Monarch.RTHB.Child.1 Sweetness H Dube 2017-06-06 NADA Monarch RTHB Child 1 MO-01.Monarch.RTHB.Child.1 NADA Monarch Data South Africa Face-to-face [f2f] MO-01 MONARCH RTHB Data Extraction Child 1 28 80 Barcoded sticker ID number (M10.........) 28 M10 0036 M10 0075 M10 0180 M10 0200 M10 0528 M10 0643 M10 0691 M10 0820 M10 0876 M10 0924 M10 1029 M10 1097 M10 1216 M10 1271 M10 1417 M10 1578 M10 1610 M10 1782 M10 2027 M10 2038 M10 2497 M10 2677 M10 2791 M10 2894 M10 2945 M10 2969 M10 3285 M10 3371 RedCap Event Name 28 child2_arm_1 RedCap Data Access Group Is the bar coded study ID available? 27 1 1 Sysmiss Number of bar coded ID: 25 M10 0036 M10 0075 M10 0180 M10 0200 M10 0528 M10 0643 M10 0691 M10 0820 M10 1029 M10 1097 M10 1216 M10 1271 M10 1417 M10 1578 M10 1610 M10 1782 M10 2027 M10 2038 M10 2497 M10 2677 M10 2791 M10 2894 M10 2969 M10 3285 M10 3371 Bar code label(s) for photo (if different) 6 M10 0654 M10 1089 M10 1711 M10 2275 M10 3307 M10 3555 Infant gender 27 1 1 Male 2 Unknown Sysmiss Date of data collection if photo was taken at Delivery: 13 2015-07-21 2016-07-22 2015-07-21 2015-09-02 2015-09-08 2015-09-21 2015-12-14 2016-03-08 2016-03-09 2016-03-30 2016-05-16 2016-05-27 2016-06-27 2016-06-29 2016-07-22 Facility where data was collected if photo was taken at Delivery: 13 15 1 Esiyembeni 2 Gunjaneni 3 Machibini 4 Somkhele 5 Mpukonyoni 6 Mtubatuba 7 KwaMsane 8 Hlabisa Sysmiss Name of data collector if photo was taken at Delivery: 13 15 1 Thandazile 2 Phindile 3 Jabulile 4 Mandla 5 Nomatahu 6 Thabi 7 Winnie 8 Sphiwe 9 Gugu 10 Muntuh 11 Buke 12 Anele Sysmiss Consent given (and signed) to take photo at Delivery? 13 15 1 Yes 2 No 3 Unknown Sysmiss Date of data collection if photo was taken at 3-6 day postnatal visit: 5 2015-07-24 2016-08-29 2015-07-24 2016-03-18 2016-05-20 2016-07-27 2016-08-29 Facility where data was collected if photo was taken at 3-6 days postnatal visit: 5 23 1 Esiyembeni 2 Gunjaneni 3 Machibini 4 Somkhele 5 Mpukonyoni 6 Mtubatuba 7 KwaMsane 8 Hlabisa Sysmiss Name of data collector if photo was taken at 3-6 days post natal visit: 5 23 1 Thandazile 2 Phindile 3 Jabulile 4 Mandla 5 Nomatahu 6 Thabi 7 Winnie 8 Sphiwe 9 Gugu 10 Muntuh 11 Buke 12 Anele Sysmiss If first photo was taken at delivery, is the RtHB blank (or only cover page compl 4 24 No 1 Yes Sysmiss Consent given (and signed) to take photo at 3-6 days postnatal visit? 5 23 1 Yes 2 No 3 Unknown Sysmiss Date of data collection if photo was taken at 6-weeks postnatal visit: 17 2015-07-21 2016-10-04 2015-07-21 2015-08-03 2015-08-18 2015-10-12 2015-10-26 2015-11-03 2015-11-05 2015-11-17 2015-11-20 2015-12-08 2016-01-26 2016-02-08 2016-04-04 2016-04-29 2016-06-02 2016-09-05 2016-10-04 Facility where data was collected if photo was taken at 6-weeks postnatal visit: 17 11 1 Esiyembeni 2 Gunjaneni 3 Machibini 4 Somkhele 5 Mpukonyoni 6 Mtubatuba 7 KwaMsane 8 Hlabisa Sysmiss If first photo was taken at 3-6 days postnatal visit, is the RtHB blank (or only 2 26 No 1 Yes Sysmiss Name of data collector if photo was taken at 6-weeks post natal visit: 16 12 1 Thandazile 2 Phindile 3 Jabulile 4 Mandla 5 Nomatahu 6 Thabi 7 Winnie 8 Sphiwe 9 Gugu 10 Muntuh 11 Buke 12 Anele Sysmiss Consent given (and signed) to take photo at 6-weeks post natal visit? 16 12 1 Yes 2 No 3 Unknown Sysmiss If first, 2nd or last photo was taken at 6-weeks postnatal visit, is the RtHB bla 4 24 No 1 Yes Sysmiss Mother Date of Birth 27 1975-02-02 1996-07-11 1975-02-02 1978-09-03 1981-09-01 1983-07-17 1984-01-23 1984-04-06 1984-05-03 1984-11-10 1985-03-10 1985-10-10 1986-03-06 1986-04-04 1986-11-05 1987-05-29 1988-06-08 1990-01-31 1990-08-24 1990-12-29 1991-04-28 1992-05-25 1993-02-13 1993-04-21 1993-06-15 1993-10-13 1993-10-30 1995-12-23 1996-07-11 Mothers ID Number 26 7502021587086 780903 810929 8307171162085 840123 840406 840503 8411100422089 850310 851010 860306 8604042077082 8611051193080 880608 900131 9008241430085 901229 910428 9205250830086 9302130757083 9304210925084 930615 9310130589082 931030 951223 9607110490086 Mother's age 24 4 19 41 27.125 5.841 Mother's contact number 6 22 713116332 824945640 761735536 47703252.245 1000000001 .. Date Of Birth 27 2015-06-02 2016-08-23 2015-06-02 2015-06-20 2015-07-01 2015-07-17 2015-07-20 2015-08-28 2015-09-07 2015-09-08 2015-09-19 2015-09-24 2015-10-03 2015-10-12 2015-10-19 2015-12-14 2015-12-24 2016-02-19 2016-03-08 2016-03-22 2016-04-04 2016-05-15 2016-05-26 2016-06-24 2016-06-28 2016-07-21 2016-08-06 2016-08-23 Date of 3-6 day visit 11 2015-06-25 2016-08-29 2015-06-25 2015-07-07 2015-07-24 2015-10-01 2015-10-06 2015-10-29 2015-12-30 2016-03-18 2016-05-20 2016-07-27 2016-08-29 Growth (IMCI) at 3-6 days 12 2360 2630 2700 3210 3400 3600 G/well Growing Not rec PMTCT/HIV status (IMCI) 3-day visit 12 Expose NR Not ex Not re Unlike Feeding (EBF/EFF/mixed feeding) on 3-day visit 12 BF EBF EFF Not re Date of 6 weeks visit 14 2015-07-21 2016-10-04 2015-07-21 2015-09-29 2015-11-03 2015-11-05 2015-11-17 2015-11-20 2015-12-08 2016-01-26 2016-02-08 2016-04-04 2016-04-29 2016-06-02 2016-09-05 2016-10-04 Growth (IMCI) at 6 weeks 15 2100 3500 4200 4300 4500 4600 4700 5300 G/well Growin Nil Not do PMTCT/HIV status (IMCI) 6 weeks visit 15 Exp Expose NR Not Ex Not do Not ex Feeding (EBF/EFF/mixed feeding) at 6 weeks visit 15 EBF EFF Nil Not do Facility Delivered 26 2 1 Hlabisa 2 KwaMsane 3 Home 4 Other 5 Unknown Sysmiss If other, please specify 8 Gunjaneni LURWMH Madwaleni Cl NPA The Bay Hosp How many children has the mother had (including this child and stillbirths)? 27 1 2 3 4 5 6 Sysmiss How many children are alive now (including this child)? 27 1 2 3 4 5 6 7 Sysmiss If any of her children died, what was the reason for death 1 ? 1 Miscarriag What was the reason for death 2 ? What was the reason for death 3 ? Is the infant a twin? 27 1 1 Yes 2 No 3 Unknown Sysmiss Is there any disability (including birth defects)? 25 3 1 Yes 2 No 3 Unknown Sysmiss If Yes, please specify Birth weight 25 3 1560 9999 3202.92 2113.568 Birth length 26 2 32 999 119.846 258.858 Head circumference at birth 26 2 30 999 108.731 262.102 Mothers gestational age 23 33 35 35+ 36 37 37+ 38 38+ 39 40 Nil Not d prete What was the mode of delivery? 23 C/S C/S for Tw C/S for po C/s for tr NVD Nil Not docume Prev C/S a c/s Is there any information in the "Antenatal (Maternal History) " section? 25 3 1 Yes 2 No 3 Nothing noted in RthB Sysmiss What is the antenatal history? 11 1006977859 Cord prolcipse G3 P1 G4 G3 G4 P4 Grav 02 Low HB None Twin Pregnancy Uncontrolled PI Was there any neonatal problems noted down? 25 3 No 1 Yes Sysmiss If Yes, please specify. 5 Expoased None Prematurity Preterm Neonatal feeding decided on at birth 26 2 1 Exclusive Breast 2 Exclusive Formule 3 Breast and Formule 4 Other 5 Unknown Sysmiss Date of completion of PMTCT/HIV Information 17 2015-05-29 2016-08-06 2015-05-29 2015-06-21 2015-07-02 2015-07-18 2015-07-20 2015-09-08 2015-09-10 2015-09-21 2015-09-25 2015-10-03 2015-12-14 2015-12-18 2015-12-25 2016-05-27 2016-06-27 2016-07-22 2016-08-06 Mother's latest HIV result 18 10 1 Positive 2 Negative 3 To be done 4 Unknown Sysmiss Before pregnancy 28 No 1 Yes During pregnancy 28 No 1 Yes At delivery 28 No 1 Yes Unknown 28 No 1 Yes Is the mother on life-long ART? 7 21 1 Yes 2 No 3 Unknown Sysmiss If Yes, duration of life-long ART at time of delivery? 6 22 1 <4weeks 2 >4weeks 3 Before pregnancy 4 Unknown Sysmiss Document the ARV's the mother received 4 FDC Nil Did the mother receive infant feeding counselling? 18 10 1 Yes 2 No 3 Unknown Sysmiss Decision about infant feeding 19 9 1 Exclusive breast 2 Exclusive formula 3 Unknown Sysmiss Document Nevirapine given: 7 100 ml Not re Yes Yes 10 Yes NV given Is there a labsticker for PCR done? 11 17 No 1 Yes Sysmiss If Yes, what is the lab sticker code? 5 AALO2004B AAQS7343BO AARS4438BO AART2822BO AAUD9939HO Has mother disclosed to anyone in household? 6 22 1 Yes 2 No 3 Unknown Sysmiss Has the mother's partner been tested? 13 15 1 Yes 2 No 3 Unknown Sysmiss What feeds has the infant received? Was the HIV PCR test done? If Yes, when? If the result is available, is the PCR negative or positive? Cotrimoxazole started? Infant feeding discussed? Has the child received Nevirapine? If Yes, should it be stopped or continued? Rthb Data Extraction Complete 28 1 Incomplete 2 Complete