DATA
COLLECTION FORM 11.2
Observation Event Matrix
Page_of_ |
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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 |
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Time |
Child Care |
Washing |
Cooking |
Income-Generating |
5:00 |
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6:00 |
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7:00 |
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8:00 |
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9:00 |
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10:00 |
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11:00 |
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12:00 |
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13:00 |
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14:00 |
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15:00 |
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16:00 |
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17:00 |
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18:00 |
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19:00 |
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20:00 |
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21:00 |
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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 |
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. |