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DATA COLLECTION FORM 15.1
Collection of Successive Pile Sort Data

Women's Health Problems en's Health Problems

Figure

DATA ANALYSIS FORM 15.2
Tabulation of Successive Pile Sort Responses

Level

Terms

#Responses

1.

 

 

 

 

2.

 

 

 

 

3.

 

 

 

 

4.

 

 

 

 

DATA COLLECTION FORM 16.1
Scenario Recording Form

Interviewer:

Date:

Name/lD No:

Age:

Type of Healer:

Location:

No. of Children:

Years of education:

Scenario No. and Type: 3 mother of two children with safed paani

Diagnosis:

What the woman should do:

What illness the woman has:

Other information respondent would like to have:
__________________________________________________________

Home Remedies:

What should be done:

How soon to see response:

Evidence she is getting better:
__________________________________________________________

Care-Seeking:

Place and type of provider:

Treatment expected:

How soon to see response:

Next steps if woman does not improve:
__________________________________________________________

DATA ANALYSIS FORM 16.2
Tabulation Sheet for Diagnosis with Scenarios

Diagnosis

Scenario Number

What the woman has

1

2

3

4
 



 



 



 



 



 



 



 



 



 



Other information respondent would like to have

1

2

3

4
 



 



 



 



 



 



DATA ANALYSIS FORM 16.3
Tabulation Sheet for Home Remedy Treatments with Scenarios

Home Remedy

Scenario Number

What the woman should do

1

2

3

4
 



 



 



 



 



 



 



How soon to see response

1

2

3

4
 



 



 



 



 



 



Next steps if woman does not improve

1

2

3

4
 



 



 



 



 



 



 



DATA ANALYSIS FORM 16.4
Tabulation Sheet for Outside Home Care-Seeking with Scenarios

Home Remedy

Scenario Number

What the woman should do

1

2

3

4
 



 



 



 



 



 



How soon to see response

1

2

3

4
 



 



 



 



 



 



 



Next steps if woman does not improve

1

2

3

4
 



 



 



 



 



 



DATA COLLECTION FORM 17.1
Direct Observation (sample)

Observer:

Date:

Name/lD No:

Age:

Location:

Ethnic Background:

Actors (healers, patients, etc.)

Identification

Sex

Age

Comments

A.


B.


C.


D.


E.


F.


 


 


Draw a picture of the observation site. (Show individual's locations using their identification letter (above).

DATA COLLECTION FORM 17.2
Observation Event Matrix

Page __of __

Time

Actor(s)

Activity/Event

Codes
 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


DATA ANALYSIS FORM 17.3
Tabulation of Events in Health Treatment Setting

Code

Activity

# Times Observed
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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