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Appendix 134 Appendix-1 Questionnaire format for Socio-economic Baseline data collection Name of the person : ....................................................................... Complete address : ....................................................................... ....................................................................... ....................................................................... 1. Type of family 1. Joint family ( ) 2. Nuclear family ( ) 2. Family member details Number of family members: S. N. Name Age Sex M/F Relation with family head Married Y/N Educational qualifications Occupation Yearly income (Rs.) 3. Religion and Caste Religion Caste Hindu Muslim Christian

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Page 1: Appendix-1 - Shodhgangashodhganga.inflibnet.ac.in/bitstream/10603/3932/14/14_appendix.pdfSection-1: Health security Name of the health condition Description of the health condition

Appendix

134

Appendix-1

Questionnaire format for Socio-economic

Baseline data collection

Name of the person : .......................................................................

Complete address : .......................................................................

.......................................................................

.......................................................................

1. Type of family

1. Joint family ( )

2. Nuclear family ( )

2. Family member details

Number of family members:

S.

N. Name Age

Sex

M/F

Relation

with family

head

Married

Y/N

Educational

qualifications Occupation

Yearly

income

(Rs.)

3. Religion and Caste

Religion Caste

Hindu

Muslim

Christian

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Appendix

135

4. Do you live in your own the house?

1. Yes ( )

2. No ( )

Mark either of the options.

5. Do you have own land?

1. Yes ( )

2. No ( )

5(b) If yes,

Land details Extent in acres Main crop cultivated

Dry land

Wet land

Waste land

6. Do you have leased land?

1. Yes ( )

2. No ( )

6.(a) If yes,

Category Extent in acres Main crop cultivated

Dry land

Wet land

7. Do you have a pump set for irrigation?

1. Yes ( )

2. No ( )

8. Do you have own livestock?

1. Yes ( )

2. No ( )

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Appendix

136

8a. If yes, indicate the number

Animal Own/Leased Number

Cows

Buffaloes

Bullocks

Goats

Sheep

Poultry

9. Do you have electricity in your home?

1. Yes ( )

2. No ( )

10. Do you have the following assets?

Asset Yes / No

Cycle

Bullock Cart

Motorised two wheeler

Motorised four wheeler

TV

Radio

Refrigerator

Phone/Mobile

Phone

Sewing Machine

Grinder

11. What is your source of drinking water?

1. Public tap/hand pump ( )

2. Own tap/well at home ( )

3. Motor ( )

12. Do you have toilet facilities at home?

1. Yes ( )

2. No ( )

13. What fuel do you use for cooking?(Tick appropriate)

1. Firewood ( )

2. Cow dung ( )

3. Biogas ( )

4. Kerosene ( )

5. LPG ( )

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Appendix

137

16.(a) Do you use home remedies, If yes, then list out the home remedies you are aware of :

S.

N.

Name of

disease

Plant used

Other

Ingredients

Method of

preparation

Dose Food

regimen/

special

instructions

Source

of

knowledge

Have you

tried this

remedy

Perception

of relief

Context of use

Name

of

plant

Plant

part

Source

of

Plant

Amt. No. of

Days

Times

/ Day

Whenever

complaint

occurs

When it is

inconvenient

to go to the

doctor

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Appendix

137

Appendix -2

Questionnaire format for the collection of Ethnobotanical, health and

livelihood security data

Details of the Informer

Name : ............................................................... Sex: ................ Age: ...........

Address : ................................................................................................................

.................................................................................................................

Community/Caste: ...……................................................................................................

.

Section-1: Health security

Name of the health condition

Description of the health condition

Affected part of the body

Symptoms

Causes

Diet/Regimen

Seasonal

Contagious

Traumatic

Idiopathic

Stages of the health conditions as

understood by some known person

Diagnostic features as understood by

some known person

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Appendix

138

Treatment Method

(3) Remedy/ Procedure

S.

N.

Local name of the

plant Botanical name Parts used

Proportion

used

Remarks on

purification

/collection

specification, if

any

(4) Drug preparation method

Medicine administration time interval

Details of storage of medicine – if applicable

(5) Dosage and administration

Time of administration

(before food, after food)

How much?

How many times?

How long?

Specification of doses

Vehicle/ adjuvant in the

administration & its quantity

(if any) viz. honey, water,

milk etc.

Advice on diet and regimen

Any other Remarks on

precautions /contra indications

Is repeat treatment needed? If

yes details

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Appendix

139

Section –2:

Livelihood security as food, fodder and fuel:

S.N. Local Name of

the plant

Botanical

name

Means of uses, food,

cereals, pulses fodders and

fuel

Habitat –wild/

cultivated

Use of Non timber forest produces (NTFPs) for Livelihood security :

S.

N.

Local Name

of the plant

Botanical

name

Trade name

/marketable

part

Processing

methods

Marketable

quantity

Market

price per

kg/quintal.

Collection

period

Section –3

Conservation practices:

S.

N.

Local Name of

the plant

Botanical

name Associated festival

Plant used in social and

religious belief/medicine

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Appendix

140

Appendix -3

Table: List of tribals interviewed from each village.

S.N. Name of tribals Age

S.N. Name of tribals Age

GHODASORA BHIMABHTA

1 Shri Chamar singh 40 21 Shri Gangaram 52

2 Shri Ghasiya 32 22 Shri Chaitu Ram 50

3 Shri Rupsay 48 23 Shri Sanker lal 39

4 Shri Kuleram 42 24 Shri Phaganu Ram 59

5 Shri Somaruram 31 25 Shri Buduri 54

6 Shri Ghhasiaram 32 26 Shri Panchuram 58

7 Shri Sonsingh 55 27 Shri Mahadev 62

8 Shri Buchhuram 52 28 Shri Shobharam 49

9 Shri Dayaram 44 29 Shri Gandoram 46

10 Shri Ramchand 54 30 Shri Tatharam 48

11 Shri Ghassuram Netam 46 31 Shri Masuram 58

12 Shri Sunilkumar Netam 54 32 Shri Dayaram 54

13 Shri Buduram 65 33 Shri Sonauram 59

14 Shri Nathel 45 34 Shri Jailuram 60

15 Shri Shyamlal Netam 56 35 Smt Sukmati 49

16 Shri Virsing Korram 51 36 Shri Nadalal 47

17 Smt Lakhmibai 43 37 Shri Gajendra Thakur 49

18 Shri Ram 62 38 Smt. Lachhanbai 42

19 Shri Sonsing Markam 45 39 Smt .Bhukhaibai 51

20 Shri Santuram 48 40 Smt. Ghadave bai 46

JHHATIBAN MANIJHHAPARA

41 Shri Nanuram 54 61 Shri Ramsu 54

42 Shri Somaruram 48 62 Shri Shanker 52

43 Shri Vadaram 60 63 Shri Laxminath 55

44 Shri Sukaduram 48 64 Shri Sukaman 42

45 Shri Waduram 29 65 Smt. Manaibai 42

46 Shri Manuram 46 66 Shri Ramlal 43

47 Shri Lakchhamibai 42 67 Shri Malsai 44

48 Smt. Itwarinbai 42 68 Smt. Sukadibai 52

49 Smt. Tanhibai 32 69 Smt. Shanti 55

50 Smt.Chidobai 38 70 Shri Mangat Ram 54

51 Shri Jasraj Kuldeep 45 71 Shri Samund ram 53

52 Shri Fagruam Kuldeep 50 72 Shri Mehaturam 42

53 Shri Santraram 51 73 Shri Budhansay 33

54 Shri Dauram 53 74 Shri Pitari 37

55 Shri Kuleram 54 75 Shri Budhsay 45

56 Shri Pilchand 42 76 Shri Chaituram Markam 41

57 Shri Ghasiyaram 43 77 Shri Ramuram 52

58 Shri Punauram 44 78 Shri Sonuram 26

59 Shri Balsay 45 79 Shri Laxman ram 35

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Appendix

141

60 Shri Amaluram 46 80 Shri Satnu Ram 54

PARCHHIPARA GAINTAPARA

81 Shri Jaysing 53 101 Shri Jagdev 52

82 Smt. Motibai 45 102 Shri Balsingh 33

83 Shri Aayturam 42 103 Shri Fooldas 35

84 Shri Budhsing 55 104 Shri Ramsaye Markam 37

85 Shri Koluram 56 105 Shri Sinyaram 45

86 Shri Banshilal 55 106 Shri Somaruram 47

87 Shri Laxchanram 52 107 Shri Jethuram 51

88 Smt. Agonati 55 108 Shri Faaguram 49

89 Shri Premlal 54 109 Shri Sonuram 38

90 Shri Chaliram 35 110 Shri Hiraman 34

91 Shri Koluram 36 111 Smt Lakhmibai 52

92 Shri Banshilal 42 112 Shri Damiram 48

93 Shri Kodairam 55 113 Shri Mahararam Korram 47

94 Shri Jaylal 53 114 Shri Basman Korram 56

95 Shri Aasharam 41 115 Shri Sahdev Netam 52

96 Smt Itwarinbai 42 116 Shri Shyamlal Netam 58

97 Shri Sukduram 51 117 Smt Hiradai 29

98 Shri Rajuram 30 118 Shri Lalsay Korram 35

99 Smt Sukhbati 35 119 Smt Dalibai Korram 32

100 Smt Manlibai 34 120 Smt Sukay Netam 35

PLATAPARA KONDABEDA

121 Shri Nathalu Ram 45 141 Shri Santaram 55

122 Shri Aaduram 43 142 Shri Banshilal 54

123 Smt. Manganibai 47 143 Shri Baidiram 47

124 Shri Mangal 48 144 Shri Sukuram 61

125 Shri Aayturam 55 145 Shri Fulsing 63

126 Smt. Sukaldai 61 146 Shri Tulsiram 51

127 Shri Bhagrathi 45 147 Shri Changturam 54

128 Shri Pardeshi 59 148 Shri Budhuram 65

129 Shri Surajram 56 149 Shri Sudnuram 67

130 Shri Sundar 52 150 Shri Sudenram 56

131 Shri Bhanupratap 53 151 Shri Bisruram 54

132 Shri Manglu 54 152 Shri Sukmanram 52

133 Shri Ramnath Markam 47 153 Shri Budhram 55

134 Shri Sonu Markam 48 154 Shri Sudrenram 53

135 Shri Charandas 59 155 Shri Funauram 59

136 Shri Amirdas 60 156 Shri Sanauram 65

137 Shri Garibdas 52 157 Shri Chamraram 67

138 Shri Samluram 54 158 Shri Hiralal 68

139 Shri Shrivdas 60 159 Shri Ratiram 71

140 Shri Mangalram 69 160 Shri Gasiyaram 58

KONADIDIHI BHANDARWANDI

161 Shri Ratulal 30 181 Shri Jaisingh 62

162 Shri Ghhasu Ram 42 182 Shri Niraghat 59

163 Smt. Birobai 55 183 Shri Brijlal 54

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Appendix

142

164 Shri Baidiram 53 184 Shri Banshi Ram 48

165 Shri Sukuram 51 185 Shri Bansingh 51

166 Shri Fulsing 49 186 Shri Ramuram 49

167 Shri Tulsiram 48 187 Shri Niranjan 58

168 Shri Hiralal 66 188 Shri Janglu 52

169 Smt. Sukaabati 68 189 Shri Duwaru 45

170 Shri Mangiya Ram 55 190 Shri Rajaram 65

171 Smt Fulbati 54 191 Shri Govindram 53

172 Shri Tulsiram 51 192 Shri Bindha 47

173 Shri Manshuram 45 193 Shri Farsuram 61

174 Shri Lakhmu 47 194 Shri Jhagduram 53

175 Shri Janglu 53 195 Shri Pilachand 57

176 Shri Narsing 54 196 Shri Sukman 55

177 Shri Shankarlal 55 197 Shri Chamruram 51

178 Shri Dannuram 57 198 Shri Chunilal 64

179 Shri Mayaram 43 199 Shri Murharam 48

180 Smt Motibai 46 200 Shri Rameshwar 58

BAILGAON PAINSARA

201 Shri Nanjat 53 221 Shri Sukman 48

202 Shri Hagaru Ram 45 222 Shri Somaru 61

203 Shri Sukmanram 49 223 Shri Laxman 52

204 Shri Kuwarsing 65 224 Shri Kanhaya 59

205 Shri Ramsing 61 225 Shri Nathram 62

206 Shri Ghansiram 60 226 Shri Chedilal 46

207 Smt. Jagbati 46 227 Shri Pisadu 45

208 Shri Dhani Ram 55 228 Shri Pankuram 60

209 Shri Dasharath 50 229 Shri Brijlal 46

210 Shri Andhare 62 230 Shri Santuram 55

211 Smt Mehatrin 59 231 Shri Dansay 58

212 Shri Bhakturam 45 232 Shri Maniram 48

213 Smt Sudhnibai 48 233 Shri Jagdev 53

214 Shri Padamnath 55 234 Shri Laxminath 50

215 Shri Bodhanram 59 235 Shri Siraju 56

216 Smt Raymati 51 236 Shri Budhram 55

217 Shri Dashruram 45 237 Shri Rajuram 40

218 Smt Rambati 57 238 Shri Aasman 48

219 Smt Maltibai 49 239 Shri Ghasiya 55

220 Shri Sukduram 65 240 Shri Kahruram 62

KONDABEDA BHUMKA

241 Shri Budhuram 60 261 Shri Hatkuram 45

242 Shri Sudnuram 55 262 Shri Devsingh 35

243 Shri Sudenram 40 263 Shri L. Singh 54

244 Shri Bisruram 46 264 Shri Kawalsingh 56

245 Shri Sukmanram 60 265 Shri Mahavir 58

246 Shri Budhram 59 266 Shri Hemsingh 50

247 Shri Sudrenram 46 267 Shri Ramdas 42

248 Shri Funauram 58 268 Shri Dhanuram 67

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Appendix

143

249 Shri Sanauram 62 269 Shri Kajarsingh 54

250 Shri Chamraram 43 270 Shri Nopalsingh 48

251 Shri Tulsiram 58 271 Shri Laxmansingh 56

252 Smt Sonbati 52 272 Shri Dharmuram 55

253 Smt Mantibai 45 273 Shri Chandulal 48

254 Shri Janglu 61 274 Shri Hemsingh 46

255 Smt Jaymatibai 48 275 Shri Jayram 60

256 Shri Narsing 52 276 Shri Sheyadu 55

257 Smt Rasontinbai 46 277 Shri Chainsingh 64

258 Shri Ratulal 55 278 Shri Vijaylal Nishad 58

259 Shri Mayaram 40 279 Shri Bansingh 45

260 Smt Sanwarinbai 45 280 Smt. Jankibai 50

PHUBGAON HIRRI

281 Shri Bisambar 48 301 Shri Aswan Netam 61

282 Shri Agharu 59 302 Shri Bhusan Netam 63

283 Shri Satishkumar 60 303 Shri Sanat 51

284 Shri Mansay 52 304 Shri Kansay Mandavi 54

285 Shri Mankuram 54 305 Shri Joga Mandavi 65

286 Shri Ramuram 60 306 Shri Dhnsingh Mandavi 67

287 Shri Aasman 69 307 Shri Romnath Bhandari 56

288 Shri Ghadwa 45 308 Shri Laxman Poyam 54

289 Shri Budhuram 50 309 Shri Manu Netam 52

290 Shri Chamraram 30 310 Shri Chaiti Bhandari 55

291 Shri Chamruram 42 311 Shri Balnath Mandavi 53

292 Shri Sundarlal 55 312 Shri Ramnath Mandavi 59

293 Shri Sadhuram 53 313 Shri Bodhan Pandey 65

294 Shri Aangharu 51 314 Shri Mansay Nishad 67

295 Shri Ramdev 49 315 Shri Jeturam Bhandari 68

296 Shri Gandaram 48 316 Shri Ganesh Manjhi 71

297 Shri Sukuram 66 317 Shri Bhagt 58

298 Shri Pyarelal 68 318 Shri Malu Nayak 61

299 Shri Raghuram 55 319 Shri Madhulal Samrth 63

300 Shri Raghunath 54 320 Shri Piting Nayak 51

BAJARPARA PATHRAGUDA

321 Shri Champalal Sahu 47 341 Shri Narayan Das 51

322 Shri Sukhanath Thakur 53 342 Shri Niranjan Das 45

323 Shri Bhanu Nishad 54 343 Shri Lalit Samrath 51

324 Shri Kishor Sahu 55 344 Shri Balram Tamo 45

325 Shri Chumman Nishad 57 345 Shri Lachindhar 51

326 Shri Premlal Shriwas 43 346 Shri Vikram Rana 45

327 Shri Sadhuram Baidh 46 347 Shri Saradu Pande 51

328 Shri Hemchand Nag 51 348 Shri Govind Samrath 45

329 Shri Murli Pradhan 45 349 Shri Lakhmuram Rana 51

330 Shri Mahesh Baghel 53 350 Shri Chakradhar 45

331 Shri Isawar Netam 45 351 Shri Hariram Rana 51

332 Shri Sukru ram nag 49 352 Shri Tansen 45

333 Shri Chunelal Dube 65 353 Shri Yuvraj Naik 51

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Appendix

144

334 Shri Narsu 61 354 Shri Saradu Naik 45

335 Shri Ghassu 60 355 Shri Khemsing 51

336 Shri Ramdyal 46 356 Shri Mahavir Nag 45

337 Shri Bihari 48 357 Shri Tilak Rana 51

338 Shri Rama 59 358 Shri Ghansyam 45

339 Shri Chaitram 60 359 Shri Nandkisor 51

340 Shri P.S. Dhruv 52 360 Shri Pitambar 45

BELBHATA PANDEYPARA

361 Shri Bisruram Mandavi 60 381 Shri Umesh Patra 51

362 Shri Mehtar Netam 46 382 Shri Rupsingh 45

363 Shri Ranjan Sing Kasyap 48 383 Shri Tulsi 51

364 Shri Pharsuram Netam 59 384 Shri Pilu Das 45

365 Shri Mansingh Kasyap 60 385 Shri Manlu ram 51

366 Shri Halalram Netam 52 386 Shri Chandes 45

367 Shri Gokulram 45 387 Shri Narayan 51

368 Shri Bhola 46 388 Shri Madusudan 45

369 Shri Nohar lal 51 389 Shri Chabilal 45

370 Shri Jaylal 45 390 Shri Shambunath 50

371 Shri Durga Prashad 51 391 Shri Purushottam 43

372 Shri Manulal 45 392 Shri Gagaru Ram Samrath 46

373 Shri Gulsar 51 393 Shri Omkar 35

374 Shri Kachru Yadav 45 394 Shri Ramsheva 46

375 Shri Ashok 51 395 Shri Manglu ram 60

376 Shri Ramprashad 45 396 Shri Haricharn 41

377 Shri Mulchand 50 397 Shri Laikhan 48

378 Shri Umesh kumar Nag 55 398 Shri Balshigh 59

379 Shri Lalram Nag 58 399 Shri Manshih 60

380 Shri Gajendra kumar Nag 53 400 Shri Sivprashad 52

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Appendix

145

Scientific presentations/publications

ABSTRACT PUBLISHED AND PAPER PRESENTED:

1) “Traditional medicinal plants knowledge and use by local healers in

Pharasgaon block of District Bastar, Chhattisgarh”, Mithlesh Kumar Sinha,

V.K.Kanungo and M.L.Naik, National Seminar on Botanical Researches

Present Scenario and Future Prospects, Raipur 29th

- 30th

Jan 2008, P.53.

2) “Medicinal plants knowledge and used by local healers in Pharasgaon block of

District Bastar (Chhattisgarh)”, Mithlesh Kumar Sinha, V.K. Kanungo and

M.L.Naik, National Seminar on Advancing Frontiers in Plant Science: Present

Status & Challenges For Future Bilaspur 17th

-18th

August 2009, P. 120.

----- -----

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PLATE – 1

Rauvolfia serpentina whole plant Rauvolfia serpentina flowers & fruits

Gloriosa superba Smilax zeylanica

Andrographis paniculata Acorus calamus

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PLATE – 2

Hemidesmus indicus. Madhuca latifolia.

Buchanania lanzan. Chlorophytum tuberosum.

Holarrhaena Antidysenterica Macuna pruriens.

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PLATE – 3

Aegle marmelos Dioscorea bulbifera

Boerhaavia diffusa Costus speciosus

Curculigo orchioides Amarphophallus paeonifolius

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PLATE – 4

Tinospora cordifolia Semecarpus anacardium

Asparagus racemosus Piper nigrum

Pongamia pinnata Plumbago zeylanica

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PLATE – 5

Aloe vera Curcuma longa

Calotropis procera Vitis pedata

Fruits Syzygium cuminii . Seeds of syzgium cuminii.

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PLATE – 6

NTFPs market at Bastar Trading in NTFPs market at Bastar

Flowers of Madhuca latifolia Edible mushroom-Boda

Collection of Bauhinia leaves Edible mushroom-Boda

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PLATE – 7

Baidyas in village Collection of Asparagus tuber

Drug preparation Drug preparation

Means of Livelihood - Dona pattal

making

Means of Livelihood –Basket making