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  • 8/8/2019 Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC C

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    Men Questionnaire

    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 1

    CONCURRENT EVALUATION OF THE REACH AND EFFECTIVENESS OF SECOND PHASE OF THE NATIONAL RURAL HEALTH

    MISSION BCC CAMPAIGN

    MEN QUESTIONNAIRE

    INTRODUCTION

    My name is I am working with ORG Centre for Social Research, a pionoring research organization specialized in conducting surveys among different

    population groups. We are conducting a study for assessing the reach and effectiveness of theNational Rural Health Mission (NRHM) behaviour change

    communication (BCC) campaign in collaboration with Population Foundation of India (PFI), New Delhi , a national level organization providingtechnical assistance for various health programmesin the country .

    In this regard, I would like to discuss with you for about 30 minutes. We will maintain the confidentiality of the information you would provide and use the

    information for the purpose of research and give feedback on the communication campaign conducted during last one month.This feedback is expected to

    provide an opportunity to improve the communication strategy.

    Identification Details Code

    Questionnaire Serial No

    Type of State. High Focus State

    Other State

    1

    2

    Name of the state High Focus Others

    Uttar Pradesh 01 West Bengal 07Orissa 02 Karnataka 08

    Chattisgarh 03 Maharashtra 09

    Madhya Pradesh 04 Tamil Nadu 10

    Mizoram 05 Haryana 11

    Bihar 06

    Name of the District

    Bareilly 01 North Twenty Four Parganas 10

    Meerut 02 Murshidabad 11

    Barabanki 03 Belgaum 12

    Mirzapur 04 Tumkur 13

    Sundargarh 05 Kolhapur 14

    Madhepura 06 Gondiya 15

    Rajnandgaon 07 Salem 16

    Narsimhapur 08 Kanniyakumari 17

    Mamit 09 Faridabad 18

    Type of Settlement /PSU Rural 1 Urban 2

    Name of the Tehsil

    (For Rural PSU)

    Name of the City/Town

    (For Urban PSU)

    Name of the Village/Ward

    HH Number (PSU wise code-1-10)

    Name of the respondent

    Full address (With Landmark)

    ________________________________________________

    ________________________________________________

    ________________________________________________

    Interview Details

    Result of the Interview

    Completed . . .1

    Respondent unavailable . ..2

    Partially Completed ................... . 3

    Refused ... . 4

    Other (Specify) .. 5

    Interview Date

    Day Month Year

    Interviewed by

    _____________

    Backchecked by

    _____________

    Scrutinised by

    _______________

    Entered by

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    Men Questionnaire

    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 2

    SECTION 1: BACKGROUND CHARACTERISTICS OF THE RESPONDENT

    No. Questions and Filters Coding Categories Code Skip to

    Q 101 How old are you?

    Age (completed years)

    Q 102 What is the current age of your wife?Age of wife (completed years)__________

    Q 103 Educational Status (completed so far)? Illiterate

    Literate without schooling

    Primary

    Middle

    Secondary

    Higher Secondary

    Graduate and above

    Other (Specify)________

    1

    2

    3

    4

    5

    6

    7

    8

    Q 104 What is your present occupation? Housewife

    Business/Petty business

    Service

    Farmer

    Agricultural labour

    Skilled worker

    Unskilled labour

    Student

    Self Employed ProfessionalOther (specify)_____________

    01

    02

    03

    04

    05

    06

    07

    08

    0977

    Q 105

    How many living children do you have?

    No child

    9 Q 109Sons

    Daughters

    Total

    Q 106 Do you have any child in the age group of 0-59 months ? Yes

    No

    1

    2 Q 108Q 107

    How many children do you have in the following age groups?

    < 6 Months Male Female Total

    Male Female Total

    Male Female Total

    Male Female Total

    Male Female Total

    6-11 Months

    12-23 Months

    2459 Months

    Total

    Q 108 What is the age of your youngest living child? < 6 Months

    6-11 Months

    12-23 Months

    24-59 Months

    60+ months

    1

    2

    3

    4

    5

    Q 109 Is there any unmarried adolescent girl(s)/boy(s) in the age group

    of 10-19 years in your household?

    Yes

    No

    1

    2 Q 111Q 110 How many adolescents are there in your household?

    Girl (s)

    Boy (s)

    Total

    Q 111 Is your wife pregnant now? YesNo

    Not sure

    1

    2

    3

    Q 112 Is your wife lactatining now? YesNo

    1

    2

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    Men Questionnaire

    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 3

    SECTIONII: HOUSEHOLDCHARACTERTISTICS

    Sl. No. Question Coding Categories Codes Skip

    Q201 What is your religion? Hindu

    SikhChristian

    Muslim

    Other (Specify) _______

    1

    23

    4

    7

    Q202 Which social category do you belong to? SC

    ST

    General

    OBC

    1

    2

    3

    4

    Q203 Type of family Nuclear

    Joint/ Extended

    1

    2

    Q204 Does your household own this or any other house? Yes

    No1

    2

    Q205 Type of house: (OBSERVE Material USED& RECORD)

    Roof :___________________

    Walls:_________________

    Floor :___________________

    Pucca

    Semi-pucca

    Kutcha

    1

    2

    3

    Q206 What is the main source of drinking water for the members of

    the HH?Piped water within house/plot

    Public tap

    Hand pump within house/plot

    Public hand pump

    Well in residence/plot

    Well in village/ward

    Well outside village/ward

    River/Stream/pond, etc

    Rain water

    Tanker/truck

    Other (specify) ____________

    01

    02

    03

    04

    05

    06

    07

    08

    09

    10

    77

    Q207 What kind of toilet facilities does your HH use? Flush toilet

    Pit toilet/latrine

    Public toilet

    In open

    Other (Specify)_____________

    1

    2

    3

    4

    7

    Q208 What is the main source of lighting for your HH? Electricity

    Solar

    Kerosene

    GasOther (Specify)______________

    1

    2

    3

    47

    Q209 What type of fuel does your household mainly use for cooking? Wood

    Crop Residues

    Dung Cakes

    Coal/Coke/Lignite

    Charcoal

    Kerosene

    Electricity

    Liquid Petroleum Gas

    Bio-gas

    Other (Specify)_________________

    01

    02

    03

    04

    05

    06

    07

    08

    09

    77

    Q210 Does your household own any agricultural land? Yes

    No

    1

    2

    Q211 Does your household own any livestock? Yes

    No

    1

    2Q. 212 Does your household own any of the

    Following assets? (Read out Options)

    Assets Yes No

    Mattress 1 2

    Pressure Cooker 1 2

    Chair 1 2

    Cot/Bed 1 2

    Table 1 2

    Clock/Watch 1 2

    Electric Fan 1 2

    Bicycle 1 2

    Radio/Transistor 1 2

    Sewing Machine 1 2

    Landline Telephone 1 2

    Mobile Phone with FM/Radio 1 2

    Mobile Phone with out FM /Radio 1 2Refrigerator 1 2

    Black and White TV 1 2

    Colour TV 1 2

    Moped/Scooter/Motor Cycle 1 2

    Car 1 2

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    Air Conditioner 1 2

    Water Pump 1 2

    Bullock Cart 1 2

    Tractor 1 2

    Thresher 1 2

    INS: If coded 1 in Q 212 against Black and White and/or Coloured Television ask Q 212a.

    Q. 212a Whether the television your HH owns is in

    working condition?

    Yes

    No

    1

    2

    INS: If coded 1 in Q 212 against Radio/Transistor or Mobile Phone with FM/Radio ask Q 212b.

    Q. 212b Whether the Radio/Transistor / FM/Radio in

    your mobile phone is in working condition?

    Yes

    No

    1

    2

    SECTION III: EXPOSURE TO TV

    No. Questions and Filters Coding Categories Code Skip to

    Q301 How frequently do you watch TV? Everyday

    At least three times a week

    Once or twice in a week

    Once a fortnightOnce a month

    Occasionally

    CS/ No response

    No exposure

    1

    2

    3

    45

    6

    7

    8 SECVIQ302 What channels you usually watch/view on TV?

    (DO NOT PROMPT)

    INS: MULTIPLE RESPONSE POSSIBLE

    9X 1 Sab TV 45

    Aj Tak 2 Sahara filmy 46

    Asianet 3 Sahara one 47

    Awaz 4 Sahara UP 48AXN 5 Set fix 49

    B4U 6 Set max 50

    BBC world 7 Sony 51

    Bindass 8 Star gold 52

    CNBC 9 Star movies 53

    CNBS TV 18 10 Star News 54

    CNN 11 Star one 55

    Color 12 Star plus 56

    DD Regional 13 Star sports 57

    DD National 14 Star Ustav 58

    DD News 15 Star Vijay 59

    DD Sports 16 Star world 60

    Discovery 17 Sun music 61

    ESPN 18 Sun news 62

    ETC Punjabi 19 Sun TV 63

    ETV Bihar 20 Surya TV 64

    ETV Gujarati 21 Teja 65

    ETV Kannada 22 Ten sports 66

    ETV Marathi 23 Udaya TV 67

    ETV Oriya 24 UTV 68

    ETV Telugu 25 UTV Movies 69

    ETV Urdu 26 Vissa TV 70

    EV Bangla 27 Zee action 71

    Gemini 28 Zee Bangla 72

    HBO 29 Zee business 73

    Jagaran 31 Zee cinema 74

    Jaya TV 32 Zee classic 75

    Kairali 33 Zee Gujarati 76

    KTV 34 Zee Kanada 77Maa TV 35 Zee Marathi 78

    Mega TV 36 Zee news 79

    National geography 37 Zee premier 80

    NDTV 24/7 38 Zee Punjabi 81

    NDTV Imagine 39 Zee smile 82

    NDTV profit 40 Zee studio 83

    NEO spore 41 Zee T.V. 84

    NEO sports plus 42 Zee Telugu 85

    Raj digital plus 43 Other 1.... 86

    Raj TV 44 Other 2 87

    Q303 When do you usually watch television?

    INS: MULTIPLE RESPONSE POSSIBLE

    Before 9 am

    9 am to 12 pm

    12 3 pm

    3 6 pm

    6 -9 pmAfter 9 pm

    Not fixed slot

    1

    2

    3

    4

    56

    7

    Q304 What programs do you watch on these channels most of the

    time?

    Films

    News

    Reality Show

    01

    02

    03

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    INS: MULTIPLE RESPONSE POSSIBLE Serials

    Educational Programs

    Songs

    Talk shows

    Live Shows

    Sports

    Choupal (prog. for farmers)Other (Specify)___________

    04

    05

    06

    07

    08

    09

    1011

    SECTION IV: EXPOSURE TO TV CAMPAIGNNo. Questions and Filters Whether seen in last

    six months?

    Whether seenduring the period starting from

    Christmas to Republic day (27th December 2008 to

    26th January 2009)

    Any Ad Any NRHM Ad

    Q 401 Have you seen any Ad on television on any health issues? Yes 1 No 2 Yes 1 No 2

    Q 402 Have you seen any Ad on television on antenatal

    care/institutional delivery/JSY?Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2

    Aided 3

    No 4

    Q 403 Have you seen any Ad on television on new born care?

    Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2

    Aided 3

    No 4

    Q 404 Have you seen any Ad on television on immunisation?

    Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2Aided 3

    No 4

    Q 405 Have you seen any Ad on television on nutrition and breast

    feeding?Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2

    Aided 3

    No 4

    Q 406 Have you seen any Ad on television on family planning/birth

    spacing/small family?Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2

    Aided 3

    No 4

    Q 407 Have you seen any Ad on television on age of marriage?

    Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2Aided 3

    No 4

    Q 408 Have you seen any Ad on television on ASHA?

    Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2

    Aided 3

    No 4

    Q 409 Have you seen any Ad on television on health services at

    Government hospitals?Yes 1 No 2 Yes 1 No 2

    Spontaneous 1

    On Prompting 2

    Aided 3

    No 4

    INS: CHECK ALL QUESTIONS FROM 401 TO 409 CODED 1 OR 2 OR 3 IN ANY QUESTION

    CODED 4 IN ALL QUESTIONS

    1

    2

    Q 410 SEC. V

    Q 410 Which ad have you seen during the period starting

    from Christmas to Republic day (27th

    December

    2008 to 26th

    January 2009)?

    (DO NOT PROMPT - CIRCLE ALL

    SPONTANEOUSLY MENTIONED

    RESPONSES)

    INS: MULTIPLE RESPONSE POSSIBLE

    Juhi Chawla-Antenatal care/Institutional delivery

    Juhi Chawala- immunisation

    Juhi Chawala- family planning/small family

    Supriya-Sachin - Antenatal care / Institutional Delivery

    Supriya-Sachin - Family planning/small family

    Mona Singh (Jassi)- Immunisation

    Crystall Ball- Antenatal care /Institutional Delivery /JSY

    Four Birds- JSY/ Antenatal care

    Radhe Shyams Motror Cycle- New born care

    Train- Family planning/oral pills

    Breast feeding/child nutrition

    Holi/Colourful moments-Family planning/IUD /Cu.T

    Mehendi Occasion-Family planning/small family

    Pragati on Medical Tour - NRHM /Health Services

    Ek Savera , Ek Aakash- NRHM /Health Services

    Black and White Ad- Age of marriage

    Other 1(Specify)______________________________

    Other 2(Specify)______________________________

    01

    02

    03

    04

    05

    06

    07

    08

    09

    10

    11

    12

    13

    14

    15

    16

    17

    18

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    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 6

    SECTION V: DETAILS OF EXPOSURE TO NRHM TV CAMPAIGN

    The ministry of Health & Family Welfare (MOHFW), Government of India (GoI) has implemented the 2nd

    phase of Behavior Change Communication

    (BCC) program as part of the National Rural Health Mission (NRHM) during the period 27th December 2008 to January 26, 2009. As a part of the NRHM

    communication campaign a number of TV advertisements on issues relating to ANC, institutional delivery, JSY , immunization, breast feeding and child

    nutrition , family planning, birth spacing and the role of ASHA have been aired on various TV channels. We would like to know whether you have watched

    any of the NRHM TV advertisements aired on TV during the period 27th December 2008 to January 26, 2009 as well as your feedback on these TV

    advertisements.

    No. Questions and Filters Coding Categories Code Skip to

    ANC AD. NO. 1 CRYSTAL BALL

    Q 501 Have you seen any NRHM ad on Antenatal Care/Institutional

    Delivery /JSY shown using a Crystal Ball during the period

    starting from Christmas to Republic day (27th December 2008 to

    26th January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 514Q 502 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 503 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd week of January

    3rd week of January

    4th week of January

    1

    2

    3

    4

    5Q 504 What all you could understand from this Ad?

    Q 505 Can you tell us what message was given in this ad? Spontaneous On

    Prompting

    No Were you aware

    about it before

    watching the Ad?

    Safety of both mother and child is in the hands of both husband

    and wife

    1 2 3 Yes 1 No 2

    Checkup in health centre 1 2 3 Yes 1 No 2

    Iron tablet for 100 days 1 2 3 Yes 1 No 2

    Prepare Jachcha bachcha (Mother and Child) Card 1 2 3 Yes 1 No 2

    Administer 2 doses of TT injection 1 2 3 Yes 1 No 2

    Deliver the child at hospital only 1 2 3 Yes 1 No 2

    Feed additional diet/food 1 2 3 Yes 1 No 2

    Every body remember that ASHA knows everything 1 2 3 Yes 1 No 2

    Visit health centre, Register in JSY and get both safe familly and

    financial benefits

    1 2 3 Yes 1 No 2

    Q 506 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4vii Overall 1 2 3 4

    Q 507 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 509Q 508 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 509 Do you feel that you have learnt some new things due to this ad? YesNo

    12

    Q 510 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 512Q 511 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged spouse for 2 TT shots during pregnancyEncouraged spouse for taking 100 IFA tablets during

    pregnancyConsulted a health center during pregnancy of spouse

    Helped spouse during pregnancyEnsured rest during pregnancy

    Consumed additional food during pregnancyPreferred institutional deliveries

    01

    020304050607

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    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 7

    Prepared Jachcha bachcha cardConsulted ASHA

    Took benefits of JSYAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relatives

    Encouraged others for availing servicesOther (Specify)_______________

    0809101112131415

    Q 512 Do you intend to take any action after watching this ad? YesNo

    12 Q 514

    Q 513 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage spouse for taking 2 TT shots duringpregnancyEncourage spouse for taking 100 IFA tablets during

    pregnancyConsult a health center during pregnancy of spouse

    Help spouse during pregnancyEnsure rest during pregnancy

    Consume additional food during pregnancyPrefer institutional deliveries

    Prepare Jachcha bachcha cardConsult ASHA

    Take benefits of JSYAquire more information

    Discuss with spouse/ family membersDiscuss with friends/ relatives

    Encourage others for availing services

    Other (Specify)_______________

    01

    02

    030405060708091011121314

    15

    ANC AD NO. 2 SACHIN & SUPRIYA

    Q 514 Have you seen any NRHM ad on Antenatal Care/ Institutional

    Delivery featuring Supriya-Sachin during the period starting

    from Christmas to Republic day (27th

    December 2008 to 26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided responseNo

    1

    2

    34 Q 527

    Q 515 How many times have you watched this ad during this period ? Once

    TwiceThrice

    Four time

    Five or more time

    1

    23

    4

    5

    Q 516 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd

    week of January

    3rd week of January4

    thweek of January

    1

    2

    3

    45

    Q 517 What all you could understand from this Ad?

    Q 518 Can you tell us what message was given in this ad? Spontaneous On

    Prompting

    No Were you aware

    about it before

    watching the Ad?

    Pregnant women should take rest 1 2 3 Yes 1 No 2

    Pregnant women should take iron tablets 1 2 3 Yes 1 No 2

    Pregnant women should be administered TT injection 1 2 3 Yes 1 No 2

    Pregnant women should be checkup by doctor 1 2 3 Yes 1 No 2If every husband take care of his wife by taking her to right

    doctor for checkup and provide all love to her wife before

    delivery, then every mother and her child will be healthy

    1 2 3 Yes 1 No 2

    Healthy Nation/Bharat begins with healthy family from you 1 2 3 Yes 1 No 2

    Q 519 Now we are going to ask some questions regarding this ad. forwhich you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither likednor disliked

    Disliked DontKnow

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Celebrity 1 2 3 4

    iv Storyline 1 2 3 4

    v Presentation style 1 2 3 4

    vi Characters 1 2 3 4

    vii Music 1 2 3 4viii Overall 1 2 3 4

    Q 520 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 522

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    Q 521 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 522 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 523 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 525

    Q 524 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged spouse for taking TT during pregnancyEncouraged spouse for taking IFA during pregnancy

    Consulted a doctor during pregnancy of spuseProvided help to spouse during pregnancy

    Ensured rest during pregnancyAquired more information

    Discussed with spouse/ family membersDiscussed with relatives/ friends

    Encouraged others for taking TT during pregnancyOther (Specify)_______________

    12345678910

    Q 525 Do you intend to take any action after watching this ad? YesNo

    12 Q 527

    Q 526 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage spouse for taking TT during pregnancyEncourage spouse for taking IFA during pregnancy

    Consult a doctor during pregnancy of spouseHelp spouse during pregnancy

    Ensure rest during pregnancyAquire more information

    Discuss with spouse/ family membersDiscuss with friends/ relatives

    Encourage others for taking TT during pregnancyOther (Specify)_______________

    0102

    0304050607080910

    ANC AD NO. 3 JUHI CHAWLA

    Q 527 Have you seen any NRHM ad on Antenatal Care/Institutional

    Deliveryfeaturing Juhi Chawla during the period starting from

    Christmas to Republic day (27th

    December 2008 to 26th

    January

    2009) ?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 540Q 528 How many times have you watched this ad during this period ? Once

    TwiceThrice

    Four time

    Five or more time

    1

    23

    4

    5

    Q 529 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January2nd week of January

    3rd week of January

    4th week of January

    1

    23

    4

    5

    Q 530 What all you could understand from this Ad?

    Q 531 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware

    about it before

    watching the Ad?

    Take care of woman during pregnancy and keep her happy 1 2 3 Yes 1 No 2

    Keep in mind that she should take proper food and rest 1 2 3 Yes 1 No 2

    Checkup from a doctor atleast three times 1 2 3 Yes 1 No 2

    In every checkup the blood pressure should measure normal/OK 1 2 3 Yes 1 No 2

    In every checkup the weight should measure normal/OK 1 2 3 Yes 1 No 2

    In every ckeckup the iron measure in the blood should be OK 1 2 3 Yes 1 No 2

    Delivery should take place in a hospital or under the supervision

    of a doctor

    1 2 3 Yes 1 No 2

    Health of mother is health of family 1 2 3 Yes 1 No 2

    Healthy Nation/Bharat begins with healthy family from you 1 2 3 Yes 1 No 2

    Q 532 Now we are going to ask some questions regarding this ad. forwhich you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither likednor disliked

    Disliked DontKnow

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

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    iii Celebrity 1 2 3 4

    iv Storyline 1 2 3 4

    v Presentation style 1 2 3 4

    vi Characters 1 2 3 4

    vii Music 1 2 3 4

    viii Overall 1 2 3 4

    Q 533 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 535Q 534 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fastToo many messages

    Other (Specify)____________

    1

    2

    34

    5

    Q 535 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 536 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 538Q 537 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged spouse to avail ANC Check upsEncouraged spouse for measuring BP/ weights / Hb.

    level during ANCEncouraged spouse for good food during pregnancy

    Encouraged spouse for rest during pregnancyPreferred institutional deliveries

    Aquired more informationDiscussed with spouse/ family members

    Discussed with friends/relativesEncouraged others for availing ANC services

    Other (Specify)_______________

    0102

    0304050607

    080910

    Q 538 Do you intend to take any action after watching this ad? YesNo

    12 Q 540

    Q 539 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage spouse to avail ANC Check upsEncourage spouse for measuring BP/ weights / Hb.

    level during ANCEncourage spouse for good food during pregnancy

    Encourage spouse for rest during pregnancyPrefer institutional deliveries

    Aquire more informationDiscuss with spouse/ family members

    Discuss with friends/ relativesEncourage others for availing ANC services

    Other (Specify)_______________

    0102

    03040506070809

    10

    JSY AD. NO. 4 ANIMATION 4 BIRDS/ JAGMAG

    Q 540 Have you seen any NRHM ad on JSY/ANC of mothers

    featuring Four Birds during the period starting from Christmas

    to Republic day (27th December 2008 to 26th January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 553Q 541 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 542 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of DecemberFirst week of January

    2nd week of January3rd week of January

    4th week of January

    12

    34

    5

    Q 543 What all you could understand from this Ad?

    Q 544 Can you tell us what message was given in this ad? Spontaneous On

    Prompting

    No Were you aware about it

    before watching the Ad?

    Keep in mind that all care is taken till the time of delivery 1 2 3 Yes 1 No 2

    It is necessary to give TT and tablets at right time 1 2 3 Yes 1 No 2

    All listen to advice of ANM and ASHA 1 2 3 Yes 1 No 2Delivering at hospital is the right decision 1 2 3 Yes 1 No 2

    You also get attention of doctor, services and medicines at

    hospitals

    1 2 3 Yes 1 No 2

    Go go go and find out the hospital near to your house 1 2 3 Yes 1 No 2

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    In order to reach there keep the means of transport ready day

    and night

    1 2 3 Yes 1 No 2

    Safety of mother and child is in the hands of family 1 2 3 Yes 1 No 2

    Q 545 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4

    Q 546 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 548Q 547 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 548 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 549 Have you taken any action after watching this ad? YesNo

    12 Q 551

    Q 550 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSES POSSIBLE

    Encouraged spouse for TT during pregnancyConsulted with ASHA/ANMDelivered the child in hospital

    Arranged transport for delivery in advanceAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relatives

    Encouraged others for availing servicesOther (Specify)_______________

    010203040506070809

    Q 551 Do you intend to take any action after watching this ad? YesNo

    12 Q 553

    Q 552 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage spouse for TT during pregnancyConsult with ASHA/ANMDeliver the child in hospital

    Arrange transport for delivery in advanceAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relatives

    Encourage others for availing servicesOther (Specify)_______________

    0102030405

    06070809

    Q 553 Have you received any information/messages on Antenatal

    Care/Institutional Delivery /JSY from any other source (other

    than this advertisement) during the period starting from

    Christmas to Republic day (27th December 2008 to 26th January2009?

    Yes

    No

    1

    2 Q 555

    Q 554 What is/are the source(s) from where you have received any

    information/messages on Antenatal Care/Institutional Delivery

    /JSY during this period

    INS: MULTIPLE RESPONSES POSSIBLE

    Radio advertisements

    News paper/magazines

    Posters/pamphlets/booklets/hand bills

    Banners,wall hoardings/writingsPublic announcements

    Cultural events/Melas

    ASHA/ANM/AWWOther Govt. health functionaries

    Private health functionaries

    Spouse

    Father/Mother Inlaw

    Other family members/relatives

    Friends/Neighbours

    Others (Specify)______________________

    01

    02

    03

    0405

    06

    0708

    09

    10

    11

    12

    13

    14

    Q 555 To what extent do you agree with the following statements ? Agree to a greaterextent

    Agree to some

    extent

    Disagree Cant

    Say

    A Registration of pregnancy should be done as soon as pregnancy

    is identified

    1 2 3 4

    B It is necessary to go for physical examination once the

    pregnancy is identified

    1 2 3 4

    C A pregnant women must get 3 ANC Check Ups 1 2 3 4

    D A pregnant women must consume 100 IFA tablets 1 2 3 4E A pregnant women should be given 2 shots of TT 1 2 3 4

    F Delivery should be planned in the hospitals 1 2 3 4

    G Pregnant women should take good food and rest during

    pregnancy

    1 2 3 4

    H Only a healthy women can deliver a healthy child 1 2 3 4

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    I Women should take benefits of JSY scheme 1 2 3 4

    J You feel confident to initiate discussions with any one about

    ANC/Institutional delivery

    1 2 3 4

    K You can convince anyone on importance of ANC/Institutional

    delivery

    1 2 3 4

    NEW BORN CARE AD. NO. 5 RADHE SHYAM KI MOTORCYCLE

    Q 556 Have you seen any NRHM ad on new barn careon Radhe

    Shyams Motror Cycle during the period starting from

    Christmas to Republic day (27th

    December 2008 to 26th

    January

    2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 572Q 557 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 558 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January2nd week of January

    3rd week of January

    4th week of January

    1

    23

    4

    5

    Q 559 What all you could understand from this Ad?

    Q 560 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware about it

    before watching the Ad?

    Keep new born with the mother 1 2 3 Yes 1 No 2

    Initiate breastfeeding immediately after birth 1 2 3 Yes 1 No 2

    Save the newborn from getting cold 1 2 3 Yes 1 No 2

    Do not bath the child till 24 hours of birth 1 2 3 Yes 1 No 2

    Take special care if the babys weight is less than 2 kg at the

    time of birth Such baby should be given bath only after the

    umbilical cord waves off

    1 2 3 Yes 1 No 2

    Listen to advices of ASHA and ANM 1 2 3 Yes 1 No 2

    Q 561 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4

    Q 562 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 564Q 563 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fastToo many messages

    Other (Specify)____________

    1

    2

    34

    5Q 564 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 565 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 567Q 566 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged for Keeping new born child with motherEncouraged for initiating breast feeding immediately

    after birthEncouraged for Protectecting the child from cold

    Encouraged for not bathing the baby till first 24hours

    Took birth wight of the childConsulted ASHA

    Aquired more informationDiscussed with spouse/ family members

    Discussed with friends/relativesEncouraged others for for proper new born careOther (Specify)_______________

    0102

    0304

    05060708

    091011

    Q 567 Do you intend to take any action after watching this ad? YesNo

    12 Q 569

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    Q 568 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage for Keeping new born child with motherEncourage for Initiating breast feeding immediately

    after birthEncourage for Protectecting the child from cold

    Encourage for not to bath the baby till first 24 hoursTake birth weight of the child

    Consult ASHAAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relatives

    Encourage others for proper new born careOther (Specify)_______________

    0102

    030405060708091011

    Q 569 Have you received any information/messages on New Born Care

    from any other source (other than this advertisement) during the

    period starting from Christmas to Republic day (27th December

    2008 to 26th

    January 2009?

    Yes

    No

    1

    2 Q 571

    Q 570 What is/are the source(s) from where you have received any

    information/messages on New Born Care during this period?

    Radio advertisements

    News paper/magazines

    Posters/pamphlets/booklets/hand bills

    Banners,wall hoardings/writings

    Public announcements

    Cultural events/Melas

    ASHA/ANM/AWW

    Other Govt. health functionaries

    Private health functionaries

    Spouse

    Father/Mother Inlaw

    Other family members/relativesFriends/Neighbours

    Others (Specify)______________________

    01

    02

    03

    04

    05

    06

    07

    08

    09

    10

    11

    1213

    14

    Q 571 To what extent do you agree with the following statement on

    new born care

    Agree to a

    greater

    extent

    Agree to some

    extent

    Disagree Cant Say

    A The new born child should be kept with the mother 1 2 3 4

    B Breast feeding of the new born child should be initiated

    immediately after birth

    1 2 3 4

    C The new born child should be protect from cold 1 2 3 4

    D Bathing of the new born child should be avoided in first 24 hours 1 2 3 4

    E Special care should be taken for the new born child having

    weight less than 2 Kgs

    1 2 3 4

    F ASHA should be consulted for care of the new born child 1 2 3 4

    FAMILY PLANNING/SMALL FAMILY AD. NO. 6 -MEHENDI OCCASION

    Q 572 Have you seen any NRHM ad on family planning/small family

    shown in Mehendi Occasion during the period starting from

    Christmas to Republic day (27th

    December 2008 to 26th

    January

    2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 585Q 573 How many times have you watched this ad during this period ? Once

    TwiceThrice

    Four time

    Five or more time

    1

    23

    4

    5

    Q 574 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January2

    ndweek of January

    3rd

    week of January4th week of January

    1

    23

    45

    Q 575 What all you could understand from this Ad?

    Q 576 Can you tell us what message was given in this ad? Spontaneous On

    Prompting

    No Were you aware

    about it before

    watching the Ad?

    We are happy as lifes every decision is taken jointly (by husband

    and wife) like when to have child, spacing between children

    1 2 3 Yes 1 No 2

    Both of you meet ASHA in your village , She will arrange toprovide you complete information on family planning methods

    from nearby health centre

    1 2 3 Yes 1 No 2

    Birth at right time and right interval give mother and the childgood/complete health

    1 2 3 Yes 1 No 2

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    Because , Healthy Nation/Bharat begins with healthy family

    from you

    1 2 3 Yes 1 No 2

    Q 577 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither likednor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4vii Overall 1 2 3 4

    Q 578 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 580Q 579 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 580 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 581 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 583Q 582 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Interacted with ASHA regarding family planning

    Aquired more informationDiscussed with spouse/ family members

    Discussed with friends/relativesEncouraged others for family planning/spacing

    Encouraged others for small familyOther (Specify)_______________

    01

    020304050607

    Q 583 Do you intend to take any action after watching this ad? YesNo

    12 Q 585

    Q 584 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Interact with ASHA regarding family planningAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relatives

    Encouraged others for family planning/spacingEncouraged others for small family

    Other (Specify)_______________

    01020304050607

    FAMILY PLANNING/IUD/CU.T AD. NO. - 7 HOLI /

    COLOURFUL MOMENTS

    Q 585 Have you seen any NRHM ad on family planning/IUD/Cu.T

    shown in Holi/Colourful moments during the period starting

    from Christmas to Republic day (27th

    December 2008 to 26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 598Q 586 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 587 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd week of January

    3

    rd

    week of January4th

    week of January

    1

    2

    3

    45

    Q 588 What all you could understand from this Ad?

    Q 589 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware about

    it before watching the

    Ad?

    There is no tension in the sweet momentsof life because new

    Cu.Ts safety is always with me

    1 2 3 Yes 1 No 2

    In case you want to become a mother for second time it can be

    easily removed also

    1 2 3 Yes 1 No 2

    With this new Cu.T there is no tension 1 2 3 Yes 1 No 2

    Get more information from ANM of nearby health centre 1 2 3 Yes 1 No 2

    Accept Cu.T from local trained health worker at the right time 1 2 3 Yes 1 No 2

    This is the time of new and safe Cu.T 1 2 3 Yes 1 No 2

    Because , Healthy Nation/Bharat begins with healthy family 1 2 3 Yes 1 No 2

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    from you

    Q 590 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4Q 591 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 593Q 592 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 593 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 594 Have you taken any action after watching this ad? Yes

    No

    12 Q 596

    Q 595 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged spouse for accepting Cu.T

    Visited nearest health center for Cu.TConsulted ANM

    Aquired more informationDiscussed with spouse/ family members

    Discussed with friends/relativesEncouraged others for Cu.T

    Other (Specify)_______________

    01

    02030405060708

    Q 596 Do you intend to take any action after watching this ad? YesNo

    12 Q 598

    Q 597 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage spouse for accepting Cu.TVisit nearest health center for Cu.T

    Consult ANMAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relatives

    Encourage others for Cu.TOther (Specify)_______________

    0102030405060708

    FAMILY PLANNING/ORAL PILLS AD. NO. - 8 TRAIN

    Q 598 Have you seen any NRHM ad on family planning/oral pills

    shown on train during the period starting from Christmas to

    Republic day (27th

    December 2008 to 26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 5012Q 599 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four timeFive or more time

    1

    2

    3

    45

    Q 5001 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd

    week of January

    3rd week of January

    4th

    week of January

    1

    2

    3

    4

    5

    Q 5002 What all you could understand from this Ad?

    Q 5003 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware

    about it before

    watching the Ad?

    This is new generation contraceptive pill Fully safe 1 2 3 Yes 1 No 2

    Take one contraceptibe pill daily, If you forget take 2 pills the

    next day

    1 2 3 Yes 1 No 2

    Around 8 coror women in the world use contraceptive pills youalso use it

    1 2 3 Yes 1 No 2

    Q 5004 Now we are going to ask some questions regarding this ad. forwhich you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither likednor disliked

    Disliked DontKnow

    i The Message Conveyed 1 2 3 4

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    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4

    Q 5005 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5007Q 5006 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fastToo many messages

    Other (Specify)____________

    1

    2

    34

    5

    Q 5007 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5008 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5010Q 5009 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged spouse for use of oral pillsAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relativesEncouraged others for oral pillsOther (Specify)_______________

    010203040506

    Q 5010 Do you intend to take any action after watching this ad? YesNo

    12 Q 5012

    Q 5011 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encourage spouse for use of oral pillsAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relativesEncourage others for oral pills

    Other (Specify)_______________

    010203040506

    FAMILY PLANNING AD. NO. 9 SACHIN SUPRIYA

    Q 5012 Have you seen any NRHM ad on family planning/small family

    featuring Sachin-Supriya during the period starting from

    Christmas to Republic day (27th December 2008 to 26th January

    2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 5025Q 5013 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four timeFive or more time

    1

    2

    3

    45

    Q 5014 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd week of January

    3rd week of January

    4th week of January

    1

    2

    3

    4

    5

    Q 5015 What all you could understand from this Ad?

    Q 5016 Can you tell us what message was given in this ad? Spontaneous On Prompting

    No Were you awareabout it before

    watching the Ad?

    One should have family where they can give right education ,

    better life and maintain health of children

    1 2 3 Yes 1 No 2

    If the family is small and there is spacing between birth of children

    then both mother and children will remain healthy

    1 2 3 Yes 1 No 2

    Today ther are also many choices like condom, Cu.T, pill 1 2 3 Yes 1 No 2

    Select any one of the method on the basis of advice of doctor or

    health worker

    1 2 3 Yes 1 No 2

    Because , Healthy Nation/Bharat begins with healthy family

    from you

    1 2 3 Yes 1 No 2

    Q 5017 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4ii Clarity of the Message 1 2 3 4

    iii Celebrity 1 2 3 4

    iv Storyline 1 2 3 4

    v Presentation style 1 2 3 4

    vi Characters 1 2 3 4

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    vii Music 1 2 3 4

    viii Overall 1 2 3 4

    Q 5018 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5020Q 5019 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 5020 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5021 Have you taken any action after watching this ad? YesNo

    12 Q 5023

    Q 5022 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Adopting small familyEnsuring proper spacing between birthsAccepted some family planning method

    Consulted doctor/health centerAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relatives

    Encouraged others for small familyEncouraged others for family planning/spacing

    Other (Specify)_______________

    01020304050607080910

    Q 5023 Do you intend to take any action after watching this ad? YesNo

    12 Q 5025

    Q 5024 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Adopt small familyEnsure proper spacing between birthsAccept some family planning method

    Consult doctor/health centerAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relatives

    Encourage others for small familyEncourage others for family planning/spacing

    Other (Specify)_______________

    01020304050607080910

    FAMILY PLANNING AD NO.- 10 JUHI CHAWLA

    Q 5025 Have you seen any NRHM ad on family planning/small family

    featuring Juhi Chawla during the period starting from Christmas

    to Republic day (27th

    December 2008 to 26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided responseNo

    1

    2

    34 Q 5038

    Q 5026 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 5027 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd

    week of January

    3rd

    week of January

    4th

    week of January

    1

    2

    3

    4

    5

    Q 5028 What all you could understand from this Ad?

    Q 5029 Can you tell us what message was given in this ad? Spontaneous On

    Prompting

    No Were you aware about it

    before watching the Ad?

    Daughter or son good care of children is taken in small family 1 2 3 Yes 1 No 2

    By spacing the birth of children for two to three years mothers

    health is maintained

    Yes 1 No 2

    Frequent births badly affects the health of the mother 1 2 3 Yes 1 No 2

    If children are born at close birth intervals , they remain weak

    from the time of birth onwards

    1 2 3 Yes 1 No 2

    At your convenience and doctors advice select any one of the

    family planning methods

    1 2 3 Yes 1 No 2

    For permanent protection operation is the easy and reliable

    method

    1 2 3 Yes 1 No 2

    Government has made available all the facilities at your nearyby

    health centre now what is the delay for

    1 2 3 Yes 1 No 2

    Healthy Nation/Bharat begins with healthy family from you 1 2 3 Yes 1 No 2

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    Q 5030 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Celebrity 1 2 3 4

    iv Storyline 1 2 3 4

    v Presentation style 1 2 3 4

    vi Characters 1 2 3 4

    vii Music 1 2 3 4

    viii Overall 1 2 3 4Q 5031 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5033Q 5032 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 5033 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5034 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5036Q 5035 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Adopting small family

    Ensuring proper spacing between birthsAccepted some family planning method

    Aquired more informationDiscussed with spouse/ family members

    Discussed with friends/relativesEncouraged others for small family

    Encouraged others for family planning/spacingOther (Specify)_______________

    01

    0203040506070809

    Q 5036 Do you intend to take any action after watching this ad? YesNo

    12 Q 5038

    Q 5037 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Adopt small familyEnsure proper spacing between birthsAccept some family planning method

    Aquire more informationDiscuss with spouse/ family members

    Discuss with friends/relativesEncourage others for small family

    Encourage others for family planning/spacingOther (Specify)_______________

    010203040506070809

    Q 5038 Have you received any information/messages on Family planning/

    Small family / Birth spacing from any other source (other than

    this advertisement) during the period starting from Christmas to

    Republic day (27th

    December 2008 to 26th

    January 2009?

    Yes

    No

    1

    2 Q 5040

    Q 5039 What is/are the source(s) from where you have received any

    information/messages on Family planning/ Small family / Birth

    spacing during this period?

    INS: MULTIPLE RESPONSES POSSIBLE

    Radio advertisements

    News paper/magazines

    Posters/pamphlets/booklets/hand bills

    Banners,wall hoardings/writings

    Public announcements

    Cultural events/Melas

    ASHA/ANM/AWWOther Govt. health functionaries

    Private health functionariesSpouse

    Father/Mother Inlaw

    Other family members/relatives

    Friends/Neighbours

    Others (Specify)______________________

    01

    02

    03

    04

    05

    06

    0708

    0910

    11

    12

    13

    14

    Q 5040 To what extent do you agree with the following statements ? Agree to a

    greater

    extent

    Agree to some

    extent

    Disagree Cant Say

    A The decisions on when to have child and spacing between

    children should be jointly taken by husband and wife

    1 2 3 4

    B Small family is a happy family 1 2 3 4

    C There should be 2-3 years spacing between the birth of two

    children

    1 2 3 4

    D 2-3 years spacing between the birth of two children is good for the

    health of the mother and children

    1 2 3 4

    E There is no tension in accepting new Cu.T as it is easy to insert

    and safe

    1 2 3 4

    F The oral pills offered now are very safe 1 2 3 4

    G If one forgets to take oral pills on a particular day she cab take it 1 2 3 4

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    next day

    H Family planning operations are reliable permanent family

    planning methods

    1 2 3 4

    I ASHA should be contacted for getting information on various

    family planning methods

    1 2 3 4

    J All family planning services are available in nearby health

    facilities

    1 2 3 4

    K You feel confident to initiate discussions with any one about

    advantages of small family

    1 2 3 4

    L You feel confident to initiate discussions with any one about

    advantages of spacing of children

    1 2 3 4

    M You feel confident to initiate discussions with any one about

    family planning methods

    1 2 3 4

    NRHM SERVICES/HEALTH SERVICES AD NO. 11 -PRAGATI ON MEDICAL TOUR

    Q 5041 Have you seen any ad on NRHM services/Health Services

    shown on Pragati on Medical Tour during the period starting

    from Christmas to Republic day (27th

    December 2008 to 26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 5054Q 5042 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 5043 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January2nd week of January

    3rd week of January

    4th

    week of January

    1

    23

    4

    5

    Q 5044 What all you could understand from this Ad?

    Q 5045 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware

    about it before

    watching the Ad?

    Feel proud to see the improvement in health services in such small

    villages

    1 2 3 Yes 1 No 2

    Fast spreading health centers 1 2 3 Yes 1 No 2Better services, instruments, doctors, nurses 1 2 3 Yes 1 No 2

    Care of new born 1 2 3 Yes 1 No 2

    Increased utilization of hospitals for delivery 1 2 3 Yes 1 No 2

    Increasing OPD services 1 2 3 Yes 1 No 2

    Due increased funds, people themselves take decisions to fulfill

    the local needs by forming Rogi Kalyan Samitis and Village

    Health and Sanitation committees

    1 2 3 Yes 1 No 2

    Q 5046 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4

    Q 5047 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5049Q 5048 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 5049 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5050 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5052

    Q 5051 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Aquired more knowledge about health servicesVisited government hospitals

    Interacted with Rogi Kalyan SamiltisInteracted with Village Health & Sanitation

    Committees

    010203

    04

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    Men Questionnaire

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    Aquired more informationDiscussed with spouse/ family members

    Discussed with friends/relativesEncouraged others for using govt health services

    Other (Specify)_______________

    0506070809

    Q 5052 Do you intend to take any action after watching this ad? YesNo

    12 Q 5054

    Q 5053 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Aquire more knowledge about health servicesVisit government hospitals

    Interact with Rogi Kalyan Samiltis

    Interact with Village Health & SanitationCommitteesAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relatives

    Encourage others for using govt health servicesOther (Specify)_______________

    010203

    040506070809

    NRHM SERVICES/HEALTH SERVICES AD. NO. 12 - EK SAVERA , EK AAKASH

    Q 5054 Have you seen any ad on NRHM services/Health Services shown

    on Ek Savera , Ek Aakash during the period starting from

    Christmas to Republic day (27th December 2008 to 26th January

    2009)?

    Spontaneous ResponsePrompted Response

    Aided response

    No

    12

    3

    4 Q 5067Q 5055 How many times have you watched this ad during this period ? Once

    Twice

    ThriceFour time

    Five or more time

    1

    2

    34

    5

    Q 5056 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd

    week of January

    3rd

    week of January

    4th

    week of January

    1

    2

    3

    4

    5

    Q 5057 What all you could understand from this Ad?

    Q 5058 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware

    about it beforewatching the Ad?

    Healthy Nation/Bharat begins with healthy family 1 2 3 Yes 1 No 2

    Trained health worker is available in every village 1 2 3 Yes 1 No 2

    Every mother get proper antenatal care 1 2 3 Yes 1 No 2

    See healthy child in lap of every mother 1 2 3 Yes 1 No 2

    Every family get better nutrition 1 2 3 Yes 1 No 2

    Let us take the oath that better health services reach every village 1 2 3 Yes 1 No 2

    National Rural Health Mission 1 2 3 Yes 1 No 2

    Q 5059 Now we are going to ask some questions regarding this ad. forwhich you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither likednor disliked

    Disliked DontKnow

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4

    Q 5060 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5062Q 5061 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messagesOther (Specify)____________

    1

    2

    3

    45

    Q 5062 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5063 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5065

    Q 5064 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Aquired more knowledge about health services

    Visited government hospitals

    Discussed with spouse/ family members

    01

    02

    03

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    Discussed with friends/relatives

    Encouraged others for using govt health services

    Other (Specify)_______________

    04

    05

    06

    Q 5065 Do you intend to take any action after watching this ad? Yes

    No

    1

    2 Q 5067Q 5066 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Aquire more knowledge about health services

    Visit government hospitals

    Discuss with spouse/ family members

    Discuss with friends/relatives

    Encourage others for using govt health services

    Other (Specify)_______________

    01

    02

    03

    04

    05

    06Q 5067 Have you received any information/messages on NRHM/Health

    Services at Govt. hospitals from any other source (other than this

    advertisement) during the period starting from Christmas to

    Republic day (27th

    December 2008 to 26th

    January 2009?

    Yes

    No

    1

    2 Q 5069

    Q 5068 What is/are the source(s) from where you have received any

    information/messages on NRHM/Health Services at Govt.

    hospitals during this period?

    INS: MULTIPLE RESPONSES POSSIBLE

    Radio advertisements

    News paper/magazines

    Posters/pamphlets/booklets/hand bills

    Banners,wall hoardings/writings

    Public announcements

    Cultural events/Melas

    ASHA/ANM/AWW

    Other Govt. health functionaries

    Private health functionariesSpouse

    Father/Mother Inlaw

    Other family members/relatives

    Friends/Neighbours

    Others (Specify)______________________

    01

    02

    03

    04

    05

    06

    07

    08

    091011

    12

    13

    14

    Q 5069 To what extent do you agree with the following statements? Agree to a

    greater

    extent

    Agree to some

    extent

    Disagree Cant

    Say

    A The health services in Government Hospitals has significantly

    improved in the recent past

    1 2 3 4

    B The health services are more accessible now 1 2 3 4

    C The health services, instruments,doctors and nurses are better

    now

    1 2 3 4

    D The OPD services in Government hospitals are better now 1 2 3 4

    E The new born care services in Government hospitals are betternow

    1 2 3 4

    F The services in Government hospitals for pregnant women are

    better now

    1 2 3 4

    G You feel confident to initiate discussions with any one about

    health services in Government hos[itals

    1 2 3 4

    IMMUNISATION - AD. NO. 13 JUHI CHAWLA

    Q 5070 Have you seen any NRHM ad on child Immunisationfeaturing

    Juhi Chawla during the period starting from Christmas to

    Republic day (27th

    December 2008 to 26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q5083

    Q 5071 How many times have you watched this ad during this period ? OnceTwice

    ThriceFour time

    Five or more time

    12

    34

    5

    Q 5072 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd

    week of January3rd week of January

    4th week of January

    1

    2

    34

    5

    Q 5073 What all you could understand from this Ad?

    Q 5074 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you

    aware about itbefore watching

    the Ad?

    Come out of home and immunize your child 1 2 3 Yes 1 No 2

    In the fist year, vaccination/immunisation for 4 times not 2 or 3 1 2 3 Yes 1 No 2

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    Men Questionnaire

    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 21

    After iimunization some children might get fever but it protects

    the entire life of the child from dangerous diseases

    1 2 3 Yes 1 No 2

    There is only protection against measeal and that is immunization 1 2 3 Yes 1 No 2

    At the age of 9 month it is necessary to administer measles

    vaccine and if it is not administered due to some reason then go

    immediately for administering it

    1 2 3 Yes 1 No 2

    Measeals make your child weak and susceptible to diarrhea andPneumonia

    1 2 3 Yes 1 No 2

    Immunization at right time will protect from measles 1 2 3 Yes 1 No 2

    For immunization contact ANM or ASHA or AWW 1 2 3 Yes 1 No 2

    May god save such mothers from bad eyes 1 2 3 Yes 1 No 2Q 5075 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither liked

    nor disliked or disliked the ad?

    Liked Neither

    liked nor

    disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Celebrity 1 2 3 4

    iv Storyline 1 2 3 4

    v Presentation style 1 2 3 4

    vi Characters 1 2 3 4

    vii Music 1 2 3 4

    viii Overall 1 2 3 4

    Q 5076 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5078Q 5077 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 5078 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5079 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5081

    Q 5080 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Immunisied the childGot child immunized against measles

    Consulted ASHA/ANM/AWWAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relatives

    Encouraged others for availing servicesOther (Specify)_______________

    01020304

    05060708

    Q 5081 Do you intend to take any action after watching this ad? YesNo

    12 Q 5083

    Q 5082 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Administer 4 vaccines to the child in first 1year

    Get child immunized against measlesConsult ASHA/ANM/AWW

    Aquire more informationDiscuss with spouse/ family members

    Discuss with friends/ relativesEncourage others for availing services

    Other (Specify)_______________

    01

    02030405060708

    IMMUNISATION AD. NO. 14 MONA SINGH

    Q 5083 Have you seen any NRHM ad on TT to mothers and/or child

    Immunisationfeaturing Mona Singh (Jassi) during the period

    starting from Christmas to Republic day (27th

    December 2008 to

    26th

    January 2009)?

    Spontaneous Response

    Prompted Response

    Aided response

    No

    1

    2

    3

    4 Q 5097Q 5084 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 5085 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd week of January

    3rd

    week of January

    4th

    week of January

    1

    2

    3

    4

    5Q 5086 What all you could understand from this Ad?

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    Q 5087 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you aware about it

    before watching the Ad?

    Now you get free AD injection for each immunization now

    there is no fear of infection

    1 2 3 Yes 1 No 2

    It is your right to ask for free AD injection for your child 1 2 3 Yes 1 No 2

    Free AD injection is totally safe 1 2 3 Yes 1 No 2

    Just one injection one time so what to fear of 1 2 3 Yes 1 No 2

    On confirmation of pregnancy it is extremely necessary to take 2

    TT injection so that at time of birth both mother and child are safe

    1 2 3 Yes 1 No 2

    This way in next month remember to take second dose of TT

    injection

    1 2 3 Yes 1 No 2

    For TT injection contact ANM, ASHA or AWW 1 2 3 Yes 1 No 2

    May god save such mothers from bad eyes 1 2 3 Yes 1 No 2

    Q 5088 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked the ad, neither likednor disliked or disliked the ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Celebrity 1 2 3 4

    iv Storyline 1 2 3 4

    v Presentation style 1 2 3 4

    vi Characters 1 2 3 4

    vii Music 1 2 3 4viii Overall 1 2 3 4

    Q 5089 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5091Q 5090 What did you find difficult in this Ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fastToo many messages

    Other (Specify)____________

    1

    2

    34

    5

    Q 5091 Do you feel that you have learnt some new things due to this ad? Yes

    No

    1

    2

    Q 5092 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5094

    Q 5093 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Uses one injection only one time

    Uses AD injections

    Immunisied the childTook 2 doses of TT during pregnancy

    Consulting ASHA/ANM/AWW

    Aquired more information

    Discussed with spouse/ family members

    Discussed with friends/relatives

    Encouraged others for availing services

    Other (Specify)_______________

    01

    02

    0304

    05

    06

    07

    08

    09

    10

    Q 5094 Do you intend to take any action after watching this ad? Yes

    No

    1

    2 Q 5097Q 5095 What action do you intend to take?

    INS: MULTIPLE RESPONSE POSSIBLE

    Use one injection only one time

    Use AD injections

    Immunisie the child

    Take 2 doses of TT during pregnancy

    Consult ASHA/ANM/AWWAquire more information

    Discuss with spouse/ family members

    Discuss with friends/relatives

    Encourag others for availing services

    Other (Specify)_______________

    01

    02

    03

    04

    0506

    07

    08

    09

    10

    Q 5097 Have you received any information/messages on immunisation

    from any other source (other than this advertisement) during theperiod starting from Christmas to Republic day (27th December

    2008 to 26th January 2009?

    Yes

    No

    1

    2 Q 5099

    Q 5098 What is/are the source(s) from where you have received any

    information/messages on immunisation during this period?

    INS: MULTIPLE RESPONSES POSSIBLE

    Radio advertisements

    News paper/magazinesPosters/pamphlets/booklets/hand bills

    Banners,wall hoardings/writingsPublic announcements

    Cultural events/Melas

    ASHA/ANM/AWW

    Other Govt. health functionaries

    Private health functionaries

    01

    0203

    0405

    06

    07

    08

    09

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    Men Questionnaire

    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 23

    Spouse

    Father/Mother Inlaw

    Other family members/relatives

    Friends/Neighbours

    Others (Specify)______________________

    10

    11

    12

    13

    14

    Q 5099 To what extent do you agree with the following statements? Agree to agreater

    extent

    Agree to

    some

    extent

    Disagree Cant Say

    A Mothers should not get scared of immunizing the children 1 2 3 4

    B One injection should be used only one time 1 2 3 4

    C Four injections/shots should be given to the child in first oneyear

    1 2 3 4

    D Four injection protects the child life time 1 2 3 4

    E Measles should be administered at ninth month of the child 1 2 3 4

    F On confirmation of pregnancy mother should immediately go to

    ASHA for registration and immunisation

    1 2 3 4

    G During pregnancy it is essential for mother to take 2 TT injection 1 2 3 4

    H You feel confident to initiate discussions with any one about

    immunisatin of mothers and children

    1 2 3 4

    I You can convince anyone on importance of immunization of

    mothers and children

    1 2 3 4

    BREAST FEEDING/CHILD NUTRITION AD. NO. 15 BADHTE SHISHU KI BADHATI JARURATE/MAA KA

    DUDH 6 MAHINE TAK

    Q 5100 Have you seen any NRHM ad on breast feeding/child nutrition

    during the period starting from Christmas to Republic day (27th

    December 2008 to 26

    thJanuary 2009)?

    Spontaneous Response

    Prompted ResponseAided response

    No

    1

    23

    4 Q 5116Q 5101 How many times have you watched this ad during this period ? Once

    Twice

    Thrice

    Four time

    Five or more time

    1

    2

    3

    4

    5

    Q 5102 When was the last time you watched this ad?

    READ OUT ONE BY ONE AND CIRCLE ONE

    Last week of December

    First week of January

    2nd

    week of January

    3rd

    week of January

    4th

    week of January

    1

    2

    3

    4

    5

    Q 5103 What all you could understand from this Ad?

    Q 5104 Can you tell us what message was given in this ad? Spontaneous On Prompting No Were you

    aware about it

    before watching

    this ad?

    For better growth of the child feed the child only mothers milk

    for first 6 months , After that along with breastmilk give child

    other supplementary food

    1 2 3 Yes 1 No 2

    At the age of 6 months start feeding the child daliya made of riceand floor

    1 2 3 Yes 1 No 2

    Feed the child home made Paste/Semi-solid food without spice 1 2 3 Yes 1 No 2

    Give the child fruits and vegetables 1 2 3 Yes 1 No 2

    Give supplementary food 5-6 times in a day) 1 2 3 Yes 1 No 2Continue breastfeeding for 2 years 1 2 3 Yes 1 No 2

    Fulfill the growing needs of the growing child through adequate

    supplementary food

    1 2 3 Yes 1 No 2

    Immediately after birth, should definitely initiate breastfeeding

    within one hour of birth

    1 2 3 Yes 1 No 2

    Mother first thik yellowish milk meaninig colostrum keeps the

    child away from diseases

    1 2 3 Yes 1 No 2

    Mother fist milk also provide adequate quantities of vitamins

    and proteins

    1 2 3 Yes 1 No 2

    For fist 6 months feed the child mothers milk only, Do not feed

    any thing else other than this

    1 2 3 Yes 1 No 2

    Remember for first 6 months mother milk is best and complete

    nutrition for the child

    1 2 3 Yes 1 No 2

    Q 5105 Now we are going to ask some questions regarding this ad. for

    which you have to tell us whether you liked this ad, neither likednor disliked or disliked this ad?

    Liked Neither liked

    nor disliked

    Disliked Dont

    Know

    i The Message Conveyed 1 2 3 4

    ii Clarity of the Message 1 2 3 4

    iii Storyline 1 2 3 4

  • 8/8/2019 Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC C

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    Men Questionnaire

    Concurrent Evaluation of the Reach and Effectiveness of Second Phase of the National Rural Health Mission BCC Campaign 24

    iv Presentation style 1 2 3 4

    v Characters 1 2 3 4

    vi Music 1 2 3 4

    vii Overall 1 2 3 4

    Q 5106 Did you find anything difficult to understand in this ad? Yes

    No

    1

    2 Q 5108Q 5107 What did you find difficult in this ad.?

    INS: MULITIPLE RESPONSE POSSIBLE

    Language

    Wordings

    Message too fast

    Too many messages

    Other (Specify)____________

    1

    2

    3

    4

    5

    Q 5108 Do you feel that you have learnt some new things due to this ad? YesNo

    12

    Q 5109 Have you taken any action after watching this ad? Yes

    No

    1

    2 Q 5111Q 5110 What action has been taken after watching this ad?

    INS: MULTIPLE RESPONSE POSSIBLE

    Encouraged for ensuring exclusive breast feedingfor 1st 6 months

    Encouraged for Initiating supplementary feedingfrom 6 months

    Encouraged for Initiatiating breast feeding withinone hour of birth

    Encouraged for Feeding cholostrum to the childAquired more information

    Discussed with spouse/ family membersDiscussed with friends/relatives

    Encouraged others on child feeding practicesOther (Specify)_______________

    01

    02

    03

    04050607

    0809

    Q 5111 Do you intend to take any action after watching this ad? YesNo

    12 Q 5113

    Q 5112 What action do you intend to take?

    INS: MULTIPLE RESPONSES POSSIBLE

    Encourage for ensuring exclusive breast feedingfor 1st 6 months

    Encourage for Initiating supplementary feedingfrom 6 months

    Encourage for Initiatiating breast feeding withinone hour of birth

    Encouraged for Feeding cholostrum to the childAquire more information

    Discuss with spouse/ family membersDiscuss with friends/relatives

    Encourage others on child feeding practices

    Other (Specify)_______________

    01

    02

    03

    0405060708

    09Q 5113 Have you received any information/messages on Breast feeding/

    Child nutrition from any other source (other than this

    advertisement) during the period starting from Christmas to

    Republic day (27th

    December 2008 to 26th

    January 2009?

    Yes

    No

    1

    2 Q 5115

    Q 5114 What is/are the source(s) from where you have received any

    information/messages on Breast feeding/ Child nutrition during

    this period?

    INS: MULTIPLE RESPONSES POSSIBLE

    Radio advertisements

    News paper/magazines

    Posters/pamphlets/booklets/hand bills

    Banners,wall hoardings/writings

    Public announcementsCultural events/Melas

    ASHA/ANM/AWW

    Other Govt. health functionaries

    Private