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DATA COLLECTION FORM 11.2
Observation Event Matrix




Page_of_

Time

Actor(s)

Activity/Event

Codes

 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


DATA ANALYSIS FORM 11.3
Overall Tabulation of Women's Activities

Code

Activity

# Times Observed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATA ANALYSIS FORM 11.4
Women's Daily Activities Composite


Main Activities

Time

Child Care

Washing

Cooking

Income-Generating

5:00





6:00










7:00





8:00





9:00





10:00










11:00





12:00





13:00





14:00





15:00





16:00





17:00










18:00










19:00





20:00





21:00





22:00





DATA COLLECTION FORM 12.1
Illness Severity Recording Sheet (sample)

Interviewer:

Date:


Name/lD No:

Age:

Marital Status:

Location:

No. of Children:

Years of Education:

Ethnic Background:

Occupation:




Severity Ratings


Illness Term

Pile 1 (Severe)

Pile 2 (Intermediate)

Pile 3 (Mild)

























































Why are (read Pile-1 illnesses) severe? ________________________
Why are (read Pile-2 illnesses) neither mild nor severe? ________________________
Why are (read Pile-3 illnesses) mild? ________________________

DATA ANALYSIS FORM 12.2
Illness Severity Tabulation Sheet


Severity Ratings

Illness Term

Severe (2)

Intermediate (1)

Mild(0)

Raw Score

Rank

 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




 




On a second copy of this form, illness terms can be re-ordered in order of decreasing severity scores.

DATA COLLECTION FORM 13.1
Perceived Causes of Common Illnesses

Interviewer:

Date:


/ID No:

Age:

Marital Status:

Location:

No. of Children:

Years of education:

Ethnic Background:

Occupation:


We want to learn more about these illnesses of women. We are interested in your opinion about the cause of these illnesses. What do you think is the cause of illness? [Probe to get complete answers ... in full sentences.]

Local Term/English Equivalent
(e.g., Safed Paani/White Discharge)

Reported Causes (Write in full sentences. Use local language for key concepts).

 
 
 
 
 
 

DATA COLLECTION FORM 13.2
Differences and Similarities Between Common Women's Illnesses
_______________________________________________________________

1. How are ______ and ______ different from each other, and how are they related?

How different:

How related:
_______________________________________________________________

2. How are ______ and ______ different from each other, and how are they related?

How different:

How related:
_______________________________________________________________

3. How are ______ and ______ different from each other, and how are they related?

How different:

How related:
_______________________________________________________________

4. How are these three illnesses related to ______? To ______? To ______?

How different:

How related:
_______________________________________________________________

DATA ANALYSIS FORM 13.3
Comparing Interrelationships Between Illnesses

Illness 1

Illness 2

Reason For Difference

Frequency

Reason For Similarity

Frequency

 




 




 




 




 




 




 




 




 




 




DATA ANALYSIS FORM 13.4
Creating an Ethnomedical Model of Illnesses

Causes

Illnesses (Early Stage)

Illnesses (Later Stage)

Signs/Symptoms

DATA COLLECTION FORM 14.2
Location of Internal Organs

Short Free List:

What are the different organs in a woman's body?

1. _________________________
2. _________________________
3. _________________________
4. _________________________
5. _________________________
6. _________________________

Where are they located in a woman's body?

(Draw on this figure with the guidance of the informant, who can point to place on figure.)

Where does food go? (Draw)

Where does a baby grow? (Draw)
__________________________________________________

Printed with permission from Nandini Oomman
__________________________________________________

DATA RECORDING FORM 14.3
Location of Illnesses

Choose one of the health problems mentioned by the women:

Health Problem # _________________ Health Problem Name_________________

Code the following:
Where does it start?
Where does it go?
How does it relate to other organs?
__________________________________________________

Printed with permission from Nandini Oomman (1995)
__________________________________________________

DATA ANALYSIS FORM 14.4
Consensus Picture of Woman's Body: Location of Internal Organs and Important Illnesses

Key Organs:


A.


B.


C.


D.


E.


G.


H.


I.


Illness:


1.


2.


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