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CINI- Longitudinal Impact Study (Mother of U-2 child Odia tool)PID 39
My Projects Project Home Project Setup Online Designer Data Dictionary Codebook

The Codebook is a human-readable, read-only version of the project's Data Dictionary and serves as a quick reference for viewing the attributes of any given field in the project without having to download and interpret the Data Dictionary. Note: Checkbox fields have their coded values displayed both in the format defined by users in the Online Designer/Data Dictionary as well as in the extended format seen in data imports and exports (i.e., field___code).

Data Dictionary Codebook 02-02-2026 00:13
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
CINI- Longitudinal Impact Study (Mother of U-2 child Odia tool) (PID: 39)
02-02-2026 00:13
Instruments
Instrument Form Name
Form 1 form_1
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Form 1(form_1) Enabled as survey
1 [record_id] Record ID text
2 [namaste_we_are_here_to_und] Namaste. We are here to understand the health, nutrition, and care practices of mothers and their young children under two years of age in your village. This information will help us improve counselling and health programs for mothers and children. If you agree to participate, we will ask you questions about your health, your child's feeding and care practices, and your household environment and measure your child's height and weight. Each survey will take about 15-20 minutes. Participation is completely voluntary, and you may choose not to participate or withdraw at any time without giving a reason. This will not affect any services or benefits you receive. Some questions may feel personal, and you may skip any question you do not wish to answer. All the information you share will be kept confidential, securely stored, and used only for research purposes. Your name and personal details will remain anonymous.
ନମସ୍କାର।
ଆମେ ଆଜି ଆପଣଙ୍କ ଗ୍ରାମକୁ ଆସିଛୁ ଦୁଇ ବର୍ଷରୁ କମ ଶିଶୁମାନଙ୍କ ଓ ତାଙ୍କ ମାଆମାନଙ୍କ ସ୍ୱାସ୍ଥ୍ୟ, ପୋଷଣ ଓ ଯତ୍ନ ବିଷୟରେ କିଛି ଜାଣିବା ପାଇଁ।
ଏହି ସୂଚନା ଆମକୁ ମାଆ ଓ ଶିଶୁଙ୍କ ପାଇଁ ଉପଦେଶ ଓ ସ୍ୱାସ୍ଥ୍ୟ କାର୍ଯ୍ୟକ୍ରମଗୁଡିକୁ ଭଲ କରିବାରେ ସାହାଯ୍ୟ କରିବ।
ଯଦି ଆପଣ ଅଂଶଗ୍ରହଣ କରିବାକୁ ସମ୍ମତ, ତେବେ ଆମେ -
ଆପଣଙ୍କ ସ୍ୱାସ୍ଥ୍ୟ,
ଆପଣ ଶିଶୁର ଖାଇବା ଓ ଯତ୍ନ କେମିତି ନେଉଛନ୍ତି,
ଘରେ ପରିବେଶ କେମିତି ଅଛି,
ଏଇ ବିଷୟରେ କିଛି ସହଜ ପ୍ରଶ୍ନ ପଚାରିବୁ।
ଆମେ ଆପଣଙ୍କ ଶିଶୁର ଉଚ୍ଚତା ଓ ଓଜନ ମଧ୍ୟ ମାପିବୁ।
ସମ୍ପୂର୍ଣ୍ଣ କାମକୁ ପ୍ରାୟ 15-20 ମିନିଟ ଲାଗିବ।
ଅଂଶଗ୍ରହଣ ସମ୍ପୂର୍ଣ୍ଣ ସ୍ୱଇଚ୍ଛିକ।
ଆପଣ ଚାହିଲେ ନା କହିପାରିବେ କିମ୍ବା ମଝିରେ ବନ୍ଦ କରିପାରିବେ।
ଏଥିରେ ଆପଣ ପାଉଥିବା କୌଣସି ସେବା କିମ୍ବା ଲାଭରେ ପ୍ରଭାବ ପଡ଼ିବ ନାହିଁ।
କେତେକ ପ୍ରଶ୍ନ ବ୍ୟକ୍ତିଗତ ଲାଗିପାରେ।
ଯେଉଁ ପ୍ରଶ୍ନର ଉତ୍ତର ଦେବାକୁ ଆପଣ ଚାହୁଁ ନାହାନ୍ତି, ସେଗୁଡ଼ିକ ଛାଡ଼ିଦେଇପାରିବେ।
ଆପଣ ଯାହା କହିବେ, ସେସବୁ ଗୋପନୀୟ ରହିବ।
ସୂଚନା ସୁରକ୍ଷିତ ଭାବରେ ରଖାଯିବ ଓ କେବଳ ଗବେଷଣା କାମରେ ବ୍ୟବହାର ହେବ।
ଆପଣଙ୍କ ନାମ ଓ ବ୍ୟକ୍ତିଗତ ବିବରଣୀ କାହାକୁ କୁହାଯିବ ନାହିଁ। 		descriptive
3 [do_you_give_your_verbal_co] Do you give your verbal consent to participate in this interview?
ଆପଣ ଏହି ସାକ୍ଷାତ୍କାରରେ ଯୋଗଦେବା ପାଇଁ ମୌଖିକ ସମ୍ମତି ଦେଉଛନ୍ତି କି? 		radio, Required
1Yes/ହଁ
2No/ନା
4 [interviewer_visits_details] Interviewer Visits Details/ସାକ୍ଷାତକାରୀ ଭ୍ରମଣ ବିବରଣୀ descriptive
5 [dd_mm_yyyy] DD/MM/YYYY
ତାରିଖ (ଦିନ/ମାସ/ବର୍ଷ)
 text (date_dmy), Required
6 [interviewer_s_name] Name of data collector
ତଥ୍ୟ ସଂଗ୍ରାହକଙ୍କ ନାମ
 text, Required
Field Annotation: @APPUSERNAME-APP
7 [total_number_of_visits] Total Number of visits
ମୋଟ ଭ୍ରମଣ ସଂଖ୍ୟା
 text (number), Required
8 [section_a_household_identi] Section A: Household Identification & Background/ ବିଭାଗ କ: ପରିବାର ପରିଚୟ ଓ ପୃଷ୍ଠଭୂମି descriptive
9 [a2_village_block_district] A2. Village
ଗାଁ
 text, Required
10 [block] Block
ବ୍ଲକ 		dropdown, Required
1Murhu
2Gopikandar
3Boipariguda
4Hirband
5Bagmundi
6Gosaba
7Kalimpong I
8Karra
9Jama
10Lakshmipur
11Raipur
12Barabazar
13Kultali
14Gorubathan
11 [district] District
ଜିଲ୍ଲା
 dropdown, Required
1Khunti
2Dumka
3Koraput
4Bankura
5Puruliya
6South 24 Pgs
7Kalimpong
12 [a3_name_of_respondent] A3.Name of Respondent
ଉତ୍ତରଦାତାଙ୍କ ନାମ
 text, Required
13 [a4_phone_number] A4. Phone Number
ଫୋନ ନମ୍ବର

 text (number, Min: 2222222222, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
14 [section_b_institutional_de] Section B: Institutional Delivery and PNC/ ବିଭାଗ ଖ: ଅନୁଷ୍ଠାନିକ ପ୍ରସବ ଓ ପ୍ରସବ ପରବର୍ତ୍ତୀ ଯତ୍ନ descriptive
15 [b1_where_did_you_deliver] B1. Where did you deliver?
ଆପଣ କେଉଁଠାରେ ପ୍ରସବ କରିଥିଲେ?

 radio, Required
1Govt facility/ ସରକାରୀ ହସ୍ପିତାଲ
2Private facility/ ବେସରକାରୀ ହସ୍ପିତାଲ
3Home delivery/ ଘର ପ୍ରସବ
4Other/ ଅନ୍ୟାନ୍ୟ
16 [specify_other]
Show the field ONLY if:
[b1_where_did_you_deliver] = '4'
Specify Other text
17 [b2_if_you_delivered_at_hom]
Show the field ONLY if:
[b1_where_did_you_deliver] ='3'
B2. If you delivered at home, what was the reason?
ଆପଣ ଯଦି ଘରେ ସନ୍ତାନ ପ୍ରସବ କରିଥିଲେ, ତାହାର କାରଣ କ'ଣ ?
 radio, Required
1Facility far/କେନ୍ଦ୍ର ଦୂରେ
2Cost/ଖର୍ଚ୍ଚ
3Family preference/ପରିବାର ପସନ୍ଦ
4Others/ଅନ୍ୟାନ୍ୟ
18 [specify_other_b2]
Show the field ONLY if:
[b2_if_you_delivered_at_hom] = '4'
Specify Other text
19 [b3_was_your_delivery_c_sec] B3. Was your delivery C-section?
ଆପଣଙ୍କ ପ୍ରସବ ଅପରେସନ୍ ଦ୍ୱାରା ହୋଇଥିଲା କି?
 radio, Required
1Yes/ହଁ
2No/ନା
3Don't know/ଜାଣିନି
20 [b4_how_soon_after_delivery] B4. How soon after delivery was the baby first put to breast?
ପ୍ରସବ ପରେ କେତେ ଶୀଘ୍ର ଶିଶୁକୁ ପ୍ରଥମେ ସ୍ତନ୍ୟପାନ କରାଇଲେ?
 radio, Required
1Within 1 hr/୧ ଘଣ୍ଟା ମଧ୍ୟରେ
21-3 hr/୧-୩ ଘଣ୍ଟା
3>3 hours
21 [section_c_birth_outcomes_c] Section C: Birth Outcomes (Check MCP Card)/ ବିଭାଗ ଗ: ଜନ୍ମ ଫଳାଫଳ (MCP କାର୍ଡ ଯାଞ୍ଚ କରନ୍ତୁ) descriptive
22 [c1_what_was_your_child_s_b] C1. What was your child's birth weight? (in grams)
ଆପଣଙ୍କ ଶିଶୁର ଜନ୍ମ ସମୟର ଓଜନ କେତେ ଥିଲା? (in grams)
 text (number, Min: 1500, Max: 4000), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER = "Numeric Entry"
23 [c2_was_the_child_premature] C2. Was the child premature (< 37 weeks)?
ଶିଶୁଟି ଅକାଳରେ ଜନ୍ମ ହୋଇଥିଲା କି (୩୭ ସପ୍ତାହରୁ କମ୍)?
 radio, Required
1Yes/ହଁ
2No/ନା
24 [c3_what_was_the_gestationa] C3. What was the date of Last Mensural Period (LMP)?
ଶେଷ ବାର ମାସିକ (LMP) କେବେ ହୋଇଥିଲା?

(Cross-check from MCP Card)
(MCP କାର୍ଡରୁ ଯାଞ୍ଚ କରନ୍ତୁ।) 		text (date_dmy), Required
25 [date_of_birth_of_the_child] Date of birth of the child
ଶିଶୁର ଜନ୍ମତାରିଖ

(Note from MCP card)
(MCP କାର୍ଡରୁ ଯାଞ୍ଚ କରନ୍ତୁ।) 		text (date_dmy), Required
26 [c4_have_you_had_any_compli] C4. Have you had any complications in the pregnancy?
(verify from MCP card)
ଗର୍ଭାବସ୍ଥାରେ କୌଣସି ଜଟିଳତା ହୋଇଥିଲା କି? (MCP କାର୍ଡ ଯାଞ୍ଚ କରନ୍ତୁ)
 radio, Required
1Yes/ହଁ
2No/ନା
27 [c5_if_yes_what_were_the_co]
Show the field ONLY if:
[c4_have_you_had_any_compli] = '1'
C5.If yes, what were the complications.
ଯଦି ହଁ, ଜଟିଳତାଗୁଡ଼ିକ କ'ଣ ଥିଲା?
 checkbox, Required
1c5_if_yes_what_were_the_co___1APH / ଏପିଏଚ
2c5_if_yes_what_were_the_co___2Eclampsia / ଇକ୍ଲାମ୍ପସିଆ
3c5_if_yes_what_were_the_co___3PIH / ପିଆଇଏଚ
4c5_if_yes_what_were_the_co___4Anaemia / ଅନେମିଆ
5c5_if_yes_what_were_the_co___5Obstructed labor / ବାଧାପ୍ରଦ ଜନ୍ମ
6c5_if_yes_what_were_the_co___6PPH / ପିପିଏଚ
7c5_if_yes_what_were_the_co___7LSCS / ଏଲଏସସିଏସ
8c5_if_yes_what_were_the_co___8Other specify / ଅନ୍ୟ, ନିର୍ଦ୍ଦିଷ୍ଟ କରନ୍ତୁ .........
28 [c5_specify_other]
Show the field ONLY if:
[c5_if_yes_what_were_the_co(8)] = '1'
Specify Other text
29 [c6_past_history] C6. Past history
ଅତୀତ ଇତିହାସ
 checkbox, Required
1c6_past_history___1Tuberculosis / କଷ୍ଠରୋଗ
2c6_past_history___2Hypertension / ଉଚ୍ଚ ରକ୍ତଚାପ
3c6_past_history___3Heart Disease / ହୃଦରୋଗ
4c6_past_history___4Diabetes / ମଧୁମେହ
5c6_past_history___5Asthma / ଏସ୍ଥମା
6c6_past_history___6Other specify / ଅନ୍ୟ, ନିର୍ଦ୍ଦିଷ୍ଟ କରନ୍ତୁ
7c6_past_history___7None / କିଛି ନୁହେଁ
30 [specify_other_hist]
Show the field ONLY if:
[c6_past_history(6)] = '1'
Specify Other text, Required
31 [c7_have_you_ever_had_a_mis] C7.Have you ever had a miscarriage/ abortion?
ଆପଣଙ୍କର କେବେ ଗର୍ଭପାତ/ଆବର୍ଶନ ହୋଇଛି କି?

 radio, Required
1Yes/ହଁ
2No/ନା
32 [c8_if_yes_how_many_times]
Show the field ONLY if:
[c7_have_you_ever_had_a_mis] = '1'
C8.If yes, how many times?
ଯଦି ହଁ, କେତେ ଥର?
Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ
 text (number)
33 [c9_have_you_ever_had_a_his] C9. Have you ever had a history of stillbirth?
ଆପଣଙ୍କର କେବେ ମୃତ ପ୍ରସବର ଇତିହାସ ଅଛି କି?
 radio, Required
1Yes/ହଁ
2No/ନା
34 [c10_if_yes_how_many_times]
Show the field ONLY if:
[c9_have_you_ever_had_a_his] = '1'
C10.If yes, how many times?
ଯଦି ହଁ, କେତେ ଥର?
Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ
 text (number), Required
35 [section_d_breastfeeding_co] Section D: Breastfeeding & Complementary Feeding/ ବିଭାଗ ଘ: ସ୍ତନ୍ୟପାନ ଓ ସପ୍ଲିମେଣ୍ଟାରୀ ଖାଦ୍ୟ descriptive
36 [d1_was_water_other_foods_g] D1. Was water/ honey/ janam ghutti given at birth?
ଜନ୍ମବେଳେ ପାଣି, ମଧୁ କିମ୍ବା ଜନମ ଘୁଟି ଦିଆଯାଇଥିଲା କି? 		radio, Required
1Yes/ହଁ
2No/ନା
37 [d2_did_you_breastfeed_excl] D2.Did you breastfeed exclusively for the first 6 months?
ପ୍ରଥମ ୬ ମାସ କେବଳ ସ୍ତନ୍ୟପାନ କରାଇଥିଲେ କି? 		radio, Required
1Yes/ହଁ
2No/ନା
38 [d3_if_no_at_what_month_did]
Show the field ONLY if:
[d2_did_you_breastfeed_excl] = '2'
D3. If no, at what month did you start other feeds?
ଯଦି ନା, କେଉଁ ମାସରେ ଅନ୍ୟ ଖାଦ୍ୟ ଦେବା ଆରମ୍ଭ କଲେ? 		text (number), Required
Field Annotation: @PLACEHOLDER ="Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ"
39 [d4_age_at_which_complement] D4.Age at which complementary foods started (age in months)
କେଉଁ ବୟସରେ ସପ୍ଲିମେଣ୍ଟାରୀ ଖାଦ୍ୟ ଆରମ୍ଭ କଲେ (age in months) 		text (number), Required
Field Annotation: @PLACEHOLDER= "Numeric entry / ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ"
40 [d5_who_advised_you_to_star] D5.Who advised you to start complementary feeding?
ସପ୍ଲିମେଣ୍ଟାରୀ ଖାଦ୍ୟ ଆରମ୍ଭ କରିବାକୁ କିଏ ପରାମର୍ଶ ଦେଲା? 		radio, Required
1Doctor/ଡାକ୍ତର
2ANM/ଏ.ଏନ.ଏମ୍
3ASHA/ଆଶା
4Family/ପରିବାର
5Other/ଅନ୍ୟାନ୍ୟ
41 [specify_other_adv]
Show the field ONLY if:
[d5_who_advised_you_to_star] = '5'
Specify Other text, Required
42 [d7_what_main_foods_were_in] D6. What main foods were introduced first?
ପ୍ରଥମେ କେଉଁ ମୁଖ୍ୟ ଖାଦ୍ୟ ଦିଆଯାଇଥିଲା? 		radio, Required
1Rice/porridge
2Dal
3Vegetables
4Other
43 [specify_other_food]
Show the field ONLY if:
[d7_what_main_foods_were_in] = '4'
Specify Other text, Required
44 [frequency_of_feeding_pe] D7. How many times a day do you feed your child?
ଦିନରେ ଆପଣ ଆପଣଙ୍କ ଶିଶୁକୁ କେତେଥର ଖାଇବା ଦିଅନ୍ତି? 		text (number), Required
Field Annotation: @PLACEHOLDER ="Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ "
45 [d8_did_you_continue_breast] D8. Did you continue breastfeeding after 1 year? ୧ ବର୍ଷ ପରେ ସ୍ତନ୍ୟପାନ ଜାରି ରଖିଥିଲେ କି? radio, Required
1Yes/ହଁ
2No/ନା
46 [d9_was_child_ever_bottle_f] D9.Was child ever bottle-fed? (Infant formula)
ଶିଶୁକୁ କେବେ ବୋତଲରେ ଖାଇବାକୁ ଦିଆଯାଇଥିଲା କି? (ଶିଶୁ ଫର୍ମୁଲା) 		radio, Required
1Yes/ହଁ
2No/ନା
47 [section_e_child_growth_and] Section E: Child Growth and Nutritional Status (Check MCP Card)ଅନୁଛେଦ E: ଶିଶୁର ବିକାଶ ଏବଂ ପୋଷଣ ସ୍ଥିତି (MCP କାର୍ଡ ଯାଞ୍ଚ କରନ୍ତୁ) descriptive
48 [e1_child_s_age_in_complete] E1. Child's age in completed months
ଶିଶୁର ସମ୍ପୂର୍ଣ୍ଣ ବୟସ(ମାସରେ)
Numeric entry/ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ
 text (number), Required
49 [e2_child_s_sex] E2.Child's sex
ଶିଶୁର ଲିଙ୍ଗ
 radio, Required
1Male/ ପୁରୁଷ
2Female/ ସ୍ତ୍ରୀ
3Other/ ଅନ୍ୟ
50 [specify_other_e2]
Show the field ONLY if:
[e2_child_s_sex] = '3'
Specify Other text
51 [e3_child_s_current_weight] E3. Child's current weight (kg)
ଶିଶୁର ବର୍ତ୍ତମାନର ଓଜନ (କି.ଗ୍ରା.)
Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ
 text (number, Min: 1, Max: 15), Required
Field Annotation: @FORCE-MINMAX
52 [e4_child_s_current_height] E4. Child's current height (cm)
ଶିଶୁର ବର୍ତ୍ତମାନର ଉଚ୍ଚତା (ସେ.ମି.)
Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ
 text (number), Required
53 [e5_mid_arm_circumference] E5. Child's Mid arm circumference
ମଧ୍ୟ ବାହୁ ପରିଧି
Numeric entry/ ସଂଖ୍ୟାରେ ଲେଖନ୍ତୁ
 text (number), Required
54 [e7_do_you_have_a_recent_gr] E7.Do you have a recent growth card/record for your child?
ଆପଣଙ୍କ ଶିଶୁର ସାମ୍ପ୍ରତିକ ଅଭିବୃଦ୍ଧି କାର୍ଡ/ରେକର୍ଡ ଅଛି କି? 		radio, Required
1Yes/ହଁ
2No/ନା
55 [e8_did_any_health_worker_i] E8.Did any health worker inform you about nutritional status?
କୌଣସି ସ୍ୱାସ୍ଥ୍ୟକର୍ମୀ ଆପଣଙ୍କୁ ପୁଷ୍ଟି ସ୍ଥିତି ବିଷୟରେ ଜଣାଇଥିଲେ କି? 		radio, Required
1Yes/ହଁ
2No/ନା
56 [e9_was_your_child_ever_dia] E9. Was your child ever diagnosed as underweight, stunted, or wasted?
ଆପଣଙ୍କ ଶିଶୁ କେବେ କମ୍ ଓଜନ, ବାମନ ବା ଦୁର୍ବଳ ବୋଲି ଚିହ୍ନିତ ହୋଇଥିଲା କି?


[Cross- Check MCP card] 		radio, Required
1Yes/ହଁ
2No/ନା
57 [e10_did_you_receive_treatm] E10.Did you receive treatment/support if child undernourished?
ଯଦି ଶିଶୁ କୁପୋଷଣର ଶିକାର ହୋଇଥିଲା, ତେବେ ଚିକିତ୍ସା/ସହାୟତା ପାଇଥିଲେ କି? 		radio, Required
1Yes/ହଁ
2No/ନା
3Not applicable
58 [e11_did_your_child_fall_si] E11. Did your child fall sick in last one month?
ଗତ ଏକ ମାସରେ ଆପଣଙ୍କର ସନ୍ତାନ ରୋଗୀ ହୋଇଛି କି?
 radio, Required
1Yes/ହଁ
2No/ନା
59 [e12_if_yes_reason_of_sickn]
Show the field ONLY if:
[e11_did_your_child_fall_si] = '1'
E12. If yes, reason of sickness?
ଯଦି ହଁ, ରୋଗ ହେବାର କାରଣ କ'ଣ?

 checkbox, Required
1e12_if_yes_reason_of_sickn___1Pneumonia/ ନ୍ୟୁମୋନିଆ
2e12_if_yes_reason_of_sickn___2Diarrhea/ ବସନ୍ତ
3e12_if_yes_reason_of_sickn___3Sepsis/ ସେପସିସ୍
4e12_if_yes_reason_of_sickn___4Neonatal Jaundice/ ନବଜାତ ହଳଦୀ
5e12_if_yes_reason_of_sickn___5Malnutrition/ ପୋଷଣ ଅଭାବ
6e12_if_yes_reason_of_sickn___6Any Other (Specify)/ ଅନ୍ୟ କିଛି (ବିଶେଷ କରନ୍ତୁ)
60 [specify_other_e12]
Show the field ONLY if:
[e12_if_yes_reason_of_sickn(6)] = '1'
Specify Other text
61 [e13_was_your_child_admitte] E13 . Was your child admitted to hospital in last two months?
ଗତ ଦୁଇ ମାସରେ ଆପଣଙ୍କର ସନ୍ତାନକୁ ହସ୍ପିଟାଲରେ ଭର୍ତ୍ତି କରାଯାଇଥିଲା କି?
radio, Required
1Yes/ହଁ
2No/ନା
62 [e14_duration_of_hospital_s]
Show the field ONLY if:
[e13_was_your_child_admitte] = '1'
E14. Duration of hospital stay
ହସ୍ପିଟାଲରେ ରହିବାର ସମୟ ଅବଧି
Numeric entry (days)/ ସଂଖ୍ୟାଗତ ପ୍ରବେଶ (ଦିନ)
 text (number), Required
63 [section_f_immunization_sta] Section H: Immunization status (verify with MCP card)ଅନୁଛେଦ H: ଟୀକାକରଣ ସ୍ଥିତି (MCP କାର୍ଡ ସହିତ ସତ୍ୟାପିତ କରନ୍ତୁ) descriptive
64 [h1_is_your_child_s_vaccina] H1. Is your child's vaccination up to date?
ଆପଣଙ୍କର ସନ୍ତାନର ଟୀକାକରଣ ସମୟରେ ହୋଇଛି କି?
 radio, Required
1Yes/ହଁ
2No/ନା
3Don't know /ଜାଣିନାହିଁ
65 [h2_has_your_child_missed_a] H2. Has your child missed any scheduled immunization?
ଆପଣଙ୍କର ସନ୍ତାନ କୌଣସି ନିର୍ଦ୍ଧାରିତ ଟୀକାକରଣ ଛାଡ଼ିଦେଇଛି କି?



 radio, Required
1Yes/ହଁ
2No/ନା
3Don't know /ଜାଣିନାହିଁ
66 [h3_if_yes_which_vaccine_wa]
Show the field ONLY if:
[h2_has_your_child_missed_a] = '1'
H3. If yes, which vaccine was missed?
ଯଦି ହଁ, କେଉଁ ଟୀକା ଛାଡ଼ିଗଲା?
 checkbox, Required
1h3_if_yes_which_vaccine_wa___1BCG (Tuberculosis) /ବି.ସି.ଜି. (କ୍ଷୟରୋଗ)
2h3_if_yes_which_vaccine_wa___2OPV-0 (Oral Polio Vaccine - Zero dose) / ଓ.ପି.ଭି.-0 (ମୁଖେ ପୋଲିଓ ଟୀକା - ଶୂନ୍ୟ ଡୋଜ୍)
3h3_if_yes_which_vaccine_wa___3Hepatitis B-0 (within 24 hours of birth) /ହେପାଟାଇଟିସ୍ B-0 (ଜନ୍ମର 24 ଘଣ୍ଟା ମଧ୍ୟରେ)
4h3_if_yes_which_vaccine_wa___4OPV-1 /ଓ.ପି.ଭି.-1
5h3_if_yes_which_vaccine_wa___5Pentavalent-1 (DPT + Hep B + HiB) / ପେଣ୍ଟାଭାଲେଣ୍ଟ-1 (ଡି.ପି.ଟି. + ହେପ୍ B + ହାଇବି)
6h3_if_yes_which_vaccine_wa___6fIPV-1 (Fractional Inactivated Polio Vaccine, intradermal) /ଏଫ୍.ଆଇ.ପି.ଭି.-1 (ଭାଗିତିଆ ନିଷ୍କ୍ରିୟ ପୋଲିଓ ଟୀକା, ଚର୍ମ ମଧ୍ୟରେ)
7h3_if_yes_which_vaccine_wa___7Rotavirus-1 / ରୋଟାଭାଇରସ୍-1
8h3_if_yes_which_vaccine_wa___8PCV-1 (Pneumococcal Conjugate Vaccine) /ପି.ସି.ଭି.-1 (ନ୍ୟୁମୋକକାଲ୍ କନ୍ଜୁଗେଟ୍ ଟୀକା)
9h3_if_yes_which_vaccine_wa___9OPV-2/ ଓ.ପି.ଭି.-2
10h3_if_yes_which_vaccine_wa___10Pentavalent-2/ପେଣ୍ଟାଭାଲେଣ୍ଟ-2
11h3_if_yes_which_vaccine_wa___11Rotavirus-2 /ରୋଟାଭାଇରସ୍-2
12h3_if_yes_which_vaccine_wa___12PCV-2/ପି.ସି.ଭି.-2
13h3_if_yes_which_vaccine_wa___13OPV-3 /ଓ.ପି.ଭି.-3
14h3_if_yes_which_vaccine_wa___14Pentavalent-3 /ପେଣ୍ଟାଭାଲେଣ୍ଟ-3
15h3_if_yes_which_vaccine_wa___15fIPV-2 /ଏଫ୍.ଆଇ.ପି.ଭି.-2
16h3_if_yes_which_vaccine_wa___16Rotavirus-3 (if 3-dose schedule) / ରୋଟାଭାଇରସ୍-3 (ଯଦି 3-ଡୋଜ୍ ସୂଚି ଥାଏ)
17h3_if_yes_which_vaccine_wa___17Measles-Rubella (MR-1) / ମିଜେଲ୍ସ-ରୁବେଲା (ଏମ୍.ଆର୍.-1)
18h3_if_yes_which_vaccine_wa___18JE-1 (Japanese Encephalitis, in endemic districts) / ଜେ.ଇ.-1 (ଜାପାନିଜ୍ ଏନ୍ସେଫାଲାଇଟିସ୍, ସ୍ଥାନୀୟ ଜିଲ୍ଲାରେ)
19h3_if_yes_which_vaccine_wa___19PCV-Booster / ପି.ସି.ଭି.-ବୁଷ୍ଟର୍
20h3_if_yes_which_vaccine_wa___20MR-2 /ଏମ୍.ଆର୍.-2
21h3_if_yes_which_vaccine_wa___21DPT 1st Booster /ଡି.ପି.ଟି. ପ୍ରଥମ ବୁଷ୍ଟର୍
22h3_if_yes_which_vaccine_wa___22OPV-Booster /ଓ.ପି.ଭି.-ବୁଷ୍ଟର୍
23h3_if_yes_which_vaccine_wa___23JE-2 (in endemic districts) / ଜେ.ଇ.-2 (ସ୍ଥାନୀୟ ଜିଲ୍ଲାରେ)
67 [h4_reason_for_missed_immun]
Show the field ONLY if:
[h2_has_your_child_missed_a] = '1'
H4. Reason for missed immunization?
ଟୀକାକରଣ ଛାଡ଼ିବାର କାରଣ?
 radio, Required
1Child sick/ ଶିଶୁ ଅସୁସ୍ଥ
2Vaccine not available/ ଟୀକା ଉପଲବ୍ଧ ନଥିଲା
3Transport/ ପରିବହନ ସମସ୍ୟା
4Other/ ଅନ୍ୟନ୍ୟ
68 [specify_other_h4]
Show the field ONLY if:
[h4_reason_for_missed_immun] = '4'
Specify other text
69 [h5_where_was_child_immuniz] H5. Where was your child immunized?
ଶିଶୁକୁ କେଉଁଠି ଟୀକାକରଣ କରାଯାଇଥିଲା?

 radio, Required
1Anganwadi/ଆଙ୍ଗନବାଡ଼ି
2PHC/ପି.ଏଚ୍.ସି.
3CHC/ସି.ଏଚ୍.ସି.
4Other/ ଅନ୍ୟ
70 [specify_other_h5]
Show the field ONLY if:
[h5_where_was_child_immuniz] = '4'
specify other text
71 [result_code] Result Code:

ଫଳାଫଳ କୋଡ୍: 		dropdown, Required
1Completed/ ସମ୍ପୂର୍ଣ୍ଣ
2Refused/ ଅସ୍ଵୀକୃତ
3Partly completed/ ଆଂଶିକ ସମ୍ପୂର୍ଣ୍ଣ
4Not at home/ ଘରେ ନାହାନ୍ତି
5Postponed/ ସ୍ଥଗିତ
 
 72 [form_1_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
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