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Health Education about nutrition for mothers-

Yes                                                            No

If No, why?

-Age of infant

-Sex of infant

-Weight of   infant before treatment

-Weight of   infant after treatment

-Monthly visits

Yes                                                            No

If No, why?

-Duration for monthly visit (please notify)

-Availability of vitamin A

Yes                                                            No

If No, why?

-Is the service given both inside and outside the centre (please notify)

-Is the service given only to infants whose mothers follow the visits to the centre (please notify)

-Age of infant receiving the service

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