeding with other foods c) other foods only |
| 16 | If a) above how often did you breast feed your child from 0 - 6 months of age a) 1 - 3 times b) 4 - 7 times c) 8 and above |
| 17 | Did you give anything to your child before fully initiating breastfeeding? b) Yes b) No |
| 18 | If yes above, What did you give the child? |
| 19 | How did you feed this child after 6 months of age? a) Breastfeeding only b) breastfeeding with other foods c) other foods only |
| 20 | If b) above what additional feeds were you giving the child after 6 months of age? |
| 21 | If b) in 20, how often did you give the additional feeds after 6 months of age a) Once b) two times c) three times d) Four times |
| 22 | Do you give enough time to your child while feeding? a) Yes b) No |
| 23 | If yes above; How much time is allocated to each child feeding episode? |