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The inclusion criteria were: 1) 18 35 years old, 2) currently married, 3) living in one of the 20 communes selected with the intention to stay in the areas for the 24 months following recruitment, 4) plan to have children in the next year and 5) agree to participate with informed consent.
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Each of its neighborhood communes selects delegates to send to higher assemblies -- three layers of smaller and smaller councils that each cover wider regions.
The participants at the focus group discussion were mainly opinion leaders in each community, selected based on the recommendation of the village chief and the mayor of the "commune rurale'.
In each district, a severely flooded commune and a less affected commune (control commune) were selected with reference to the district's people committee; households were then randomly selected from the lists of households in each selected commune.
Both communes and individual study populations within communes were selected to provide breadth of programmatic experience, a technique common for qualitative research [ 28, 29], and not for sample representativeness, as is done in a quantitative study.
In each district, three communes were selected, with 40 mothers interviewed from each commune.
First, a total of 50 communes were selected randomly from the list of 104 rural communes in Ha Nam using the 'sample' command in Stata version 11 (StataCorp LP, College Station, Texas, USA) by an independent statistician.
First, six communes were selected randomly by an independent statistician from a list of all 108 rural communes in the province as study sites.
In the VHLSSs, communes are selected randomly as primary sampling units.
The communes were selected to represent different economic levels.
Ha Long city with surrounding communes was selected as study setting.
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