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Name of the study: Audience Recall on BCC Campaign in LLIN Distribution Areas

Purpose- To know the audience perception on LLIN BCC activities

[PLEASE ENCIRCLE ALPHABET/NUMBER TO THE RESPECTIVE ANSWER]

SECTION-A

Back Ground Information

1. Demographic & household information

District: Block: Grampanchayat Village and Ward

2. Basic details of the respondent

Name of the respondent

Age

Gender Male-1, Female-2

Religion Hindu-1, Christian-2, Muslim-3, 0ther-99

Caste SC-1, ST-2, OBC-3, Other-99

Economical status APL-1, BPL-2, No Cards- 3

Family type Joint-1, Nuclear-2, Nuclear family with Elder in household-3

Main Source of income Agricultural daily wage labour-1, Non agricultural daily wage labour-2,Farming-3, Craft-4, Petty trade-5,Forest produce-6, Hawker-7,

MGNREGA-8, Other-99Education Illiterate-1, Literate-2, Elementary education-3 ,Medium (6th &7th )-4,

High School Education 5, Up to 12 th standard-6, College-7, Others-99

No. of members staying in

the same HH

1,2,3,4,5,6,7,8,9,10

Have you been given LLIN? a)Yes b) No

Who gave you? a) Village Level Health Workerb) AWWc) ANM

d) ASHAe) PRI membersf) GKSg) Teacher

How many did you

receive?

1,2,3,4,5,6,7,8,9,10

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SECTION-B

Before distribution

3. Have you heard of LLIN Before?

a) Yes b) No

4. From whom did you get information on LLIN in village?

a) Village Level Health Worker

b) AWW

c) ANM

d) ASHA

e) PRI members

f) GKS

g) Teacher

h) Village educated personi) Dakua (Drum bitter)

j) Other_______

5. Have you heard about LLIN from any other channel in your village?

a. News paperb. Mobilec. Local haatd. Video showse. TVf. Radio

g. Wall paintingsh. Evening social interactionsi. Posters

j. Street playsk. Dancel. Songsm. Mikingn. Swasthyakanth

6. When did you hear about LLIN first in your village?

a) Within one month

b) 1-2 monthsc) 3 months above

7. What kind of information did you receive?

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SECTION-C

During distribution

8. Where did you receive LLIN?

a. Govt. Medical

b. Sub center

c. School

d. AWC

e. PRI building

f. Village community center

g. NGO

h. Any other specify

9. If yes, did you go and watch demonstration?

a) Yes b) No

(If No go to the Q No-14)

10. If yes, what did you observe in demonstration?

11. If yes, who demonstrated about the maintenance of Net?

a. Village Level Health Worker

b. AWW

c. ANM

d. ASHA

e. PRI members

f. GKS

g. Teacher

h. Village educated person

i. MTS

j. Other_______

12. During Demonstration, did they inform about usage and maintenance of net?

13. What did they inform?

a. Advantages of treated and untreated nets.

b. Cleaning of LLIN

c. Side effects of LLIN and care to be taken to avoid side effects.

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SECTION-D

After distribution

Nidhiratha

14. Have you seen Nidhirath in your village?

a) Yes b) No

15. When did you see Nidhirath in your village?

a) 7AM-10AM

b) 10AM-1PM

c) 2PM-5PM

d) 5PM-7PM

16. Was Nidhirath attractive?

a) Yes b) No

17. If yes, what was attractive?

18. If yes, what did you like?

(Multiple answers expected)

a. Colorful decorationb. Album song

c. Message on the poster

d. Message through pamphlet.

19. If answer is b, c or d then ask

Can you recall any message or information you heard or read, while Nidhirath was moving?

20. If he/she does not mention any thing about malaria, Please ask them to sing two lines of the

album song or any two message from poster/pamphlets.

21. Were any announcements made in your village during Nidhirath?

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a) Yes b) No

22. If yes what was the announcement?

23. Was there any Jatra/ video show after Nidhirath?

a) Yes b) No

(If no skip to Section-E)

24. If yes, did you watch jatra/ video?

a) Yes b) No

(If no skip to Section-E)

25. What was performed in your village?

a) Jatra

b) Video

26. Can you brief us about the story?

27. If the respondent does not talk about malaria, ask specifically what they remembered about

malaria related messages during the Jatra and video.

28. Do you remember any character in the Jatra/vedio

a) Yes b) No

29. If yes, what character did you like?

30. Why did you like these characters?

SECTION-E

Sleeping under net

(Distribution strategy: 1 LLIN for 1-2 persons, 2 LLINs for 3-5 persons, 3 LLINs for 6-7

persons, 4 LLINs for 8-10 persons)

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31. Do you sleep under the net every day?

a) Yes b) No

32. If No, what is the reason?

33. Do all your family members sleep under the net?

a) Yes b) No

34. If yes

Who all slept under the net yesterday?

35. If No,

Why do all of them, not sleep under the net?

36. Give reason?

37. Did you wash the net in this one year?

38. How many times

a) once

b) 3 times

c) More than three times

d) Never

39. How did you wash?

Date Name of the interviewer

That is the end of our questionnaire. Thank you very much for giving us time to answer these questions. We

appreciate your help.