In order to have at least 30 households (HH) in a village, a total of 17 villages will be selected from the sampled parishes in each sub county using probability proportionate to size sampling. At village level the list of all the HH in the village will be obtained from the chairman of the village. The 30HH will be selected randomly. Appointments will be made with the caretakers to agree on the time for the interview. In case the caretakers refuse to participate, she will not be replaced. In case the selected HH does not have a child < 5 years, it will be replaced by one in the neighbourhood with such a child. In case there is more than one eligible caretaker in the selected HH like in polygamous homes, then one respondent will be selected by use of the ballot method. A similar procedure will be applied in case there is more than one eligible child in the HH. After seeking an informed consent from the respondent, an interview will be conducted.Participants for the FGDs will be purposely selected from the parishes HH that will not be part of the structured questionnaire. Two FGDs for men and Two for women will be conducted separately.