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Appendix - I
General Information of Children
1. Name of Students: ......
2. Sex: M/F

3. Height: ..
4. Age of Student .. in year

a. Have you suffer from diarrhea this year?


i. Yes ii. No

If yes, How much time ..?


b. Measles

i. Yes ii. No
c. ARI

i. Yes ii. No
d. Malaria

i. Yes ii. No
e. Worm infestation

i. Yes ii. No
f. Kwashiorkor

i. Yes ii. No
g. Marasmus

i. Yes ii. No

Anthropometric measurement of child


1. Height in ft (Coverage two measurement value ..)
(Use for measurement bar scale)

2. Weight in Kg (Coverage two measurement value ..)


(Use of weight machine)
APPENDIX - II
Interview Schedule Health Teacher
1. Do you know about SHP?
a. yes b. No

2. If yes do you conduct SHP in your school?


a. Yes b. No

3. How often do you observe your children health status?


a. Once a year b. Twice a year

c. Never d. Some time


4. What are barriers to conduct SHP?

a. Lack of money b. Lack of proper knowledge & practice


c. Not support from school

5. Who is the responsible for SHP?


a. Principles b. Subject teacher

c. Government d. Parents
e. All of them
APPENDIX -III
Formula applied for calculation of height for age percent, weight for age and
weight for height percent
1. Gomez classification

Weight of child
Weight for Age (%) = 100
Standard weight for that sex and age

Nutritional Status Weight for Age of the Standard

Normal More than 90%

Mild under nutrition (Grade I) 76 - 90%

Moderate under nutrition (Grade II) 61 - 75%

Severe under nutrition (Grade III) Below < 60%

2. Water low classification

Height of child
Height for Age (%) = 100
Standard weight for that sex and age

Percentage of Standard

Above 90% Normal

Below 80% Stunting

Weight of child in Kg
Weight for Height (%) = 100
Height of a child in cm2

Above 90% Normal

Below 80% Wasted


Water Low's Classification

Weight for height Height for age Nutritional Status

80 % 90% Normal

< 80 % 90 % Wasted

80 % < 90 % Stunted

< 80 % < 90 % Wasted and Stunted

For MUAC Test:

Color of tape Nutritional status

Green (> 13.5 cm) Normal

Yellow(12.5- 13 cm) Mild to moderate

Red (<12.5 cm Severe under nutrition


APPENDIX - IV
Nutritional Standard Scale of India

Age Boys Girls

Weight (Kg) Height (cm) Weight (Kg) Height (cm)

Birth 3.3 50.5 3.2 49.9

3 months 6.0 61.1 5.4 60.2

6 months 7.8 67.8 7.2 66.6

9 months 9.2 72.3 8.6 71.1

1 year 10.2 76.1 9.5 75.0

2 year 123 85.6 11.8 84.5

3 year 14.6 94.9 14.1 91.9

4 year 16.7 102.9 16.0 101.6

5 year 18.7 109.9 17.7 104.4

6 year 20.7 116.1 19.5 114.6

7 year 22.9 121.7 21.8 120.6

8 year 25.3 122.0 24.8 126.4

9 year 28.1 132.2 28.5 132.2

10 year 31.4 137.5 32.5 138.3

11 year 32.2 140.0 33.7 142.0

12 year 37.0 147.0 38.7 148.0

13 year 40.9 153.0 44.0 150.0

14 year 47.0 160.0 48.0 155.0

15 year 52.6 166.0 51.5 161.0

16 year 65.0 177.0 53.0 163.0

Source: Nutrient requirements and recommended dietary allowances for Indians,


ICMR 1990.
APPENDIX - V
Normal weight and height of children and adolescents (5-14 year)

Age year Weight (Kg) Height (cm)

Boys Girls Boys Girls

5 19.41 18.78 111.3 109.7

6 21.19 21.09 117.5 115.9

7 24.54 23.68 124.1 122.3

8 27.26 26.35 130.0 128.0

9 29.94 28.94 135.5 132.9

10 32.61 31.89 140.3 138.6

11 35.25 35.74 144.2 144.7

12 38.26 39.74 149.6 151.9

13 42.18 44.95 155.0 157.1

14 48.81 49.17 162.7 169.6

Source: Swaminathan, M. (1992). Handbook of food and nutrition.The Banglore


Printing and Publishing Co.Ltd.Myscre Road. P.344 cited by Jha,(2056)