questionnaire for services available in our · questionnaire for services available in our ......
TRANSCRIPT
Questionnaire for services available in our
Community Child Care and Nutrition Centre
(Anganwadi)
SATHI
Community based Monitoring and Planning of Health Services under the National Rural Health Mission
This tool was originally developed in Marathi as part of the Community Based Monitoring and Planning process, supported by NHM Maharashtra. The English translation of this tool has been done with support from
Community of Practitioners on Accountability and Social Action in Health (COPASAH)
Questionnaire for services available in our
Community Child Care and Nutrition Centre (Anganwadi)
Community Based Monitoring & Planning Process
Under NRHM
SATHI, Pune
This tool was originally developed in Marathi as part of the Community Based Monitor-
ing and Planning process, supported by NHM Maharashtra. The English translation of
this tool has been done with support from Community of Practitioners on Account-
ability and Social Action in Health (COPASAH)
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Fill the colouraccording tothe situation
?Name of the district - ?Name of the block-
?Name of the PHC - ?Name of the village -
?Name of the organization - ?Date -
?Name of the interviewer, phone No -
1) Total No. of children in the Aanganwadi :
No. of boys - No. of girls- =
2) Number of pregnant and lactating women
3) Number of adolescent girls
Questionnaire for the group discussion (G.D.)with the underprivileged group
Questionnaire for information related to the servicesreceived in the village Aanganwadi
As per the information sought in the G.D; the services received atthe village Aanganwadi should be filed in a following way in the report card-
nnnnn If the services received are good, then fill Green colour in the report
card..
n If the services received are partly satisfactory then fill Yellow colourin the report card..
n If the services received are grossly deficient then fill red colour in the
report card.
Total
Following questionnaire should be filled by visiting theAanganwadi located in the deprived community.
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Fill the colouraccording tothe situation
No. Question Response (Tick on options)
Questionnaire to be asked in the G.D with deprived community
Is there separate building forAanganwadi?
Separate room / buildingpresent -
Separate room in public place likeGrampanchayat, temple -
Aanganwadi in ICDSworker’s house or someone else’s house -
1
Is there a facility for drinkingwater in the Aanganwadi? Yes-
No-
3
In the last week, how manytimes the Aanganwadi wasfunctional?
25 to 6 days -
3 to 4 days -
Less than 3 days -
Section 1 – Facilities available in the village Aanganwadi
Anganwadi
Anganwadi
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Fill the colouraccording tothe situation
Good condition9 or 12 circles
Grossly deficientless than 5
Partly Satisfactory6 to 8 circles
Is the weighing machine in theAanganwadi functional?
4
Is there a toilet facility inthe Aanganwadi?
Yes -
No
5
Total No. of circles
Yes -
No -
Are there mats forsitting available in theAanganwadi?
6
Yes-
No -
No. Question Response (Tick on options)
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Fill the colouraccording tothe situation
In the Anganwadi, How many times wasthe vaccination of young children done inlast 3 months?
Section 2- Health status of the children in the Aanganwadi
Questionnaire to be asked in the G.D with deprived community
1
2
less than 2 times -
3 times-
2 times-
3 times
2 times-
In the Anganwadi, How many times thechildren were weighed in last threemonths?
Less than 2 times-
(Every month, the vaccination of children shouldbe done)
(Every month, weight of the children isexpected to be taken )
No. Question Response (Tick on options)
Anganwadi
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Fill the colouraccording tothe situation
Weight taken bythe committee
Classification of numbers on Anganwadi recordsaccording to grade -
Name of the child Weight mentioned inthe register
Normal children
Grade I Grade III
Grade II Grade IV
Notice: Check weight of one child each from normal and 1st grade, 2children from second grade and all children from 3rd grade, and crosscheck their weights with the record in the register.
3
Good6 circles
Grossly deficient3 circles
Partly Satisfactory4 circles
No.
If there are no records, thenwhat is the reason for it?- Except one or two entries, rest
are correct -
No records. More than 3 wrong entries-
All records correct -
No register -
Total No. of circles
Grade
1)
3)
4)
2)
7)
8)
5)
6)
9)
(If the difference between the weight taken bythe committee and that mentioned in theregister is more than 300 gms. then considerthat record as erroneous. )
No. Question Response (Tick on options)
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Fill the colouraccording tothe situation
Good6 circles
Grossly deficient3 circles
Partly Satisfactory4 circles
Section 3- Food received in the Aanganwadi
Questionnaire to be asked in the G.D with deprived community
Total No. of circles
How many times were the severelymalnourished children given food?
3 or less than 3days -
During lastweek, didthe childrenreceived foodeveryday intheAanganwadi?
All 6 daysregularly -
Regularly for 4 to 5days -
1
2
3
Twice a day -
3 to 4 timesin a day -
Once in a day or notgiven-
Describe the quality (test) of the foodgiven by the Aanganwadi
Good -
Satisfactory -
Bad -(Parents shouldtaste the food)
No. Question Response (Tick on options)
A) Supplementary Nutrition for the children
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Fill the colouraccording tothe situation
(In some of the Aanganwadis, the pregnant and lactating women are given pack food one in a
month, in those cases tick ( ) second option.)
B) Supplementary Nutrition to the pregnant women
Do the pregnantwomen come toAanganwadi everyday or once in amonth?
1
Do the lactating mothers come toAanganwadi every day or once in amonth?
1
Yes, regularly / thricein last 3 months.-
No-
Yes, sometimes / twice inlast two months-
Yes, regularly /thrice in last 3months.-
No-
Yes, sometimes / twicein last two months -
C) Supplementary nutrition to lactating mothers
Total No. of circles
Total No. of circles
Good2 circles
Serious / Grosslydeficient 0 circle
Partly Satisfactory1 circle
Fill the colouraccording tothe situation
Good2 circles
Grossly deficient0 circle
Partly Satisfactory1 circle
No. Question Response (Tick on options)
Questionnaire to be asked in the G.D with deprived community
No. Question Response (Tick on options)
Fill the colouraccording tothe situation
Anganwadi
Anganwadi
ü
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Fill the colouraccording tothe situation
D) Supplementary nutrition to adolescent girls
Do the adolescentgirls come toAanganwadi everyday or once in amonth?
1 Yes, regularly / thrice inlast 3 months-
No-
Total No. of circles
Good2 circles
Grossly deficient0 circle
PartlySatisfactory
1 circle
If the pregnant women / lactating mothers or the adolescent girls do not cometo Aanganwadi, then what is the reason?-
1. The aanganwadi is far away
2. They are not aware of this entitlement
(they think that food is only for children)
3. Quality of food is not good
4. Do not feel like going
5. Supplementary nutrition not provided by aanganwadi
6. others (specify)
(There could be more than 1 reason, tick accordingly.)
Yes, sometimes / twice inlast two months
No. Question Response (Tick on options)
Fill the colouraccording tothe situation
Anganwadi
A B
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Fill the colouraccording tothe situation
Section 4– Problems of the ICDS workers
Is there a helperin theaanganwadi?
Did you getthe
honourariumregularly inthe last six
months?
Yes, every monthon time-
No-
Yes -
No-
Yes, but delayedpayment -
1
2
Total number of circles
Problems of ICDS worker-
Problems of helper-
Good6 circles
Grosslydeficient3 circles
Partly Satisfactory4 circles
Do you get any helpfrom aanganwadisupervisor to resolveproblems related tothe Aanganwadi?
3
No-
Yes, regularly -
Yes, sometimes -
Interview of the ICDS worker
No. Question Response (Tick on options)
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Fill the colouraccording tothe situation
How long this SHG is providing cooked foodto the aanganwadi?
Children
Pregnantand
lactatingwomen
Adolescentgirls
Number of beneficiaries(last 3 months)
Section 5: Status of the self help group who provide cooked food to the Anganwadi.
Discussion with the members of self help group (SHG) whoprovide cooked food to the aanganwadi
No. X Rate =
6 monthsto 6 years -
No. ofundernourished
children-
Total amount =
x ˙ = Rs.
x ˙ = Rs.
x ˙ = Rs.
x ˙ = Rs.
Name of the self help group-
Question Response (Tick on options)
Anganwadi
Anganwadi
A B C D
A B
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Fill the colouraccording tothe situation
Did you getcompletereimbursement forthe food provided inlast 3 months?
1
Partial but more thanhalf -
Yes, totalreimbursement-
Other suggestions-
What is the total outstandingin the last 3 months?
No. of total circles
Less than half or noreimbursement-
Good2 circles
Grosslydeficient 0 circle
Partly Satisfactory1 circle
Rs.
No. Question Response (Tick on options)