الرحيم الرحمن الله بسم

QUESTIONNARE

This Study is designed to study the Awareness and practice of mothers regarding children feeding less than five years. (ALL INFORMATION WILL BE KEPT CONFIDENTIONIAL).

Background information:

1-Age of the mother: less than 1. 20yr 2. 20-24yr 3. 25-29yr 4. 30-34 5. 35+

2 -Level of education: Primary Secondary Graduate Post graduate other

3-Occupation: Housewife Employee Labor

Freelancers Other

4-Level of education of father: Primary Secondary Graduate Post graduate other

5-Occupation of father: Employee Labor Freelancers

Other

6-Family income: less than 400 500-1000 1000+

7-No of your children (parity): ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ .

8 -Gender: Male Female

9-Age of your child (in month (: ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ10- Arrangement of the child in the family (between his/ her siblings).

.ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

1

Knowledge of mother regarding children feeding:

11-What should be the first food for a newborn? Breast milk Milk formula water sugar water

12-When should you start breast feeding?

Immediately after delivery after few hr next day of delivery

13-Do you hear about exclusive breast feeding? Yes No

14- If yes what is it? (Answer) Right Wrong

ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ15-Frequency of breast feeding: 3-5 5-8 8+times

16-Duration of breast feeding: 5min 5-10 10 min

17- When should you start complementary feeding?

Less than 4month 4 month 6 month 6month

18-What foods are to be given to child?

Liquids only semi solid food house hold (traditional) food

19-Name some semi fluid food that can be started to infant:

ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ20-At what age can introduce extra (breast) milk to child? 4 month 4month 6month 6month 1yr

21-During child illness feeding should be: discontinued give much less than normal continued normal

22-Do you think caffeine& soft water safe for children: Yes No

23-Did you know some food can cause allergy in children?

2

Yes No

Practices of mother regarding children feeding :

24-When did you start breast feeding?

Immediately after delivery after few hr next day of delivery

25 -What is the first food was given to newborn? Breast milk Milk formula water

Sugar water

26- When do you start complementary feeding?

Less than 4month 4 month 6 month 6month

27- What type of milk gives to child?

Cow goat milk formula breast milk only

28-Age of weaning: 1yr 1 yr 2yr 2+yr not weaned yet

29 - If it is suddenly gradually

30-Usually prepare especial kind of food for the child: Yes No

31-Frequency of main meals + (snack): 3 times 3-5 6 times

32-Meal time: with family especial regular time

33-usually child eats with: family other young children alone

34-Types and contents of food per meal:

If at least one of food group has been given in the last 24 hr circle” Y” if no circle “N” if the respondents doesn’t know, circle “DK”

3

Last 24 hrsa Bread, rice, noodles, عصيده, or other food,كسرة

made from grainsY N DK

b White potatoes, any other foods made from roots

Y N DK

c Pumpican,carrote,sweet potatoes that are yellow or orange inside

Y N DK

d Any foods made from beans ,فول , عدسيه, بليله فاصوليا عدس

Y N DK

e Any dark green leafy vegetables Y N DKf Cooked vegetables , شوربه, دمعه مالحg Any other fruits or vegetables Y N DKh Liver, kidney heart, or other organ meat Y N DKi Any meat such as beef, goat,chiken Y N DKj Fresh or dried fish, or sea food Y N DKk Eggs Y N DKl Cheese, yogurt or other milk product Y N DKm Any sugary foods such as

chocolates,sweets,candies,biscuitsY N DK

n Any oil, fats, or foods made with any of these. Y N DK

-Before prepare food / food safety

35-Wash hands before preparation of food:

Always Usually often sometimes never

36-usually wash fruits and vegetables before use: Yes No

37-wash hand after using toilet: always usually often

38-Did you use dietary supplement:

Multivitamins growth formula others Non

39-some food should be avoided given to child: put√ in front of this food

Coffee/tea soft drinks fast food others Non

4

40- For infant feeding you are use: put√ in front of used way

Bottle cup spoon finger feeding

41-During diarrhea: give homemade fluid stop feeding give food as usual

42-vaccination: fully vaccinated partially non

43-Name some under nutritional problems:

ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ44-Frequency of regular follow up growth monitoring:

Regular Not regular Non

45-Common nutritional problems facing you: ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ .

46-Duration of hospital admission: ــــــــــــــــــــــــــــــــــــــــــــــــــ.47-History of similar condition: Yes No

48-Did you have other child suffer from nutritional problem?

Yes No

Thank you for taking the time to complete this survey

5

6