Table 6: ENGLISH VERSION QUESTIONNAIRE

Part one: questionnaire on socio-demographic characteristics

Identification code ----------------------------------

Questionnaire on identification of the Alternative choice for Responses Skip Code
No. respondents
1 Sex 1. Male 2. Female

2. Age ________years
3 Residence 1.Urban 2. Rural

4 Average family monthly income _______ETB

5 Breast feeding 1.Yes 2. No

6 Educational status of the parents 1.Illitrate

2. Only read & write

3. Primary completed
4.Secondary completed

5. College and university

7 Drinking water source of the child 1. Unprotected

2. surface water
3.Piped tap water 4. _______

8 Are there domestic animals in your 1.Yes 2. No

house
9 Do you /your child consume raw milk, 1.Yes 2. No
vegetables and fruits, street foods, egg or
meat?
10 Toilet usage of the family 1. open
2. simple pit latrine 3. Water
flushed
11 Handwashing of parents 1.before preparing food
2. after defecating child

3. after toilet use 4. after

cleaning anything
12 Appearance of the stool sample 1.watery 2. Mucoid 3. bloody 4.
loose or soft 5. -----------

13 Nutritional status of the child 1.normal 2. malnutritional

N.B. MUAC above 11 cm is normal and below 11 cm is malnutritional