questionnaire for services available in our · questionnaire for services available in our ......

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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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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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 -


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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


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 )


Anganwadi

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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 -


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. )


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Good6 circles

Grossly deficient3 circles


Section 3- Food received in the Aanganwadi



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)


A) Supplementary Nutrition for the children

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(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



Good2 circles

Serious / Grosslydeficient 0 circle

Partly Satisfactory1 circle


Good2 circles

Grossly deficient0 circle






Anganwadi

Anganwadi

ü

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D) Supplementary nutrition to adolescent girls

Do the adolescentgirls come toAanganwadi everyday or once in amonth?

1 Yes, regularly / thrice inlast 3 months-

No-


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



Anganwadi

A B

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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


Do you get any helpfrom aanganwadisupervisor to resolveproblems related tothe Aanganwadi?

3

No-

Yes, regularly -

Yes, sometimes -

Interview of the ICDS worker


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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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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


Rs.


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