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Aww Template 1 -Form Fill
INFORMATION
Q01
Date of Assessment
Q02
Name of the State
Q03
Name of District
Q04
Name of Block
Q05
Name of Village
Q06
Name of the Respondent
Q07
Designation of Respondent
Q08
Number of months/years working for this scheme
Q09
Name of Investigator
Q10
Code of Investigator
Key Questions
A01
How long have you been working as an Anganwadi worker?
A02
In last three years was there the Anganwadi Helper (AH) position vacant?
Yes
No
A03
In AH absence, did you face any challenges in delivering services?
Yes
No
A04
From your experience do you think beneficiaries of various schemes are able to avail the benefits to the full extent.
Yes
No
A04A
If yes, To what % of beneficiaries
A04B
Reasons for not availing
A04B_1
Incomplete documentation
Yes
No
A04B_2
Irregular fund release
Yes
No
A04B_3
Sufficient time not available to deliver services
Yes
No
A04B_4
Organizing & managing Community based events
Yes
No
A04B_5
Low awareness
Yes
No
A05A
Do you face coordination challenges while working with ANM, AWW, ASHA/USHA?
Yes
No
A05B
How frequent do you meet with ANM & AWW?
weekly
fortnighly
monthly
quarterly
None
A05C
Do you get enough support from CDPO/POSHAN Sakhi /Lady Supervisor?
Yes
No
A05D
Do you get enough support from MOIC/other government officials?
Yes
No
A06
Does family pressure or social stigma prevent the eligible beneficiaries from availing the benefits provided under various schemes like PMMVY, Scheme for Adolescent Girls (SAG) etc.?
Yes
No
A07
Have you ever faced any challenges in delivery of services to the target groups? If Yes, what are the challenges you think are affecting in efficient delivery of services?
A07_1
ICDS
Supply issues – supplementary food
Supply issues- drugs for various categories, availability and functional equipment
Infrastructure issues- sanitary facilities/ adequate spaces/ fans & lights/electricity supply, water supply
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
A07_2
AGs
Supply issues – supplementary food
Supply issues- drugs for various categories, availability and functional equipment
HR Issues
Training issues
Capacity issues
A07_3
NCS
Supply issues – supplementary food
Supply issues- drugs for various categories, play & learning materials
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
Other issues- hr, training
A07_4
POSHAN Abhiyan
Supply issues – supplementary food & availability of functional equipment (like growth monitoring instruments, IEC materials etc)
Supply issues- drugs for various categories
Fund issues (salary & for delivery of Anganwadi services) – not received on time/delayed payments
Other issues- hr, training
A08
What are your views on resolving infrastructural related issues for efficient delivery of Anganwadi services?
A09
Were you successfully being able to take above mentioned steps to better service delivery at your AWC?
Yes
No
A10
What are the top three challenges?
A11
Do you think there is enough time to manage all your activities?
Yes
No
A12
Please tell us the time spent in undertaking various activities/services
A12_1
Home Visits (HBNC)
A12_2
Home Visits (ANC/PNC)
A12_3
Administration (procurement of resources)
A12_4
IT (ICDS-CAS/PMMVY-CAS)
A12_5
Register maintenance
A12_6
Meetings/Training
A12_7
Awareness activities
A12_8
Mobilization for VHSND
A12_9
In VHSND (Helping ASHA/ANM)
A12_10
PW Mobilization
A12_11
Pre-school activities
A12_12
Creche service (0-3 years child)
A12_13
Attending to Adolescent Girls – ARSH, Kishori Diwas (SAG scheme)
A12_14
Mamta Diwas/other programs/events related to child and mother held at community
A12_15
Conduct surveys
A12_16
Growth monitoring and promotion/NHE
A12_17
THR
A13
Over the years, have the number of Supplementary Nutrition Program (SNP) beneficiaries have declined/stayed constant/increased in your locality?
Yes
No
A14
How is Anganwadi services helping on child growth & development? (one on reducing children underweight and another on exclusive breastfeeding) Instruction: Get quotes Eg. “kids who are underweight their parents are given counselling on how to improve the kid’s situation”
A15
What according to you is the perception of beneficiaries on various services received out of government schemes? Do you think they feel satisfied with the services that are being provided to them?
A15_1
AGs
Very unsatisfied
unsatisfied
Neutral
satisfied
very satisfied
A15_2
Mothers with 0-6-year children
Very unsatisfied
unsatisfied
Neutral
satisfied
very satisfied
A15_3
PW
Very unsatisfied
unsatisfied
Neutral
satisfied
very satisfied
A15_4
LW
Very unsatisfied
unsatisfied
Neutral
satisfied
very satisfied
A16
Are you aware about ICDS-CAS?
Yes
No
A17
Are you provided with a mobile or tablet?
Yes
No
A18
Have you completed training to work on ICDS- CAS?
Yes
No
A18A
Do you use it frequently?
Yes
No
A18B
Is it user-friendly?
Yes
No
A18C
Do you need to fill register manually also?
Yes
No
A18D
Do you consider that ICDS-CAS has lessened work/added work?
Yes
No
A18E
How quickly the software IT issues are dealt with if you have any? Within 3 days, within 7 days, 15 days, one month, Never, don’t get issues?
A19
According to you, is DBT (Direct benefit transfer) useful on transferring PMMVY benefits?
Yes
No
A20
Do you think there are challenges for beneficiaries for availing PMMVY benefits?
Documentation problem
Aadhar card not updated
Bank account opening issue
Other issues
A21
Do you think government services provided under various schemes are availed by all sections/ categories of population? On a scale of 1-5, 1 being not inclusive and 5 being very inclusive
A21_1
ST/SC
A21_2
OBC
A21_3
Religion
A22
Do you think that there are areas that need improvement for efficient delivery of Anganwadi services?
Yes
No
A23
Is child growth monitoring done at the Anganwadi center?
Yes
No
A23A
If yes, who fills the data?
AWW
ASHA
LS
Others
A24
Do you conduct an annual survey of all households in the village?
Yes
No
A25
If yes, what major areas does the survey cover? Give options
A25_1
New-born
Yes
No
A25_2
Newly married
Yes
No
A26
Do you delete names who have left the village?
Yes
No
A27
How frequently do you delete?
Daily
Fortnightly
Monthly
Quarterly
Half yearly
Yearly
A28
Did you receive any ILA (Incremental Learning Approach) training in a group along with other Block officials under POSHAN Abhiyan?
Yes
No
A29
How many trainings so far?
A30
How many trainings in the last quarter?
A31
What components of the scheme are given more impetus during these trainings?
A32
What all are the meetings & training you have been participating in the past 1 year apart from ILA?
A33
Is there a women’s committee present in this village to coordinate the working of creche and Anganwadi center?
Yes
No
A34
If yes, how useful do you think is the presence of such a committee?
A34A
Usefulness of presence of committee
A35
How do you spread awareness about ICDS services ensuring maximum participation
Meetings
Home visits
VHSND
Community events
Others (please specify)
A36
How do you spread awareness about PMMVY services
Meetings
Home visits
VHSND
Community events
Others (please specify)
A37
How do you spread awareness about SAG services
Meetings
Home visits
VHSND
Community events
Others (please specify)
A38A
Have you initiated the process of peer educators (Sakhi/Saheli)
Yes
No
A38B
What are the Trainings that adolescent girls have received?
Vocational
Nutrition and Health management
Life skills education & Accessing Public services
Family welfare & child care practices
Home management
None
A38C
How often do you have meetings with them?
Weekly
Monthly
Once in 3 months
None
A38D
How often do you plan Kishori Diwas?
Monthly
Once in 3 months
Once in 6 months
Once in more than 6 months
Never
A39
What all activities are undertaken on Kishori Diwas? Select all apply
Health checkup
Supply of tablets
Entries in health cards
Referrals related activities
Height & Weight Measurement
Imparting Information Education and Communication (IEC) to community/parents/siblings
None
A40
How do you spread awareness about POSHAN Abhiyaan services
Meetings
Home visits
VHSND
Community events
Others (please specify)
A41
How do you spread awareness about Creche services
Meetings
Home visits
VHSND
Community events
Others (please specify)
A42
Do you get any performance incentive?
Yes
No
A42A
If yes, then what kind of incentives did you get?
A43
How much does the community especially parents involve themselves in the activities of the centre?
Highly involved
moderately involved
not involved at all
A44
Is there a visible change in the community behaviour towards the health of women and children?
No affect
Minor affect
Neutral affect
Moderate affect
Major affect
A45
How has it changed over the years?
A45_1
Less drop out from school
No affect
Minor affect
Neutral affect
Moderate affect
Major affect
A45_2
Better health
No affect
Minor affect
Neutral affect
Moderate affect
Major affect
A45_3
Less child Marriage
No affect
Minor affect
Neutral affect
Moderate affect
Major affect
A45_4
Better safety
No affect
Minor affect
Neutral affect
Moderate affect
Major affect
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