New Questionnaire

AWARENESS ON MATERNAL HEALTH CARE AMONG PREGNANT WOMEN IN
SELECTED BARANGAYS OF LAMITAN CITY
SURVEY QUESTIONNAIRE
PART 1. RESPONDENTS PROFILE
Kindly provide the following background information. Place “ ✓ “ in the box that most closely describes
you.
1. Age Below 20 years old 31-40 years old
21-30 years old 41 years old and above
2. Educational attainment Elementary level College level
High-school level
3. Socioeconomic Status Below 5000 10,001 and above
5001-10,000
4. Ethnicity Chavacano Yakan
Bisaya Sama
Tausug Others
5. Geographical Location Luksumbang Balas
Tumakid
PART 2.
Purpose of the study: This shows the time and the response of the mother on the questions
given to shows that the mothers are much aware of the understanding and the importance of their
health status during pregnancy. The questions are divided in 4 categories such as Nutrition,
Immunization, Antenatal, and Family planning.
Rank score as follows:
1 2 3 4
Strongly Disagree Disagree Agree Strongly Agree
Instructions: Based on your idea on Maternal Health Care, please place a check in the box that
most closely describes your perceptions towards the following.
A. Nutrition
Questions 1 2 3 4
1. Lifestyle modification and proper diet is

important during pregnancy.
Tagalog: Ang pagbabago ng pamumuhay at
tamang diyeta ay importante sa panahon ng
pagbubuntis.
2. Iron and folic acid tablets are important to
pregnant women.
Tagalog: Ang iron at folic acid tablets ay
nakakabuti sa mga buntis na kababaihan.
3. Smoking and alcohol are harmful to the fetus.

Tagalog: Ang paninigarilyo at pagiinom ng
ina ay nakakapinsala sa sanggol.
4. Any medicine other than those prescribed by

doctor can cause harm to the baby.
Tagalog: Ang mga gamot maliban sa mga
inireseta ng doktor ay maaaring maging sanhi ng
pinsala sa iyong sanggol.
5. Eating nutritious food that is in the food
pyramid benefits the mother and baby.
Tagalog: Ang pagkain ng masustansya ayon
sa food pyramid ay nakakabigay benepisyo sa
akin at sa aking sanggol
B. Antenatal Visits
Questions 1 2 3 4
1. Antenatal Checkup is necessary for the pregnant

woman.
Tagalog: Ang pag-checkup ng antenatal ay
kailangan ng mga buntis.
2. The first Antenatal checkups should be done

during the first 3 months.
Tagalog: Ang unang pagsusuri ng Antenatal
ay sa unang 3 buwan.
3. Pregnant woman need to come for at least five

antenatal check-ups throughout pregnancy.
Tagalog: Ang buntis ay dapat magkaroon ng
limang antenatal check-ups sa buong pagbubuntis
niya.
4. Pregnant woman need to undergo test like

Urinalysis, and vital signs.
Tagalog: Ang mga buntis ay kailangang
sumailalim sa mga test tulad ng urinalysis at vital
signs.
5. An infection during pregnancy can cause harm

to the baby.
Tagalog: Ang impeksyon sa panahon ng
pagbubuntis ay maaring maging sanhi ng pinsala
sa isang sanggol.
C. Immunization
Questions 1 2 3 4
1. Tetanus toxoid is safe to Administer.

Tagalog: Ang pagadminister ng tetanus toxoid
ay ligtas sa mga buntis.
2. Five (5) tetanus toxoid doses must be

completed and given to pregnant mother.
Tagalog: Limang (5) tetanus toxoid ang dapat
makompletong matanggap ng mga buntis na ina.
3. COVID-19 vaccination is safe and

recommended for pregnant women.
Tagalog: Ang bakunang laban para sa Covid-
19 ay ligtas at nirerekomenda para sa mga buntis
na nanay o babae
4. COVID-19 immunization is the first line of

defense against COVID-19 disease.
Tagalog: Ang bakunang covid-19
immunization ay unang linya ng depensa laban sa
sakit na Covid 19.
5. Receiving Tetanus toxoid gives protection to

my baby against neonatal tetanus happens when
the cord is cut.
Tagalog: Ang pagtanggap ng injection na
tetanus toxoid ay nagbibigay protection sa aking
sanggol laban sa neonatal tetanus pagkatapos
putulin ang pusod.
D. Family Planning
Questions 1 2 3 4
1. Birth control method is effective to avoid

unplanned pregnancy.
Tagalog: Ang birth control ay effective para
maiwasan ang hindi planong pagbuntis.
2. Accidentally skipping of taking contraceptive

pill will have the chances of having a baby.
Tagalog: Ang hindi sinasadyang pagkaligtaan
sa pag-inom nang contraceptive pill ay may
posibilidad na pagkabuntis.
3. The Condoms is effective at preventing

pregnancy and protect me against STI and HIV
infection.
Tagalog: Ang Condom ay epektibo para
maiwasan ang pagbubuntis at nagbibigay
proteksyon laban sa impeksiyon na STI at HIV.
4. Following the calendar method will help to track

the menstrual cycle.
Tagalog: Ang pagsunod sa pamamaraan ng
kalendaryo ay nakakatulong para masubaybayan
ang cycle ng regla.
5. Intrauterine Device method helps to prevent

unplanned pregnancy and promote birth spacing.
Tagalog: Ang paraan ng Intrauterine Device
ay nakakatulong para maiwasan ang hindi
planong pagbuntis at nagpapaunlad din ng
pagitan sa panganganak.

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AWARENESS ON MATERNAL HEALTH CARE AMONG PREGNANT WOMEN IN

SELECTED BARANGAYS OF LAMITAN CITY

PART 1. RESPONDENTS PROFILE

1. Age Below 20 years old 31-40 years old

21-30 years old 41 years old and above

2. Educational attainment Elementary level College level

3. Socioeconomic Status Below 5000 10,001 and above

4. Ethnicity Chavacano Yakan

5. Geographical Location Luksumbang Balas

Rank score as follows:

Strongly Disagree Disagree Agree Strongly Agree

1. Lifestyle modification and proper diet is

3. Smoking and alcohol are harmful to the fetus.

4. Any medicine other than those prescribed by

1. Antenatal Checkup is necessary for the pregnant

2. The first Antenatal checkups should be done

3. Pregnant woman need to come for at least five

4. Pregnant woman need to undergo test like

5. An infection during pregnancy can cause harm

1. Tetanus toxoid is safe to Administer.

2. Five (5) tetanus toxoid doses must be

3. COVID-19 vaccination is safe and

4. COVID-19 immunization is the first line of

5. Receiving Tetanus toxoid gives protection to

1. Birth control method is effective to avoid

2. Accidentally skipping of taking contraceptive

3. The Condoms is effective at preventing

4. Following the calendar method will help to track

5. Intrauterine Device method helps to prevent

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