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Pregnancy tracking ToolPID 31
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 03/19/2026 4:42am
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
Pregnancy tracking Tool (PID: 31)
03/19/2026 4:42am
Instruments
Instrument Form Name
Registration_form_4th_month registration_form_4th_month
5th_month_form th_month_form
6th_month_follow_up th_month_follow_up
Registration Form 7th Month registration_form_7th_month
1st follow-up form (8th month) st_followup_form_8th_month
2nd Follow-up form (9th month) nd_followup_form_9th_month
After delivery form after_delivery_form
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Registration_form_4th_month(registration_form_4th_month) Enabled as survey
1 [record_id] Record ID text
 
 2 [registration_form_4th_month_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
Instrument:5th_month_form(th_month_form)
 
 3 [th_month_form_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
Instrument:6th_month_follow_up(th_month_follow_up)
 
 4 [th_month_follow_up_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
Instrument:Registration Form 7th Month(registration_form_7th_month) Enabled as survey
5 [name_of_interviwer] Name of Interviwer text, Required
Field Annotation: @APPUSERNAME-APP
6 [date_of_survey] Date of survey
text (date_dmy), Required
Field Annotation: @TODAY-UTC
7 [rch_id] RCH id (to be given by ASHA)
 text (number), Required
8 [name_of_the_mother] Name of pregnant women
text, Required
9 [name_of_spouse] Name of spouse
 text, Required
10 [phone_number_pg] Phone Number of pregnant women text (integer, Min: 5555555555, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
11 [phone_number_2] Phone number of the pregnant woman's husband
if second no is not available (9999999999)
 text (integer, Min: 5555555555, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
12 [phone_number_of_the_pregna] Phone number of the pregnant woman which can be used to contact her
(other than her husband's number)
not available then enter 9999999999
 text (number, Min: 5555555555, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
13 [b_preferred_time_of_the_da] B. Preferred time of the day to contact the woman. text, Required
14 [age_in_years] Age (in years)
 text (number), Required
15 [lmp] LMP
 text (date_dmy), Required
16 [edd] EDD
 text (date_dmy), Required
17 [gestational_age_in_weeks] Gestational age (in weeks)When ANC for your 7th month of pregnancy was received / due text (integer), Required
18 [gravida] Gravida
 text (integer), Required
19 [parity] Parity
 text (number), Required
20 [living] No of children living text (integer), Required
21 [type_of_resident] Type of resident radio, Required
1Permanent
2Migrant (long term - more than a year - from other state)
3Migrant (short term - less than 6 months - from other state)
22 [previous_pregnancy_history] Previous Pregnancy History descriptive
23 [previous_history_of_stillb] Previous history of stillbirth
 yesno, Required
1Yes
0No
24 [count_stillbirth]
Show the field ONLY if:
[previous_history_of_stillb] = '1'
specify the count text (integer), Required
25 [previous_history_of_neonat] Previous history of Neonatal death
 yesno, Required
1Yes
0No
26 [count_neonatal]
Show the field ONLY if:
[previous_history_of_neonat] = '1'
Specify the count text (number), Required
27 [history_of_aborti] Previous history of Abortions
 yesno, Required
1Yes
0No
28 [count_aborstion]
Show the field ONLY if:
[history_of_aborti]="1"
specify the count text (integer), Required
29 [previous_history_of_lscs] Previous history of LSCS
 yesno, Required
1Yes
0No
30 [count_lscs]
Show the field ONLY if:
[previous_history_of_lscs] = '1'
specify the count text (number), Required
31 [history_of_any_illness_at] History of any illness at any time during previous pregnancy
yesno, Required
1Yes
0No
32 [illness]
Show the field ONLY if:
[history_of_any_illness_at] = '1'
What was the illness? (Multiple responses are possible) checkbox, Required
1illness___1Diabetes
2illness___2Hypertension
3illness___3Eclampsia/ Pre-eclampsia
4illness___4Thyroid disease
5illness___5pre-existing medical conditions such as heart disease, kidney disease, or epilepsy
6illness___6Allergy
7illness___7TB
8illness___8HIV
9illness___9Fever with rash
10illness___10Severe Anemia / Hb less than 7 g/dl
11illness___11Excessive bleeding (antepartum)
12illness___12Others
33 [specify_illness]
Show the field ONLY if:
[illness(12)] = '1'
Specify text, Required
34 [anc_details] ANC details descriptive
35 [registered_with_health_facili] Have you registered with any health facility for ANC during this pregnancy?
 yesno, Required
1Yes
0No
36 [no_of_anc_visits_done]
Show the field ONLY if:
[registered_with_health_facili] = '1'
No. of ANC visits done till now
text (integer), Required
37 [type_of_facility]
Show the field ONLY if:
[registered_with_health_facili] = '1'
Type of facility



 radio, Required
1Public/government facility
2Private facility
3Semi/aided facility
4Other
38 [other_health_facility]
Show the field ONLY if:
[type_of_facility] = '4'
Other text, Required
39 [month_preg_in_anc_done]
Show the field ONLY if:
[registered_with_health_facili] = '1'
In which month of your pregnancy did you have the first ANC visit (for your current pregnancy)?
text (integer), Required
40 [most_recent_anc] When was your most recent ANC visit?




 radio, Required
1Less than 1 week ago
2Between 2-4 weeks ago
3More than 1 month ago
4Never had an ANC visit
5Others specify
41 [other_recent_anc]
Show the field ONLY if:
[most_recent_anc] = '5'
Other text, Required
42 [clinical_tests_conducted_i] Clinical Tests Conducted in the ANC visit descriptive
43 [height_checked] Height checked yesno, Required
1Yes
0No
44 [were_you_informed_about_th]
Show the field ONLY if:
[height_checked] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
45 [value_of_height_in_cm]
Show the field ONLY if:
[were_you_informed_about_th] = '1'
Value of height in cm
text (number), Required
46 [any_hrp_complication_ht]
Show the field ONLY if:
[height_checked] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
47 [medicines_treatment_provid_ht]
Show the field ONLY if:
[any_hrp_complication_ht] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
48 [referred_hrp_ht]
Show the field ONLY if:
[any_hrp_complication_ht] = '1'
Referred
 yesno, Required
1Yes
0No
49 [weight_checked] Weight Checked yesno, Required
1Yes
0No
50 [informed_about_wt]
Show the field ONLY if:
[weight_checked] = '1'
Were you informed about the result? yesno, Required
1Yes
0No
51 [value_wt]
Show the field ONLY if:
[informed_about_wt] = '1'
Value in Kg text (integer), Required
52 [was_any_hrp_complication_i]
Show the field ONLY if:
[weight_checked] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
53 [medicines_treatment_provid_wt]
Show the field ONLY if:
[was_any_hrp_complication_i] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
54 [referred_wt]
Show the field ONLY if:
[was_any_hrp_complication_i] = '1'
Referred
yesno, Required
1Yes
0No
55 [blood_pressure] Blood Pressure checked yesno, Required
1Yes
0No
56 [were_you_informed_about_bp]
Show the field ONLY if:
[blood_pressure] = '1'
Were you informed about the result? (Skip if Not checked)
 yesno, Required
1Yes
0No
57 [value_bp]
Show the field ONLY if:
[were_you_informed_about_bp] = '1'
Value
text, Required
58 [hrp_complication_bp]
Show the field ONLY if:
[blood_pressure] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
59 [medicines_treatment_provid_bp]
Show the field ONLY if:
[hrp_complication_bp] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
60 [referred_bp]
Show the field ONLY if:
[hrp_complication_bp] = '1'
Referred
yesno, Required
1Yes
0No
61 [abdominal_check_up] Abdominal check up
yesno, Required
1Yes
0No
62 [were_you_informed_abdomin]
Show the field ONLY if:
[abdominal_check_up] = '1'
were you informed about the result? (Skip if Not checked)
 yesno, Required
1Yes
0No
63 [value]
Show the field ONLY if:
[were_you_informed_abdomin] = '1'
Value text, Required
64 [hrp_complication_abdomin]
Show the field ONLY if:
[abdominal_check_up] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
65 [medicines_treatment_abdomin]
Show the field ONLY if:
[hrp_complication_abdomin] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
66 [referred_abdomin]
Show the field ONLY if:
[hrp_complication_abdomin] = '1'
Referred
 yesno, Required
1Yes
0No
67 [investigation_done_in_the] Investigation done in the ANC visit descriptive
68 [hemoglobin] Hemoglobin
 yesno, Required
1Yes
0No
69 [were_you_informed_about_hb]
Show the field ONLY if:
[hemoglobin] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
70 [value_hb]
Show the field ONLY if:
[were_you_informed_about_hb] = '1'
Value text (number), Required
71 [hrp_complication_hb]
Show the field ONLY if:
[hemoglobin] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
72 [medicines_hb]
Show the field ONLY if:
[hrp_complication_hb] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
73 [referred_hb]
Show the field ONLY if:
[hrp_complication_hb] = '1'
Referred yesno, Required
1Yes
0No
74 [blood_glucose_sugar_rbs_or] Blood Glucose/Sugar (RBS or fasting or OGTT)
 yesno, Required
1Yes
0No
75 [informed_rbs]
Show the field ONLY if:
[blood_glucose_sugar_rbs_or] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
76 [value_rbs]
Show the field ONLY if:
[informed_rbs] = '1'
Value
text (integer), Required
77 [hrp_complication_rbs]
Show the field ONLY if:
[blood_glucose_sugar_rbs_or] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
78 [medicines_treatment_rbs]
Show the field ONLY if:
[hrp_complication_rbs] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
79 [referred_rbs]
Show the field ONLY if:
[hrp_complication_rbs] = '1'
Referred
yesno, Required
1Yes
0No
80 [urine_test] Urine Test
 yesno, Required
1Yes
0No
81 [were_you_informed_urne]
Show the field ONLY if:
[urine_test] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
82 [hrp_complication_urn]
Show the field ONLY if:
[urine_test] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
83 [medicines_treatment_urne]
Show the field ONLY if:
[hrp_complication_urn] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
84 [referred_urn]
Show the field ONLY if:
[hrp_complication_urn] = '1'
Referred
yesno, Required
1Yes
0No
85 [usg] USG
 yesno, Required
1Yes
0No
86 [informed_about_usg]
Show the field ONLY if:
[usg] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
87 [hrp_complication_usg]
Show the field ONLY if:
[usg] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
88 [medicines_treatment_usg]
Show the field ONLY if:
[hrp_complication_usg] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
89 [referred_usg]
Show the field ONLY if:
[hrp_complication_usg] = '1'
Referred
yesno, Required
1Yes
0No
90 [danger_signs] Danger Signs descriptive
91 [did_you_experience_any_of] "Did you experience any of the following danger signs during anytime of the pregnancy? checkbox, Required
1did_you_experience_any_of___1Vaginal Bleeding
2did_you_experience_any_of___2Severe Headaches
3did_you_experience_any_of___3Blurred Vision
4did_you_experience_any_of___4Reduced fetal movements
5did_you_experience_any_of___5Excessive swelling in face or hands or feet
6did_you_experience_any_of___6Convulsions
7did_you_experience_any_of___7Fever
8did_you_experience_any_of___8Severe Abdominal Pain
9did_you_experience_any_of___9Dizziness and Lightheadedness
10did_you_experience_any_of___10Fatigue and Weakness
11did_you_experience_any_of___11Fast or difficult Breathing/shortness of breath
12did_you_experience_any_of___12No
13did_you_experience_any_of___13Any other
92 [specify_dangersign]
Show the field ONLY if:
[did_you_experience_any_of(13)] = '1'
Specify text, Required
93 [if_experienced_any_danger]
Show the field ONLY if:
[did_you_experience_any_of(1)] = '1' OR [did_you_experience_any_of(2)] = '1' OR [did_you_experience_any_of(3)] = '1' OR [did_you_experience_any_of(4)] = '1' OR [did_you_experience_any_of(5)] = '1' OR [did_you_experience_any_of(6)] = '1' OR [did_you_experience_any_of(7)] = '1' OR [did_you_experience_any_of(8)] = '1' OR [did_you_experience_any_of(9)] = '1' OR [did_you_experience_any_of(10)] = '1' OR [did_you_experience_any_of(11)] = '1' or [did_you_experience_any_of(13)] = '1'
If experienced any danger sign, how did you manage it? radio, Required
1At home
2Visited government facility
3Visited private facility
4Consulted religious practitioners
 
 94 [registration_form_7th_month_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
Instrument:1st follow-up form (8th month)(st_followup_form_8th_month) Enabled as survey
95 [date_of_survey_eight] Date of survey
text (date_dmy), Required
Field Annotation: @NOW
96 [name_of_interviwer_eight] Name of interviwer text
Field Annotation: @APPUSERNAME-APP
97 [name_of_pregnant_women_et] Name of pregnant women text, Required
98 [name_of_spouse_eight] Name of spouse text, Required
99 [rch_id_eight] RCH id text
100 [phone_number_eight_one] Phone number pregnant women 1 text (number, Min: 3333333333, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
101 [phone_number_eight_one_2] Phone number pregnant women 2
if second no is not available (9999999999)
 text (number, Min: 3333333333, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
102 [anc_details_eight] ANC details descriptive
103 [gestational_age_in_eight] Gestational age (in weeks)When ANC for your 8th month of pregnancy was received / due text (number), Required
104 [anc_visit_mnth_eight] Did you have an ANC visit for this month?




 radio, Required
1Yes
2Could not go
3Did not think it was needed
4Didn't know it was due
5other reasons
105 [reason_anc_vst_eight]
Show the field ONLY if:
[anc_visit_mnth_eight] = '5'
Reason text, Required
106 [date_of_anc_visit_eight]
Show the field ONLY if:
[anc_visit_mnth_eight] = '1'
Date of ANC visit
 text (date_dmy), Required
107 [type_of_facility_eight]
Show the field ONLY if:
[anc_visit_mnth_eight] = '1'
Type of facility



 radio, Required
1Public/government facility
2Private facility
3Semi/aided facility
4Other
108 [other_plc_anc_vst_eight]
Show the field ONLY if:
[type_of_facility_eight] = '4'
Other text, Required
109 [clinical_tests_conducted_eight] Clinical Tests Conducted in the ANC visit descriptive
110 [weight_ckd_eight] Weight Checked
 yesno, Required
1Yes
0No
111 [informed_abt_wt_eight]
Show the field ONLY if:
[weight_ckd_eight] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
112 [value_wt_eight]
Show the field ONLY if:
[informed_abt_wt_eight] = '1'
Value in Kg text (integer), Required
113 [hrp_complication_wt_eight]
Show the field ONLY if:
[weight_ckd_eight] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
114 [medicines_treat_wt_et]
Show the field ONLY if:
[hrp_complication_wt_eight] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
115 [referred_wt_et]
Show the field ONLY if:
[hrp_complication_wt_eight] = '1'
Referred
 yesno, Required
1Yes
0No
116 [bp_ckd_et] Blood Pressure Checked yesno, Required
1Yes
0No
117 [informed_abt_bp_et]
Show the field ONLY if:
[bp_ckd_et] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
118 [value_bp_et]
Show the field ONLY if:
[informed_abt_bp_et] = '1'
Value blood pressure text, Required
119 [hrp_complication_bp_et]
Show the field ONLY if:
[bp_ckd_et] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
120 [medicines_provid_bp_et]
Show the field ONLY if:
[hrp_complication_bp_et] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
121 [referred_bp_et]
Show the field ONLY if:
[hrp_complication_bp_et] = '1'
Referred yesno, Required
1Yes
0No
122 [abdominal_check_up_et] Abdominal check up done
 yesno, Required
1Yes
0No
123 [informed_abt_abd_et]
Show the field ONLY if:
[abdominal_check_up_et] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
124 [value_abd_et]
Show the field ONLY if:
[informed_abt_abd_et] = '1'
Value
text, Required
125 [hrp_complication_abd_et]
Show the field ONLY if:
[abdominal_check_up_et] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
126 [medicines_treatment_abd_et]
Show the field ONLY if:
[hrp_complication_abd_et] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
127 [referred_abd_et]
Show the field ONLY if:
[abdominal_check_up_et] = '1'
Referred yesno, Required
1Yes
0No
128 [investigation_done_in_et] Investigation done in the ANC visit descriptive
129 [hb_et] Hemoglobin
 yesno, Required
1Yes
0No
130 [informed_abt_hb_et]
Show the field ONLY if:
[hb_et] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
131 [value_hb_et]
Show the field ONLY if:
[informed_abt_hb_et] = '1'
Value
text (integer), Required
132 [hrp_complication_hb_et]
Show the field ONLY if:
[hb_et] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
133 [medicines_treatment_hb_et]
Show the field ONLY if:
[hrp_complication_hb_et] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
134 [referred_hb_et]
Show the field ONLY if:
[hrp_complication_hb_et] = '1'
Referred yesno, Required
1Yes
0No
135 [rbs_et] Blood Glucose/Sugar (RBS or fasting or OGTT)
 yesno, Required
1Yes
0No
136 [informed_abt_rbs_et]
Show the field ONLY if:
[rbs_et] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
137 [value_rbs_et]
Show the field ONLY if:
[informed_abt_rbs_et] = '1'
Value text (number), Required
138 [hrp_complication_rbs_et]
Show the field ONLY if:
[rbs_et] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
139 [medicines_provid_rbs_et]
Show the field ONLY if:
[hrp_complication_rbs_et] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
140 [referred_rbs_et]
Show the field ONLY if:
[hrp_complication_rbs_et] = '1'
Referred yesno, Required
1Yes
0No
141 [urine_et] Urine Test
 yesno, Required
1Yes
0No
142 [informed_abt_urin_et]
Show the field ONLY if:
[urine_et] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
143 [hrp_complication_urn_et]
Show the field ONLY if:
[urine_et] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
144 [medicines_treat_urn_et]
Show the field ONLY if:
[hrp_complication_urn_et] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
145 [referred_urn_et]
Show the field ONLY if:
[medicines_treat_urn_et] = '1'
Referred yesno, Required
1Yes
0No
146 [usg_et] USG is done yesno, Required
1Yes
0No
147 [informed_about_usg_et]
Show the field ONLY if:
[usg_et] = '1'
Were you informed about the result? yesno, Required
1Yes
0No
148 [hrp_complication_usg_et]
Show the field ONLY if:
[usg_et] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
149 [medicines_treatment_usg_et]
Show the field ONLY if:
[hrp_complication_usg_et] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
150 [referred_usg_et]
Show the field ONLY if:
[hrp_complication_usg_et] = '1'
Referred yesno, Required
1Yes
0No
151 [danger_signs_et] Danger Signs descriptive
152 [danger_sign_et] "Did you experience any of the following danger signs anytime after the last interview?

(Multiple responses can be selected)"
 checkbox, Required
1danger_sign_et___1Vaginal Bleeding
2danger_sign_et___2Severe Headaches
3danger_sign_et___3Blurred Vision
4danger_sign_et___4Reduced fetal movements
5danger_sign_et___5Excessive swelling in face or hands or feet
6danger_sign_et___6Convulsions
7danger_sign_et___7Fever
8danger_sign_et___8Severe Abdominal Pain
9danger_sign_et___9Dizziness and Lightheadedness
10danger_sign_et___10Fatigue and Weakness
11danger_sign_et___11Fast or difficult Breathing/shortness of breath
12danger_sign_et___12No
13danger_sign_et___13Any other
153 [any_other_specify_et]
Show the field ONLY if:
[danger_sign_et(13)] = '1'
Any other specify text, Required
154 [mange_danger_et]
Show the field ONLY if:
[danger_sign_et(1)] = '1' OR [danger_sign_et(2)] = '1' OR [danger_sign_et(3)] = '1' OR [danger_sign_et(4)] = '1' OR [danger_sign_et(5)] = '1' OR [danger_sign_et(6)] = '1' OR [danger_sign_et(7)] = '1' OR [danger_sign_et(8)] = '1' OR [danger_sign_et(9)] = '1' OR [danger_sign_et(10)] = '1' OR [danger_sign_et(11)] = '1' OR [danger_sign_et(13)] = '1'
How did you manage it?



 radio, Required
1At home
2Visited government facility
3Visited private facility
4Consulted religious practitioners
 
 155 [st_followup_form_8th_month_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
Instrument:2nd Follow-up form (9th month)(nd_followup_form_9th_month) Enabled as survey
156 [name_of_interviwer_9_th] Name of interviewer text, Required
Field Annotation: @APPUSERNAME-APP
157 [date_of_survey_9] Date of survey
text (date_dmy), Required
158 [pregnant_women_nineth] Name of pregnant women text, Required
159 [name_of_spouse_nine] Name of spouse text, Required
160 [rch_id_nine] RCH id (to be given by ASHA)
 text, Required
161 [mobile_no_nine] Phone number of pregnant women no 1 text (number, Min: 3333333333, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
162 [mobile_no_nine_2] Phone number of pregnant women no 2
if second no is not available (9999999999)
 text (number, Min: 3333333333, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
163 [anc_details_nine] ANC details descriptive, Required
164 [gestational_nine] Gestational age (in weeks)When ANC for your 9th month of pregnancy was received / due text (integer), Required
165 [anc_vst_nine] Did you have an ANC visit for this month?




 radio, Required
1Yes
2Could not go
3Did not think it was needed
4Didn't know it was due
5other reasons
166 [other_not_vst]
Show the field ONLY if:
[anc_vst_nine] = '5'
Other text, Required
167 [date_of_anc_visit_nine]
Show the field ONLY if:
[anc_vst_nine] = '1'
Date of ANC visit
 text (date_dmy), Required
168 [type_of_facility_nine]
Show the field ONLY if:
[anc_vst_nine] = '1'
Type of facility



 radio, Required
1Public/government facility
2Private facility
3Semi/aided facility
4Other
169 [other_place_anc_vst_nine]
Show the field ONLY if:
[type_of_facility_nine] = '4'
Other text, Required
170 [clinical_tests_conduct_nine] Clinical Tests Conducted in the ANC visit descriptive
171 [weight_nine] Weight
 yesno, Required
1Yes
0No
172 [informed_about_wt_ni]
Show the field ONLY if:
[weight_nine] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
173 [value_wt_ni]
Show the field ONLY if:
[informed_about_wt_ni] = '1'
Value in kgs text (integer), Required
174 [hrp_complication_wt_nine]
Show the field ONLY if:
[weight_nine] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
175 [medicines_treatmen_wt_nine]
Show the field ONLY if:
[hrp_complication_wt_nine] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
176 [referred_wt_nine]
Show the field ONLY if:
[hrp_complication_wt_nine] = '1'
Referred
yesno, Required
1Yes
0No
177 [bp_checked_nine] Blood Pressure checked yesno, Required
1Yes
0No
178 [informed_abt_bp_nine]
Show the field ONLY if:
[bp_checked_nine] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
179 [value_bp_nine]
Show the field ONLY if:
[informed_abt_bp_nine] = '1'
Value
 text, Required
180 [hrp_complication_bp_nine]
Show the field ONLY if:
[bp_checked_nine] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
181 [medicines_tret_bp_nine]
Show the field ONLY if:
[hrp_complication_bp_nine] = '1'
Medicines / treatment provided
 yesno, Required
1Yes
0No
182 [referred_bp_nine]
Show the field ONLY if:
[hrp_complication_bp_nine] = '1'
Referred
yesno, Required
1Yes
0No
183 [abdominal_check_up_done] Abdominal check up done
 yesno, Required
1Yes
0No
184 [informed_about_ad_nine]
Show the field ONLY if:
[abdominal_check_up_done] = '1'
Were you informed about the result?
yesno, Required
1Yes
0No
185 [value_ad_nine]
Show the field ONLY if:
[informed_about_ad_nine] = '1'
Value
 text, Required
186 [hrp_complication_ad_nine]
Show the field ONLY if:
[abdominal_check_up_done] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
187 [medicines_treatment_ab_nine]
Show the field ONLY if:
[hrp_complication_ad_nine] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
188 [referred_ad_nine]
Show the field ONLY if:
[hrp_complication_ad_nine] = '1'
Referred
yesno, Required
1Yes
0No
189 [hb_nine] Hemoglobin
 yesno, Required
1Yes
0No
190 [informed_hb_nine]
Show the field ONLY if:
[hb_nine] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
191 [value_hb_nine]
Show the field ONLY if:
[informed_hb_nine] = '1'
Value
text (integer), Required
192 [hrp_complication_hb_nine]
Show the field ONLY if:
[hb_nine] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
193 [medicines_treatment_ad_nine]
Show the field ONLY if:
[hrp_complication_hb_nine] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
194 [referred_hb_nine]
Show the field ONLY if:
[hrp_complication_hb_nine] = '1'
Referred yesno
1Yes
0No
195 [rbs_nine] Blood Glucose/Sugar (RBS or fasting or OGTT)
 yesno, Required
1Yes
0No
196 [informed_abt_rbs_nine]
Show the field ONLY if:
[rbs_nine] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
197 [value_rbs_nine]
Show the field ONLY if:
[informed_abt_rbs_nine] = '1'
Value
text, Required
198 [hrp_complication_rbs_nine]
Show the field ONLY if:
[rbs_nine] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
199 [medicines_treatment_rbs_nine]
Show the field ONLY if:
[hrp_complication_rbs_nine] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
200 [referred_rbs_nine]
Show the field ONLY if:
[hrp_complication_rbs_nine] = '1'
Referred
 yesno, Required
1Yes
0No
201 [urine_nine] Urine Test
 yesno, Required
1Yes
0No
202 [informed_abt_urin_nine]
Show the field ONLY if:
[urine_nine] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
203 [hrp_complication_urine_nine]
Show the field ONLY if:
[urine_nine] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
204 [medicines_urine_nine]
Show the field ONLY if:
[hrp_complication_urine_nine] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
205 [referred_urine_nine]
Show the field ONLY if:
[hrp_complication_urine_nine] = '1'
Referred
 yesno, Required
1Yes
0No
206 [usg_nine] USG checked yesno, Required
1Yes
0No
207 [informed_abt_usg_nine]
Show the field ONLY if:
[usg_nine] = '1'
Were you informed about the result?
 yesno, Required
1Yes
0No
208 [hrp_complication_usg_nine]
Show the field ONLY if:
[usg_nine] = '1'
Was any HRP/complication identified based upon the test results?
 yesno, Required
1Yes
0No
209 [medicines_usg_nine]
Show the field ONLY if:
[hrp_complication_usg_nine] = '1'
Medicines/ treatment provided
 yesno, Required
1Yes
0No
210 [referred_usg_nine]
Show the field ONLY if:
[hrp_complication_usg_nine] = '1'
Referred
 yesno, Required
1Yes
0No
211 [danger_signs_nine] Danger Signs descriptive
212 [did_you_experience_nine] "Did you experience any of the following danger signs anytime after the last interview?

(Multiple responses can be selected)"





 checkbox, Required
1did_you_experience_nine___1Vaginal Bleeding
2did_you_experience_nine___2Severe Headaches
3did_you_experience_nine___3Blurred Vision
4did_you_experience_nine___4Reduced fetal movements
5did_you_experience_nine___5Excessive swelling in face or hands or feet
6did_you_experience_nine___6Convulsions
7did_you_experience_nine___7Fever
8did_you_experience_nine___8Severe Abdominal Pain
9did_you_experience_nine___9Dizziness and Lightheadedness
10did_you_experience_nine___10Fatigue and Weakness
11did_you_experience_nine___11Fast or difficult Breathing/shortness of breath
12did_you_experience_nine___12No
13did_you_experience_nine___13Any other
213 [any_other_specify_nine]
Show the field ONLY if:
[did_you_experience_nine(13)] = '1'
Any other, specify
 text, Required
214 [experia_any_danger_sig_nine]
Show the field ONLY if:
[did_you_experience_nine(1)] = '1' or [did_you_experience_nine(2)] = '1' or [did_you_experience_nine(3)] = '1' or [did_you_experience_nine(4)] = '1' or [did_you_experience_nine(5)] = '1' or [did_you_experience_nine(6)] = '1' or [did_you_experience_nine(6)] = '1' or [did_you_experience_nine(7)] = '1' or [did_you_experience_nine(8)] = '1' or [did_you_experience_nine(9)] = '1' or [did_you_experience_nine(10)] = '1' or [did_you_experience_nine(11)] = '1' or [did_you_experience_nine(13)] = '1'
Experienced any danger sign, how did you manage it?



 radio, Required
1At home
2Visited government facility
3Visited private facility
4Consulted religious practitioners
 
 215 [nd_followup_form_9th_month_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
Instrument:After delivery form(after_delivery_form) Enabled as survey
216 [date_of_survey_fnl] Date of survey
text (date_dmy), Required
217 [name_of_interviwer_final] Name of interviewer text, Required
Field Annotation: @APPUSERNAME-APP
218 [name_of_pregnant_women_fin] Name of pregnant women text, Required
219 [name_of_spouse_final] Name of spouse text, Required
220 [rch_id_final] RCH id text
221 [phone_number_final] Phone Number of pregnant women 1 text (number, Min: 3333333333, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
222 [phone_number_final_2] Phone Number of pregnant women 2
if second no is not available (9999999999)
 text (number, Min: 3333333333, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
223 [maternal_outcome] Maternal outcome descriptive
224 [mother_s_current_status] Mother's current status

 radio, Required
1Live
2Dead
225 [relation_of_respondent]
Show the field ONLY if:
[mother_s_current_status] = '2'
Specify the relation of the respondent with the baby text, Required
226 [fetal_outcome] Fetal outcome descriptive
227 [delivery_date] What was the date of your delivery?
 text (date_dmy), Required
228 [type_of_facility_delivery] Type of facility where baby was delivered radio, Required
1Public/government facility
2Private facility
3Semi/aided facility
4Other
229 [other_place_delivery]
Show the field ONLY if:
[type_of_facility_delivery] = '4'
Other text, Required
230 [what_was_the_baby_s_sex] What was the baby's sex?
 radio, Required
1Male
2Female
231 [outcome_of_delivery] Outcome of Delivery

 radio, Required
1Live Birth
2Still birth
232 [current_status]
Show the field ONLY if:
[outcome_of_delivery] = '1'
current Status? radio, Required
1Live
2Dead
233 [the_date_of_death]
Show the field ONLY if:
[current_status] = '2'
The date of death?
 text (date_dmy), Required
234 [appearance_of_baby]
Show the field ONLY if:
[outcome_of_delivery] = '2'
How was the appearance of the baby?


 radio, Required
1Fresh
2Decomposed or macerated
3Don't know
235 [before_labour] Before labour descriptive, Required
236 [labor_induced] Was the labor induced or augmented (any medicine given to increase pain?)
 yesno, Required
1Yes
0No
237 [put_a_pressure_abdomen] Did anyone put a pressure on your abdomen during labour?
 yesno, Required
1Yes
0No
238 [gestational_age_at_labour] Gestational age at the time of delivery
 text (number), Required
239 [gestational_age_at]
Show the field ONLY if:
[gestational_age_at_labour] < 34
Ask if Gestational age at the time of labor < 34 weeks, any injection given to stop the pain (Antenatal corticosteroid)?

 yesno, Required
1Yes
0No
240 [how_many_times_was_the_inj]
Show the field ONLY if:
[gestational_age_at] = '1'
How many times was the injection given?

 radio, Required
1Specify
2Don't remember
241 [specify_number_inje]
Show the field ONLY if:
[how_many_times_was_the_inj] = '1'
Specify number text (integer), Required
242 [what_was_the_interval_betw]
Show the field ONLY if:
[gestational_age_at] = '1'
What was the interval between last dose of injection and delivery?
 radio, Required
1Specify
2Don't remember
243 [specify_in_minutes_or_hour]
Show the field ONLY if:
[what_was_the_interval_betw]='1'
Specify in minutes or hours text, Required
244 [during_labour_and_delivery] During labour and delivery descriptive
245 [where_was_the_baby_deliver] Where was the baby delivered?
 radio, Required
1Government Hospital
2Private Hospital
3Government-aided Hospital
4On route to hospital
5Home
6Others
246 [others_place_delivery]
Show the field ONLY if:
[where_was_the_baby_deliver] = '6'
Other text, Required
247 [how_was_the_baby_delivered] How was the baby delivered?



 radio, Required
1Normal vaginal delivery
2Assisted vaginal delivery
3Cesarean section
4Don't Know
248 [did_you_encounter_any_of_t] Did you encounter any of the following problems during labour?






 checkbox, Required
1did_you_encounter_any_of_t___1Convulsions
2did_you_encounter_any_of_t___2High blood pressure
3did_you_encounter_any_of_t___3Fever
4did_you_encounter_any_of_t___4Excessive bleeding
5did_you_encounter_any_of_t___5Cord around the child's neck
6did_you_encounter_any_of_t___6Others
7did_you_encounter_any_of_t___7No
249 [other_prblm_during_del]
Show the field ONLY if:
[did_you_encounter_any_of_t] = '6'
Other text, Required
 
 250 [after_delivery_form_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
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