Provenance
Record origin
MANUAL
Synthetic flag
No
Created
15 Sept 2026, 08:10
Last updated
15 Sept 2026, 08:13
Researcher
Refilwe Gafane
Audit information
- Facility
- Oukasie
- District
- Bojanala
- Sub-District
- Madibeng
- Audit date
- 15 Sept 2026
- Created
- 15 Sept 2026, 08:10
- Updated
- 15 Sept 2026, 08:13
- Questionnaire
- 2026-03
- RTHB completeness (analysis)
- 50%
Section A – Demographics
- 1. Age
- 1 year 2 months
- 2. Gender
- Girl
- 3. Household
- Extended family household
- 4. Relationship
- Mother
- 5. Employment
- Unemployed
- 6. Income contributors
- 3
- 7. Qualification
- Grade 11
- 8. Area
- Oukasie
Section B – RTHB knowledge
- 9
- YES
- 10
- YES
- 11
- NO
RTHB assessment (Q12–23)
12. Child's first name and surname is documented on page iiFC
13. Clinic visit-recording sheet for children filled in pg. 2FC
14. Did the child attend all scheduled clinic visits according to their age-related schedule?FC
15. MUAC measured and recorded at all clinic visits and home visits in pg. 10NC
16. Was there action taken if MUAC was ≤ 12.5, please see the action recorded.FC
17. Weight and Length/Height of the child is recorded in pg. 21?NC
18. Was weight-for-age charts plotted & connected correctly pg. 13 or 16?FC
19. Was the Length/Height for Age plotted and connected correctly pg. 15 or 19?NC
20. Was the Weight for Length/Height plotted and connected correctly pg. 11 or 20?NC
21. Action recorded when child is not growing well in pg. 21?FC
22. Is there evidence of counselling on infant or young child feeding practices in the past three months from pg. 31?NC
23. Were key social risks assessed & appropriate referral made pg. 41?NC
Nutritional classification & confirmation
- 24. Nutrition
- NAM
- 25. MUAC measurement
- 13 cm
- Signature
- R. Gafane
- Drawn signature
- Yes
- Designation
- Nutritionist