P ERSPECTIVES DE SANTE PUBLIQUE
Annexe 4. Questionnaire de l’enquête sur les services d’éducation et de suivi en matière de nutrition infantile
Interview N° |___|___|___|
Date |___|___| / |___|___| / |___|___|___|___|
Clinic ……… |___|
2. Definition of infant feeding education and support services
2.1 What do you think constitutes infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- group education |___| - training |___| responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4 - provide new information to mothers |___|
- provide new information to families |___|
- enable women to make their own informed decisions |___|
- build up the skills of mothers |___|
- improve infant feeding practices at community level |___|
- ensure cultural approach to infant feeding |___|
- provide IEC material |___|
- build-up community support |___|
- provide food |___|
- other (specify) ………..………. |___|
2.3. What issues do you think infant feeding education and support address in priority? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4 - breastfeeding position |___| - duration of breastfeeding |___|
- exclusive breastfeeding |___| - mixed feeding |___|
- cessation of breastfeeding |___| - weaning foods |___|
- breast health |___| - baby oral health |___|
- mother’s worries |___| - enabling family environment |___|
- safer breastfeeding |___| - other (specify)……….……… |___|
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2.4. Can you describe what safer breastfeeding practices means to you?
………….………..
………
………
3. Accessibility/use of education and support services
3.1. Who provides infant feeding education and support services in this community?
- nurse □ yes □ no |___| - medical doctor □ yes □ no |___|
3.2. In addition to mothers, who are these infant feeding education and support services delivered to?
- partners □ yes □ no |___| - families □ yes □ no |___|
- other (specify) …….…… □ yes □ no |___|
3.3. When are these infant feeding education and support services delivered to mothers?
- during pregnancy □ yes □ no |___| - just after delivery □ yes □ no |___|
- during first six months □ yes □ no |___| - during first year □ yes □ no |___|
- after one year □ yes □ no |___|
- whenever mothers asks at the clinic □ yes □ no |___|
- other (specify) ………. □ yes □ no |___|
3.4. How often is infant feeding education and support offered to mothers? (Tick one)
□ once a month □ once every three months □ once every six months
□ every year □ whenever mother is at the clinic
□ whenever mother receives a home visit
□ other (specify)……… |___|
3.5. Where is infant feeding education and support provided to mothers?
- home □ yes □ no |___|
3.7. Do you think this education and support is easily accessible to mothers in your community?
□ yes □ no |___|
If no, go to 3.9.
3.8. Why do you think it is accessible?
- it is a free service □ yes □ no |___|
- the service is close □ yes □ no |___|
- the service is well promoted □ yes □ no |___|
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- there are many support facilities □ yes □ no |___|
- there are many staff □ yes □ no |___|
- there are many trained support staff □ yes □ no |___|
- it is provided in the same facility as other services □ yes □ no |___|
- other (specify)……… ……….. □ yes □ no |___|
3.9. Why do you think it is not accessible?
- this service is too expensive □ yes □ no |___|
3.10. Do you think ALL mothers currently benefit from infant feeding education and support?
□ yes □ no |___|
If yes, go to 4.
3.11. Which specific mothers currently benefit from infant feeding education and support services?
………...
4. Involvement partner/other family members and friends
4.1. Is the partner (father of child) usually involved in infant feeding education and support?
□ yes □ no |___|
If no, go to 4.3.
4.2. How is the partner involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- partner decides infant feeding practices |___|
- partner discusses infant feeding with mother |___|
- partner supports mothers psychologically |___|
- partner supports mothers financially |___|
- other (specify)……… |___|
4.3. Why is the partner usually not involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- partner not asked to |___| - mother refuses |___|
- other family members pressure |___| - friends pressure |___|
- health worker attitude |___| - community worker attitude |___|
- other (specify)………. |___|
4.4. Do you think the partner should be involved in infant feeding support? □ yes □ no |___|
If no, go to 4.6.
4.5. Why should the partner be involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- partner is a parent so has to be informed |___|
- partner is influential on infant feeding |___|
- partner has financial resources |___|
- partner can better support the mother |___|
- socio-cultural norm |___|
- other (specify)……… ……… |___|
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4.6. Why should the partner not be involved in infant feeding education and support?
- partner does not understand infant feeding □ yes □ no |___|
- socio-cultural norm □ yes □ no |___|
- other (specify)……… ……… □ yes □ no |___|
4.7. Are other family members than partner usually involved in infant feeding education and support?
□ yes □ no |___|
If no, go to 4.10
4.8. Specify which family members? (relationship to mother)
- sister □ yes □ no |___| - sister in law □ yes □ no |___|
- mother □ yes □ no |___| - mother-in-law □ yes □ no |___|
- other (specify)……… ……….…. □ yes □ no |___|
4.9. How is the family involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- family decides infant feeding practices |___|
- family discusses infant feeding with mother |___|
- family supports mothers psychologically |___|
- family supports mothers financially |___|
- other (specify)……… |___|
4.10. Why is the family not involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- family not asked to |___| - mother refuses |___|
- friend pressure |___| - partner pressure |___|
- health worker attitude |___| - community worker attitude |___|
- other (specify) ………. |___|
4.11. Do you think the family should be involved in infant feeding education and support?
□ yes □ no |___|
If no, go to 4.13.
4.12. Why should the family be involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- family are parents so has to be informed |___|
- family is influential on infant feeding |___|
- family has financial resources |___|
- family can better support the mother |___|
- socio-cultural norm |___|
- other (sp ……….. |___|
4.13. Why should the family not be involved in infant feeding education and support?
- family does not understand infant feeding □ yes □ no |___|
- socio-cultural norm □ yes □ no |___|
- other (specify)……….… ……… □ yes □ no |___|
4.14. Are the friends of mothers usually involved in infant feeding education and support?
□ yes □ no |___|
If no, go to 4.16
4.15. How are friends involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- friends decide infant feeding practices |___|
- friends discuss infant feeding with mother |___|
- friends support mothers psychologically |___|
- friends support mothers financially |___|
- other (specify)……… |___|
4.16. Why are friends not involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- friends not asked to |___| - mother refuses |___|
- family pressure |___| - partner pressure |___|
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- health worker attitude |___| - community worker attitude |___|
- other (specify)……… ………. |___|
4.17. Do you think the friends should be involved in infant feeding education and support?
□ yes □ no |___|
If no, go to 4.19.
4.18. Why should friends be involved in infant feeding education and support? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- friends are influential on infant feeding |___|
- friends have financial resources |___|
- friends can better support the mother |___|
- socio-cultural norm |___|
- other (specify)……….. |___|
4.19. Why should friends not be involved in infant feeding education and support?
- friends does not understand infant feeding □ yes □ no |___|
- socio-cultural norm □ yes □ no |___|
- other (specify)……….… ……… □ yes □ no |___|
5. Evaluation of infant feeding education and support
5.1. Please describe briefly how infant feeding practices are influenced by any type of education and support the mothers receive? (specify the type of support the interviewee is talking about)
……….………..
6. Need for infant feeding education and support services
6.1. Do you think there needs to be more infant feeding education and support services available in
6.3 What type of infant feeding education and support is needed? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- group education |___| - training |___| interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- breastfeeding position |___| - duration of breastfeeding |___|
- exclusive breastfeeding |___| - mixed feeding |___|
- cessation of breastfeeding |___| - weaning foods |___|
- breast health |___| - baby oral health |___|
- mother’s worries |___| - enabling family environment |___|
- safer breastfeeding |___| - other (specify)……….……… |___|
6.5. Where should this infant feeding education and support be provided? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 3
- at home |___| - at the health centre |___|
- at a community centre |___| - other (specify)…………..………. |___|
6.6. Who, when trained, should provide infant feeding education and support (even if staff currently unavailable)? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4 interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- mothers |___| - partners/husbands |___|
7. Perception of infant feeding education and support services
7.1. Do you think some people providing infant feeding education and support are more socially and culturally acceptable to mothers than others? □ yes □ no |___|
If no, go to 7.3.
7.2. Who would be most socially and culturally acceptable to provide infant feeding education and support to mothers? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- nutritionist |___| - psychologist |___|
- traditional midwife |___| - family/friend |___|
- peers |___| - other (specify)………... |___|
7.3. Do you think infant feeding education and support is socially and culturally acceptable by families?
□ yes □ no |___|
7.7. Do you think families/friends encourage mothers to benefit from infant feeding education and support?
8. Infant feeding education and support services and HIV/AIDS
8.1. Do you think the community understands that the health of mothers may influence infant feeding
practices? □ yes □ no |___|
8.2. Please explain why yes/no?
……….………..
……….………..
……….………..
8.3. Do you think the community accepts different infant feeding practices between HIV-infected and
HIV-negative mothers? □ yes □ no |___|
8.4. Please explain why yes/no?
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8.5. What type of education and support do HIV-negative mothers need?
……….………..
……….………..
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8.6. What type of education and support do HIV-infected mothers need?
……….………..
……….………..
……….………..
8.7. Do you think infected mothers need more infant feeding education and support than
HIV-negative mothers? □ yes □ no |___|
8.8. Please explain why yes/no, and what aspects of infant feeding education and support HIV-infected mothers need more?
……….………..
……….………..
……….………..
8.9. Are there any barriers to HIV-infected mothers benefiting from appropriate infant feeding
education and support? □ yes □ no |___|
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8.10. Please explain why yes/no? interviewee, instruct him/her to choose and prioritise by importance from 1 to 4, adding one “other”
category if needed) interviewee, instruct him/her to choose and prioritise by importance from 1 to 4, adding one “other”
category if needed)
- provide new information to mothers |___|
- provide new information to families |___|
- enable women to make their own informed decisions |___|
- build up the skills of mothers |___|
- improve infant feeding practices at community level |___|
- ensure cultural approach to infant feeding |___|
- provide IEC material |___|
- build-up community support |___|
- other (specify) ………..………. |___|
9.4. What issues do you think infant feeding counselling/support address in priority? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4
- breastfeeding position |___| - duration of breastfeeding |___|
- exclusive breastfeeding |___| - mixed feeding |___|
- cessation of breastfeeding |___| - weaning foods |___|
- breast health |___| - baby oral health |___|
- mother’s worries |___| - enabling family environment |___|
- safer breastfeeding |___| - other (specify)………….……… |___|
9.5. Can you describe what safe infant feeding practices means to you?
……….………..
9.7. By whom? □ MOH CW □ other (specify)……….. |___|
9.8. When? (Tick one) □ less than six months ago □ more than six months ago |___|
9.9. How many hours was the infant feeding component of the course?
|___|___|
9.10. Why have you not been trained? (Tick one)
□ works in wrong department □ no opportunity planned by health authorities
□ inadequate profile □ other (specify)………… ……… |___|
9.11. Are you currently providing infant feeding counselling? □ yes □ no |___|
If no, go to 9.18
9.12. Please describe what you do as infant feeding counselling?
……….………..
……….………..
……….………..
9.13. Where do you provide infant feeding counselling?
………...
9.14. How often are you involved in providing infant feeding counselling? (Number of women per week?)
………
9.15. How many women have you counselled so far? (Tick one)
□ few □ some □ many |___|
9.16. How long does each infant feeding counselling session take?
………
9.17. What is the target population you are dealing with?
………
10. Recommendation – framework for infant feeding education and support ONLY FOR DHE
10.1. What do you think needs to be improved in the infant feeding education and support services provided in Buhera district?
……….………..
……….………..
……….………..
10.2. What specifically needs to be improved? (Show responses to interviewee, instruct him/her to choose and prioritise by importance from 1 to 4, adding one “other” category if needed)
- additional staff |___|
- additional training of staff |___|
- continuous training and supervision of staff |___|
- better location |___|
- increased networking between stakeholders |___|
- increased home visits |___|
- increased involvement of families |___|
- increased involvement of communities |___|
- other (specify) ………..……….. |___|
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10.3. Why don’t infant feeding education and support services provided in Buhera district need to be improved?
……….………..
……….………..
……….………..
10.4. Do you think infant feeding education and support is well integrated within existing health services?
□ yes □ no |___|
10.5. Please explain why yes/no?
……….………..
……….………..
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10.6. Do you think infant feeding education and support is well integrated within community services?
□ yes □ no |___|
10.7. Please explain why yes/no?
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