Table 1 Forms used for collection for epidemiological information in a ‘One health’ study in Ujjain, India
Form no | Form name | Sample | Description |
|---|---|---|---|
E-00 | Line listing form | Universe (n = 6 villages) | Enumeration of households and identification of head of the household |
E-01 | Basic survey form | Universe (n = 6 villages) | Demographic details of all the members in six villages for the identification of children for study cohort |
E-02 | Baseline form (SES form) | Universe (n = 6 villages) | Socio- economic details of all households in six villages identified during line listing |
E-03 | New Unique ID | Sample (n = 110) | Unique identification allotted children in study cohort |
E-04a | Human and animal stool and water and waste water sample collection form | Sample (n = 110) | Forms for filling information during sample collection (Human, animal and water) |
E-05 | Providers prescription form | ---- | Forms for Surveillance of drug (including antibiotics) by health providers in study area |
E-06a | Health Seeking (Follow up page) | Sample (n = 110) | Follow up page to record sickness found among family members of study cohort |
E-06b | Health Seeking (Diary) | Sample (n = 110) | To record detail of health seeking by sick family members |