Hearth Form (Participant names & weight-Day 1, Day 12, 1 month, and 2 months) Appendix J. Nutrition Form (Hearth, 1 and 2-month follow-ups) Form 2 Name of PCV: 12 day Hearth dates: Name of Counterpart: 1-month follow-up date: Name of Lead Mother: 2-month follow-up date: (calculate all weight in Kilograms) Initial Weight Weight Weight Weight (12 Weight Change/ (1 Weight Change/ (2 Weight Change/ No. Name of Mother/Child Sex Age (Day 1) days) Growth Type month) Growth Type months) Growth Type 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Average Weight Change: 0.19 no growth 0.45 catch-up 0.85 catch-up Total with No Growth after 12 days 9 4 2 Total with Adequate Growth after 12 days 2 2 3
Appendix J. Hearth Form (Participant names & weight-Day 1, Day 12, 1 month, and 2 months) Form 2 Nutrition Form (Hearth, 1 and 2-month follow-ups) Name of PCV: 12 day Hearth dates: Name of Counterpart: 1-month follow-up date: Name of Lead Mother: 2-month follow-up date: (calculate all weight in Kilograms) No. Name of Mother/Child Sex Age Initial Weight (Day 1) Weight (12 days) Weight Change/ Growth Type Weight (1 month) Weight Change/ Growth Type Weight (2 months) Weight Change/ Growth Type 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Average Weight Change: 0.19 no growth 0.45 catch-up 0.85 catch-up Total with No Growth after 12 days 9 4 2 Total with Adequate Growth after 12 days 2 2 3