AN ASSESSMENT OF KNOWLEDGE, SKILLS ATTITUDE AND PRACTICES ON
HEALTH AMONG WOMEN OF REPRODUCTIVE AGE ON RIACIRI VILLAGE,
MAVURIA WARD.
MBEERE SOUTH SUB-COUNTY IN EMBU COUNTY
SECTION 1: SOCIAL DEMOGRAPHIC DATA
1. Age of the respondent
a. 18 yrs ( )
b. 18 to 35 yrs ( )
c. 35 to 49 yrs ( )
2. Religion of the respondent
a. Christian ( )
b. Muslim ( )
c. Hindu ( )
d. Earthiest ( )
3. Education level
a. Primary level ( )
b. Secondary ( )
c. Tertiary level ( )
d. Others …………………………………………………………………
4. Marital status
a. Single ( )
b. Married ( )
c. Divorced ( )
d. Widowed ( )
SECTION 2: IMMUNIZATION
5. Do you know immunization and its importance
a. Yes ( )
b. No ( )
6. If yes, which importance
a. it prevent children from paralysis/disabilities ( )
b. it boasts immunity of the infant ( )
c. it prevent children from getting infected by diseases ( )
d. Others …………………………………………………………………….
7. do you have children below five years
a. yes ( )
b. no ( )
8. If yes, what is their immunization status (immunization card)
a. Fully immunized ( )
b. Not fully immunized ( )
c. Not immunized at all ( )
9. Is there any child in your household diagnosed with childhood diseases like polio,
diphtheria, measles e.t.c
a. Yes ( )
b. No ( )
10. If yes, what is their current status
a. Healthy ( )
b. Alive with paralysis/ complications ( )
c. Any other …………………………………………………………….
SECTION 3: WATER SUPPLY
11. What is your main source of water
a. Rain ( )
b. River ( )
c. Dams ( )
d. Boreholes ( )
e. Other…………………………………………………………………..
12. How do you store your water
a. Tanks ( )
b. Drums ( )
c. Jericans ( )
d. Ports ( )
e. Others (specify)………………………………………………………..
13. How do you treat your water
a. Boiling ( )
b. Use of water guard ( )
c. Filtration ( )
d. Solar water disinfection ( )
e. Others (specify) ……………………………………………………..
f.
14. Which type of diseases are caused by unsafe water/ untreated water
a. Cholera ( )
b. Typhoid ( )
c. Bacillary dysentery ( )
d. Others (specify) ………………………………………………………
SECTION 4: SANITATION
15. Do you know any type of waste
a. Yes ( )
b. No ( )
16. If yes, which one
a. Domestic waste ( )
b. Agricultural waste ( )
c. Industrial waste ( )
d. Others …………………………………………………………………..
17. Which methods do you use to dispose your solid waste
a. Burying ( )
b. Recycling ( )
c. Composing ( )
d. Others (specify) ……………………………………………………………
18. How do you manage your liquid waste
a. Specific tank ( )
b. Soak pit ( )
c. Open drains ( )
d. Kitchen garden ( )
e. Others ……………………………………………………………………..
19. Where do you go for your excreta disposal (faeces and urine)
a. Latrine ( )
b. Bush ( )
c. Trench ( )
d. Water borne toilets ( )
e. Others …………………………………………………………………….
20. Observe /access the status of the toilet (privacy well covered and hand washing facility)
a. Poor ( )
b. Good ( )
c. Fair ( )
SECTION 5: FAMILY PLANING
21. Do you use any type of family planning
a. Yes ( )
b. No ( )
22. If yes, which type of family planning
a. Natural ( )
b. Norplant ( )
c. Pills ( )
d. Condoms ( )
e. Injectable ( )
f. Any other (specify) ……………………………………….
23. If no to question 21, what makes you not to use family planning
a. Side effects ( )
b. Cultural beliefs ( )
c. Religious belief ( )
d. Un-cooperate partner ( )
e. Others …………………………………………………………
24. How many children do you have
a. None ( )
b. 1 to 3 ( )
c. 3 to 5 ( )
d. 5 and above ( )
SECTION 6: HEALTH SEEKING BEHAVIOUR.
25. Where do you go when you fall seek/ unwell
a. Public health facility ( )
b. Private health facility ( )
c. Chemist ( )
d. Herbal herbalist ( )
e. Traditional healer ( )
f. Spiritual ( )
26. Is there any health facility nearby
a. Yes ( )
b. No ( )
27. If yes, how far from home
a. Less than 1 km ( )
b. 1 to 3 km ( )
c. 3 to 5 km ( )
d. More than 5 km ( )
28. How do you rate the quality of service offered in public health facility
a. Good ( )
b. Poor ( )
c. Fair ( )
d. Excellent ( )
29. What is your monthly income
a. Bellow 5,000 ( )
b. 5,000 to 10,000 ( )
c. 11,000 to 20,000 ( )
d. 21,000 and above ( )
SECTION 7: HEALTH INSURANCE COVER
30. Do you have any health insurance cover
a. Yes ( )
b. No ( )
31. If no, why
a. Poverty ( )
b. Costly ( )
c. I don’t know it’s importance ( )
d. Others ……………………………………………………….
32. Which type of health insurance cover do you use
a. NHIF ( )
b. Mudson ( )
c. Jubilee health insurance ( )
d. Others ………………………………………………………..
33. What is it importance
a. It protects you from danger ( )
b. Helps to save money ( )
c. It protects you from unforeseen vital circumstances which is expensive to fix ( )
d. Others ……………………………………………………………………….
34. Do you know about linda mama.
a. Yes ( )
b. No ( )
35. What is its importance
a. It is free health insurance plan ( )
b. It ensures pregnant woman and infant have access to quality and affordable health
services ( )
c. Others (specify) ……………………………………………………….
SECTION 8: MARTERNAL HEALTH
36. Do you go for clinic while pregnant
a. Yes ( )
b. No ( )
37. How many times should a pregnant woman attend antenatal clinic
a. Once ( )
b. Twice ( )
c. Thrice ( )
d. Four times and above ( )
e. Others ……………………………………………………………….
38. Do you know any danger sign during pregnancy
a. Yes ( )
b. No ( )
39. If yes which ones
a. Vaginal bleeding ( )
b. Pre-clampsia (convulsion) ( )
c. Stopping of foetus movement ( )
d. Severe abdominal pains ( )
e. Difficulty in breathing ( )
f. Any other ……………………………………………………………
40. What to do in case of any danger sign
a. Go to health facility for checkup ( )
b. Go for herbal medication ( )
c. I don’t know ( )
d. Any other ………………………………………………………
41. What is important of antenatal care
a. To prevent unwanted complications ( )
b. To prevent maternal and child mortality ( )
c. To promote the health of the mother and the baby ( )
d. Any other (specify) ……………………………………………
SECTION 9: NUTRITION
42. What do you understand by the word balanced diet
a. Carbohydrates ( )
b. Vitamins ( )
c. Proteins ( )
d. Combination of the three classes of food ( )
43. Why do you think it’s important to eat balanced diet
a. It prolong life ( )
b. It makes food sweet ( )
c. It is good for growth ( )
d. Improves mental health ( )
e. Any other (specify) ……………………………………………………….
44. How many meals do you take in a day
a. One ( )
b. Two ( )
c. Three ( )
d. Three and above ( )
45. At what point should other foods be introduced to the baby
a. Bellow 6 months ( )
b. 6 to 8 months ( )
c. 9 to 12 months ( )
d. 2 years and above ( )
46. Which type of disease/ condition caused by poor nutrition
a. Kwashiorkor ( )
b. Marasmus ( )
c. Obesity ( )
d. Stunted growth ( )
e. Under weight ( )
f. Any other (specify) …………………………………………….
