PART-A

DEMOGRAPHIC TOOL

Description of the tool - It consists of 18 questions realed to demographic data of subjects,that is Age of the
mother (in years), marital status of the mother, education of the mother, parity, type of family
residential area, occupation of the husband, occupation of the mother and religion.

Instructions- Encircle the corrects response

CODE: _________________ Date:___________________ Time:______________a.m. or p.m.

1. Age of the mother (in years)

a) <20 years
b) 20-24
c) 25-29
d) 30-34
e) ≥35

2.Marital status of the mother

a) Single
b) Married
c) Widowed
d) Seperated

3.Education of the mother

a) Illiterate
b) Upto middle school
c) Upto senior secondary
d) Graduate and above

4.Parity
a) Nulliparous
b) Para 1 or 2
c) Para < 2

5.Type of family
a) Nuclear
b) Joint

6.Residential area
a) Urban area
b) Rural area

7.Occupation of the Husband

a) Unemployed
b) Unskilled
c) Semi-skilled and skilled
d) Clerical and shop owner
e) Semi-professional and professional

8.Socio economic class(As per BG Prasad 2016)

a) Class I
b) Class II
c) Class III
d) Class IV

9.Occupation of the mother

Housewife
Working

10.Religion
a) Hindu
b) Muslim
c) Christian
 PART-B

BIRTH PREPAREDNESS AND COMPLICATION READINESS TOOL

Description of the tool - The following components relate to your preparation of birth process and readiness
against any untoward complication. Your response should indicate the most accurate status of you birth
preaparedness and complication readiness. Thank you.

Instructions- Tick against the corrects response

CODE: _________________ Date:___________________ Time:______________a.m. or p.m.

1) Status of awareness about danger signals during pregnancy

S.No. Components Positive Response Negative

Response
Awareness of danger signals during pregnancy
1. Severe Bleeding
2. Pain Abdomen
3. Swelling of face and hands
4. Reduced fetal movements
5. Leakage per vagina
6. Headache
7. Blurring of vision
8. Excessive vomiting
 9. Fever for more than 24 hrs
10. Palpitations, easy fatigability, and breathlessness at
rest

Total-

2) Awareness about ANC care

S.No Components Positive Response Negative

Response
1. Registration during first trimester
2. TT2 immunization coverage or planning for the
same
3. At least 4 or more ANC visits or planning for the
same
4. 100 FSFA tablets consumption
5. Arrangement for blood donors in case of emergency

Total-

3) Status of birth preparedness

S. No. Components Positive Response Negative

Response
1. Identified skilled birth attendant for delivery
2. Knowledge about transportation provided through
JSSK
3. Identified mode of transportation
 4. Knowledge about financial assistance provided
through JSY
5. Saved money for expenses.

Total-

BPCAR index = Σ Indicators

7

BPACR index will be calculated from the following indicators

1. Percentage of the women who knew about > 8 danger signs of pregnancy.

2. Percentage of the women who have taken Antenatal Care (ANC) in 1st trimester by skilled provider.

3. Percentage of the women who knew about financial assistance provided by government in Janani
Suraksh Yojana (JSY).

4. Percentage of the women who knew about transportation provided by government in Janani Shishu
Suraksh Karyakram (JSSK).

5. Percentage of the women who identified skilled birth attendant for delivery.

6. Percentage of the women who identified mode of transportation.

7. Percentage of the women who saved money to pay for expenses.