Listening to Africa Household Baseline Questionnaire 2014 · PDF fileLISTENING TO AFRICA...

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Transcript of Listening to Africa Household Baseline Questionnaire 2014 · PDF fileLISTENING TO AFRICA...

  • LISTENING TO AFRICA HOUSEHOLD BASELINE SURVEY QUESTIONNAIRE No. |__|__|__|__|

    Page 1 of 45

    Listening to Africa

    Household Baseline Questionnaire 2014

    THIS SURVEY IS BEING CONDUCTED BY THE NATIONAL STATISTICAL OFFICE UNDER THE AUTHORITY OF THE 2013 STATISTICS ACT.

    THIS INFORMATION IS STRICTLY CONFIDENTIAL AND IS TO BE USED FOR STATISTICAL PURPOSES ONLY.

    MODULE A-1: HOUSEHOLD IDENTIFICATION

    ID Code Name

    A01 Country ISO ALPHA-3 code:

    A02 District or Province

    A03 TA, STA, or Town

    A04 Enumeration Area

    A05 Place / Village Name

    A06 Household ID

    A06a Full Household ID from IHS3 Survey

    A07 Name of Head of Household from IHS3 Survey

    A08 Name of current Head of Household

    A09 Dwelling Structure Number

    A10. Setting (Mark an X in the appropriate box):

    A11. Type of Household (Mark an X in the appropriate box):

    A12. Why was the originally selected household replaced? 1=Dwelling found, but no household member could be found 2=Dwelling found, but no eligible respondent 3=Eligible respondents refused 4=Dwelling found, but appears unoccupied 5=Dwelling destroyed 6=Dwelling not found SPLIT HOUSEHOLDS

    IF THE ORIGINAL HOUSEHOLD HAS SPLIT SINCE IHS3 (i.e. SOME MEMBERS HAVE MOVED OUT OF THE HOUSEHOLD), INTERVIEW ONLY THE HOUSEHOLD IN THE SAME DWELLING AS IN IHS3 (i.e. THE ORIGINAL HOUSEHOLD).

    Rural Urban

    Originally selected Household (Mark an X, then >>A13)

    Replaced household

  • LISTENING TO AFRICA HOUSEHOLD BASELINE SURVEY QUESTIONNAIRE No. |__|__|__|__|

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    PREVIOUS SURVEY (IHS3) CURRENT SURVEY

    A13 Description of location of household during IHS3:

    A15 Is this household in the same dwelling as in IHS3? 1=Yes >> A17

    2=No

    A16 Description of new location of household:

    A14 What are the GPS Coordinates of the Dwelling?

    Degree Min Sec

    Latitude (S)

    Longitude (E)

    A17 What are the GPS Coordinates of the Dwelling? (Retake Do Not Copy)

    Degree Min Sec

    Latitude (S)

    Longitude (E)

    A18. Phone number of household head (from previous survey - IHS3): ___________________________________________________________ A19. Phone numbers of other household members (from previous survey - IHS3): _______________________________________________________________ A20. Contact Information for Reference Persons (from previous survey - IHS3)

    Reference Person 1 Reference Person 2 Reference Person 3

    1. NAME

    2. RELATION TO HEAD OF HOUSEHOLD

    3. PHONE

    4. DISTRICT

    5. TA, STA, or TOWN

    6. PLACE/VILLAGE

    A21. Details of contact person in the location of this household [ENUMERATOR: COLLECT DIRECTLY FROM CONTACT PERSON AFTER INTERVIEW]

    Name:____________________________________Phone number(s):_________________________________________________________________ [This person must not be from a selected household for this survey. It should be the village head, any local officer, owner of a shop, or a person who lives in the same village or neighbourhood as this household]

  • LISTENING TO AFRICA HOUSEHOLD BASELINE SURVEY QUESTIONNAIRE No. |__|__|__|__|

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    MODULE A-2: SURVEY STAFF DETAILS

    A22. Enumerator Name:_______________________________ A23. Enumerator Code:_______________________ A24. Enumerator Visit

    Date: (DD/MM/YYYY)

    Start Time

    (24-HOUR FORMAT) HH:MM

    End Time

    (24-HOUR FORMAT) HH:MM

    Attempt 1 |__|__|/|__|__|/|__|__|__|__| |__|__|/|__|__| |__|__|/|__|__|

    Attempt 2 |__|__|/|__|__|/|__|__|__|__| |__|__|/|__|__| |__|__|/|__|__| Attempt 3 |__|__|/|__|__|/|__|__|__|__| |__|__|/|__|__| |__|__|/|__|__|

    A25. Supervisor Name:_______________________________ A26. Supervisor Code:_______________________ A27. Date of questionnaire inspection: (DD/MM/YYYY) |__|__|/|__|__|/|__|__|__|__|

    A28. Name of Data Entry Clerk: _______________________________ A29. Data Entry Clerk Code: _______________________________ A30. Date of Data Entry: (DD/MM/YYYY) |__|__|/|__|__|/|__|__|__|__|

    A31. Name of Data Validation Clerk: _______________________________ A32. Data Validation Clerk Code: _______________________________ A33. Date of Data Validation: (DD/MM/YYYY) |__|__|/|__|__|/|__|__|__|__|

    MODULE A-3 - INTRODUCTION & SELECTION OF RESPONDENT CONVEY THE FOLLOWING MESSAGE TO THE HOUSEHOLD TO BE INTERVIEWED

    Good morning/afternoon/evening! My name is..The National Statistics Office is conducting an important survey on social and economic issues, in particular, the situation of households in this country. We have selected your household and about 1,500 others throughout MALAWI for this very important survey referred to as Listening to MALAWI. The information your household provides will help us understand more about the opinions and living conditions of people in this country. This is very important because it will guide decisions to improve welfare in our country. First, I need to select, randomly, an adult member of your household who will be the main respondent for todays interview and follow up interviews. Starting with the head of the household, please give me the names and ages of all the adults aged 18 and above who have been living in this household in the past 6 months (that is, people who normally live and eat their meals together in this household) and are expected to live here in the next 12 months. SELECTION OF ADULT RESPONDENT FOR INTERVIEWING

  • LISTENING TO AFRICA HOUSEHOLD BASELINE SURVEY QUESTIONNAIRE No. |__|__|__|__|

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    NOW SELECT AN INDIVIDUAL RESPONDENT TO INTERVIEW ACCORDING TO KISH GRID/KISH SELECTION TABLE List all qualifying adults aged 18 years and above. Start with the oldest and work down to the youngest.

    1. Take the last digit of the questionnaire number and find the same number in the top line of the Kish Grid (i.e. the numbers are underlined and in bold).

    2. Drop a line along this column.

    3. Look along the row of the last person in the list. Circle the number where the two lines intersect. This is the Kish # linked to the selected respondent. 4. Ask to speak to the person on the list whose number is the same as the one you have taken out of the Kish Grid.

    5. If that person is not at home, YOU MUST arrange to call a second time and a third time to interview that individual.

    KISH GRID

    Kish #

    Names of household members: 18 years or older who have lived here in the past 6 months and expected to live here in the next 12 months.

    Age (Years)

    LAST DIGIT ON QUESTIONNAIRE NUMBER

    1 2 3 4 5 6 7 8 9 0

    1 1 1 1 1 1 1 1 1 1 1

    2 2 1 2 1 2 1 2 1 2 2

    3 1 2 3 1 2 3 1 2 3 1

    4 1 2 3 4 1 2 3 4 1 2

    5 4 5 1 2 3 4 5 1 2 3

    6 4 5 6 1 2 3 4 5 6 1

    7 3 4 5 6 7 1 2 3 4 5

    8 3 4 5 6 7 8 1 2 3 4

    9 2 3 4 5 6 7 8 9 1 2

    10 1 2 3 4 5 6 7 8 9 1

    Record name of selected Respondent: .

    THE SELECTED RESPONDENT Is [NAME OF RESPONDENT] at home now?

    YES >> Continue to A34 NO >> Make a follow up appointment to return to the household when he/she will be around. Follow up Appointment Time: (USE 24-HOUR FORMAT) |__|__|:|__|__| Date: (DD/MM/YYYY) |__|__|/|__|__|/|__|__|__|__| If the selected Respondent is not at home after three attempts, replace him/her with another adult member of the household following the same procedure. ENUMERATOR: CONTINUE ONLY IF SELECTED RESPONDENT IS AVAILABLE DURING FIRST VISIT OR FOLLOW UP APPOINTMENT

  • LISTENING TO AFRICA HOUSEHOLD BASELINE SURVEY QUESTIONNAIRE No. |__|__|__|__|

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    A34. Details of Selected Adult Respondent

    1. Name

    2. Household Member ID Code [TO BE FILLED AFTER COMPLETING THE HOUSEHOLD ROSTER - MODULE B]

    INTRODUCTION OF THE MOBILE PHONE SURVEY TO THE SELECTED RESPONDENT

    The National Statistics Office is conducting an important survey on the situation of households in this country. This survey is being conducted under the authority of the 2013 Statistics Act. This information is strictly confidential and is to be used for statistical purposes only. We have selected your household and about 1,500 others throughout MALAWI for this very important survey referred to as Listening to MALAWI. You are the selected respondent from your household. Your answers will help us understand more about the opinions and living conditions of people in this country. This is very important because it will guide decisions to improve welfare in this country. Because this is a sample survey, your answers represent not only yourself and your household, but also hundreds of other households like yours. For this reason, your participation in this voluntary survey is extremely important to ensure the completeness and accuracy of the final results. Although there are no penalties for failure to answer any question, each unanswered question lessens the accuracy of the final data. Your cooperation will be a distinct service to our country. The project is divided into two phases; the first phase is a face-to-face interview which is