SBNNCHILD SOCIAL AUTOPSY QUESTIONNAIRE Village - bCHERGb - cherg 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Study ID# and Village/Cluster information at the top of the form.
  3. Proceed to Module 3: Pregnancy and delivery care. Answer questions regarding the mother's health before and during pregnancy, checking 'Yes', 'No', or 'Don’t know' as applicable.
  4. For each condition listed, if answered 'Yes', provide details about any treatments received during pregnancy.
  5. Document antenatal care visits by specifying who was seen and how many times care was received. Use the provided fields for detailed responses.
  6. Continue through sections on danger signs during pregnancy, tetanus injections, and delivery details, ensuring all relevant fields are filled accurately.

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