1.

To find out the community perspective towards the causes of various diseases
prevalent in the study area.
I.
Which is the most prevalent disease in your area?
II.
Have you ever suffer any communicable disease like - malaria, filaria,
tuberculosis, leprosy, skin infections, sexually transmitted diseases, HIV,
typhoid, cholera, diarrheal diseases, hepatitis, and viral fevers.
III.
Have you ever suffered with any hereditary disease such as
Hemoglobinopathies (Sickle Cell) and G-6 PD deficiency?
IV. Are you satisfied with the ease of access of medical facilities in your
community?
1. Not really
2. To some extent
3. Very much
V. Do you think that sufficient efforts are being made by people in your
community to maintain sanitation (disposal of sewage and waste)?
1. Not really 2. To some extent
3. Very much
VI.
Do you think that sufficient efforts are being made by people in your
community to manage toilet facilities?
1. Not really2. To some extent 3. Very much
VII.
What kind of toilet facility do you and your family members use at home?
VIII.
Do you feel under stress due to health reasons?
1. Not really
2. To some extent
3. Very much
2. To elicit data on availability, accessibility and affordability of health services.
I.
What kind of toilet facilities does your household have?
II.
Do you have affordability of health services?
III.
Mention the reasons for inability to afford?
a) Poverty
b) Other major expenditure
IV. Mention the Reasons for not utilizing Health services?
a) Socio-Economic
b) Gender bias
c)Ignorance
V. To what extent do you have accessibility to health services?
a) Highly accessible
b) Moderately accessible
c)Less accessible
VI.
What are the barriers to access the health services?
a) Socio-economic barriers b) Geographical barriers
c) Literary barriers
VII. Are you aware of the availability of health services?
VIII. What is the mode of availability of health services?
a) Elders
b) Government
c) NGO
IX. Mention the reason for not availing health services?
a) Irregular attendance of Government-Employees
b) Poor Transport
3. To assess the impact of health and nutrition education on the knowledge, attitude and
practices of tribal people.
I.

Have you ever heard a special product called ORS you can get for the

II.

treatment of diarrhea?
Have you ever prepared a solution of ORS to treat diarrhea for yourself or

III.
IV.
V.
VI.
VII.
VIII.

someone other?
Mention the words heard about nutrition
a) Nutrients b) Balanced Diet
c) Weaning d) Supplementation
What are the sources of knowledge on nutrition?
a) Radio
b) TV
c) News Paper
Do you immunize the baby by following schedule?
Do you give importance for prenatal care?

IX.
Do you give importance to postnatal care?
X. Do you know the importance of weaning?
4. To assess the maternal and child health status, and menstrual issues, prenatal and
postnatal care, awareness about prenatal and postnatal care and child nutrition of
tribal women.
I.
What is your current marital status?
II.
Have you ever given birth?
III.
Do you have any sons or daughters to whom you have given birth who
IV.
V.
VI.
VII.
VIII.

are now living with you?

Have you ever had an abortion?
Who conduct delivery?
a) Elder people
b) Doctor in Hospital
c) Trained dhathi
Are you pregnant now?
Do you visit the doctors during pregnancy?
a) Monthly Once
b) Two Months once
c) Occasionally
d) Need arises
Would you prefer your next child to be a boy or a girl or doesnt it

matter?
Child Nutrition
Supplementation Practices
Age
Quantity of food given/day
3-5 Months
30-40g
6-8 Months
50-100g
8-11 Months
100-150g
12-13 Months
150-200g
14-16 Months
200-250g
X. What is the source of information on menstruation?
a) Mother
b) Elders
c) Relatives d) Friends
XI.
Do you keep away women during menstruation?
XII.
Are you aware of prenatal care?
XIII.
Are you aware of postnatal care?
5. To determine the cooking practices and foods of tribal people.
I.
What is the main source of drinking water for members of your household?
II.
Do you use boiled, cooled drinking water?
III.
What type of fuel does your household mainly use for cooking?
IV. Do you preserve some of the food/fruits?
V. Do you give importance for kitchen garden?
VI.
Do you wash the vegetables before cutting?
VII.
Do you know the importance of germinated food?
VIII.
Do you know cooking soda reduces nutrients?
IX.
Do you know the food should be cooked with lid?
X. Do you know the water used for cooking should not be discarded?
XI.
Are you aware of removing skin in fruits will reduce nutrients?
IX.