24

What did you use to feed your child between 0 - 12 months of age?

a) A bottle with teat b) a cup c) other (specify)

25

At what age did you wean your child?

26

If the child is below 1 year of age; is the child’s immunization status up to date? (researcher and research assistant confirms from the child’s immunization card)

a) Yes b) No

27

If the child is above 1 year of age, has the child been de-wormed in the last 3 months?

a) Yes b) No

28

If the child is above 1 year of age, is his/her vitamin A supplementation up to date?

a) Yes b) No

Section Three: Maternal determinants of stunting

29

Are you married

a) Yes b) No

30

What is your highest level of education?

a) None b) Primary c) S1-4 d) S5-6d tertiary e) University

31

What do you do to earn a living a living?

a) Peasantry b) Business c) Office work d) others (specify) e) none

32

How much do you earn per month?

33

How old were you when you gave birth to this child?

34

Did you eat adequately the time you were pregnant?

a) Yes b) No

35

If yes above, what were you feeding on?

36

In this homestead, do you believe in the following?

a) Extracting false teeth for children

b) Giving the new born water before breastfeeding starts

c) Other(s)

Section Four: Child determinants of stunting

37

What is the sex of your child?

38

How old is your child now?

39

What was the weight of the child at birth?

40

How old is this child?

41

What is the birth order of the child?

42

What is the birth interval between the child and older child?

43

Has your child suffered any of the following illnesses in the last 3 months?

a) On and off fevers > 1 week b) Diarrhea c) Persistent cough >3 weeks d) Other

Child’s anthropometry

44

Height/length …………………… Weight ………………………

MUAC …………………………..

The End

Thank you so much