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Ethiopia Questionnaires UK Data Archive Study Number 7931 - Young Lives: an International Study of Childhood Poverty: Round 4, 2013-2014 YOUNG LIVES ROUND 4 SURVEY ETHIOPIA OCTOBER 2013 TO MARCH 2014 COMMUNITY QUESTIONNAIRE Young Lives is funded by UK aid from the Department for International Development (DFID) www.younglives.org.uk THE YOUNG LIVES STUDY CONTEXT INSTRUMENT (Version: Ethiopia - 2013) COMMUNITY IDENTIFICATION 0.1 Community ID (OBSERVE) [ET __ __ __ ] PLACEID Community Name ______________________________ PLNAME ID of Kebele (OBSERVE) [ __ __ ] KEBELEID Name of Kebele ______________________________ KEBNAME Kebele Telephone number (Give three up to three Telephone numbers) ______________________________ ______________________________ ______________________________ Wereda ID (OBSERVE) __ __ WERID Name of Wereda (OBSERVE) ______________________________ WERNAME Zone ID (OBSERVE) __ __ ZONID Zone Name (OBSERVE) ______________________________ ZONAME Region (OBSERVE) 01= Addis Ababa, 02=Amhara, 03=Oromia, 04=SNNP, 05=Tigray __ __ REGION 0.2 ID of sentinel site in the Locality (OBSERVE) __ __ CLUSTID 0.3 GPS Coordinates (WGS84) of the Locality (Reference point: Main Square) ___ ___ ___ ° ___ ___ . ___ ___ ___ N GPSEAST ___ ___ ___ ° ___ ___ . ___ ___ ___ E GPSNORTH ___ ___ ___ ___ ALTITUDE in meters above sea levels GPSALTD FIELDWORKER: In the case that GPS reference point is not the Main Square, please write down the new reference point. 0.3.2 ____________________________________________ REFPOINT ____________________________________________ ____________________________________________ DATA HANDLERS 0.4 Fieldworker/supervisor code: [__ __ __ ] SURVCODE _________________________________________________________________________________ Fieldworker signature: _________________________________________________________________________________ Date of interview __ __ / __ __ / __ __ (day / month / year) SURVDATE 0.5 Verifier code: [__ __ __ ] SUPCODE _________________________________________________________________________________ Verifier signature: _________________________________________________________________________________ Date of Verification __ __ / __ __ / __ __ (day / month / year) SUPRVDATE 0.6 Data clerk1 code: [__ __ __ ] ____________________________________________________________________________________________ DATACODE1 Data clerk1 signature: ____________________________________________________________________________________________ Data clerk 2 code [__ __ __ ] ____________________________________________________________________________________________ DATACODE2 Data clerk2 signature: ____________________________________________________________________________________________ Date of data entry (clerk1): __ __ / __ __ / __ __ (day / month / year) DEDATE1 Date of data entry (clerk2): __ __ / __ __ / __ __ (day / month / year) DEDATE2 INFORMANT ROSTER (For each Person Interviewed) Note: In case the person does not want to give information on one of these questions, enter code 79. 0.7.1 0.7.2 0.7.3 0.7.4 0.7.5 0.7.6 0.7.7 Module and Section Name Age Gender Position How long have you lived here? Informant code Write the name of the job, post or (in years) 01 = Male Module Section First Name Last name position then enter code. -77=NK 02 = Female (Code Box #1) (in years) (RSID) (MODULE) (SECTION) INFNAME INFSUR (AGERES) (SEXRES) (speccap) (CAPAC) (LIVRES) 1 [ __ ] 01 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 02 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 03 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 04 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 05 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 06 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 07 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 08 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 09 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 10 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 11 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 12 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 13 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 14 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 15 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 16 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] 1 [ __ ] 17 2 [ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] CODEBOX #1: Job, Post or Position 01 = Elected People’s Representative 04 = Teacher/ School Principal 07 = Community/Caste leader 77 = NK 02 = Non Elected People’s representative 05 = Religious Leader 08 = Others (Specify): 10=DA(Development Agent) 03 = Health Extension/ Worker 06 = Leader Female Organisation 09=Village Secretary 11=Community Elder __ __ / __ __ / __ __ 0.1 Interview begins: Date (Day) (Month) (Year) INTBEGDT 0.2 Interview begins: Hour __ __ : __ __ INTBEGH MODULE 1 - GENERAL MODULE SECTION 1 - GENERAL CHARACTERISTICS OF THE LOCALITY I1 11INF1 PERSONS ANSWERING THIS SECTION (RSID): I2 11INF2 Code established in Informant Roster I3 11INF3 1.1 Approximately, how many people (including children) live in LOCALITY? POPSIZE [POPULATION SIZE] [ _________________ ] 77=NK 1.2 How many hamlets/ villages/ Kushet/Got/Gandas would you say comprise this locality? VILLOC [ __ __ ] 1.3.0 1.3.1. 1.3.2 What is the most common means of transportation used to travel to the capital of the district? You may name up to How long does it take to travel to the capital of the three, but please name the most common means first. district using this means of transportation? (Use Code Box #2) FIELDWORKER: Record time (in MINUTES) for each of the means of transport recorded in 1.3.1 __ __ __ __ 1 TRANS1 TITRANS1 SPCTRAN1 __ __ __ __ 2 TRANS2 TITRANS2 SPCTRAN2 __ __ __ __ 3 TRANS3 TITRANS3 SPCTRAN3 CODE BOX # 2 – Means of Transportation 01 = By foot 05 = Mototaxi 09 = Truck 14 = Cart 02 = Animal (horse, donkey, etc.) 06 = Car 10 = Rail 15 = Bajaj 03 =Bicycle 07 = Micro, Combi, minibus 11 = Boat 77=NK 04=Motorcycle 08 = Bus 13 = Other(specify) 1.4 What are currently the main routes/ways to access LOCALITY? FIELDWORKER: Fill in all options with either 01=Yes 00=No 01. Paved road __ __ (PVEDN) 02. Unpaved roads (engineered, motorized) __ __ (UNPAVEDN) 03. Non motorized roads/tracks (footpaths, apt for access by horse, donkeys and the like, or walking) __ __ (TRACKSN) 04. Air __ __ (AIRN) 05. Others (specify): __ __ (OTTRANN) (OTRASPEN) 1.4.1. Which of these routes is the main route to access the LOCALITY? FIELDWORKER: take into account the characteristics of the last kilometers of the main route used to reach the locality. If it is not clear which route is the main one, consider the most predominant. [ __ __ ] (MAINRTR4) FIELDWORKER: enter code 01-05 from Q.1.4. In the past year, how many months has the main route of access to LOCALITY been inaccessible? Fieldworker: if road has not been inaccessible (i.e. 0 months), skip to question 1.6. 1.5 [ __ __ ] Months 1.5.1. Of these [MONTHS IN 1.5], how many were the result of the rainy season? [ __ __ ] Months 1.6 Are there any factories or big farms in or close to the community that employ a lot of community residents (for (FACTORY) example, more than 50 people)? 00=No → skip to 1.9 __ __ 01=Yes, within village/kebele 02=Yes, outside kebele in 5kms radius 1.7 What kind of factory or farm employs the most people from the locality? 77 =nk (FACTEMP) 01= Farm extensive non-irrigation (Cereal, Tea, Coffee, etc....) 02= Mining (Rock, Clay, Other Minerals...) 03= Construction Workers __ __ 04= Manufacturing Industry/Factory (Textile, Leather, Metal, etc....) 05= Services (Wholesale, Hotel, Retail sales, Garage, etc...) 06= Other Specify______ 07= Irrigated farm/flower farms 1.8 How many people from the locality does it employ? (Men/Women/Children?) __ __ men (TOTMEN) __ __ women (TOTWOM) Fieldworker: please refer to the biggest factory, the one that employs most people from locality. __ __ children (TOTCHILD) 1.9 SAY: Now I would like to ask you about natural disasters or outbreak of diseases and epidemics that might have occurred at LOCALITY in the last 4 years. In the last 4 years, has there ever been any natural disaster or an outbreak of diseases/epidemics that have affected the LOCALITY ? [ __ __ ] 01=Yes 00=No, 77=NK →SKIP TO 1.10 ( NTRLDIST ) 1.9.1 1.9.2 1.9.3 1.9.4 1.9.5 In the last 4 years, what was the Please report year and month of What are the two main effects generated by Approximately what was Did LOCALITY receive disaster? occurrence of the DISASTER (i.e. when DISASTER in the locality? the percentage (%) of any help? Enter code from CODEBOX # 3. the disaster occurred/began) Enter code from CODEBOX #3A households affected by 00 = No the event? 01 = Yes, from the FIELDWORKER: Allow for multiple Government occurrences of same event throughout 01 = Less than 25% 02 = Yes, from NGOs the years. 02 = Between 25 and less working here in the than 50% LOCALITY 03 = Between 50 and 03 = Yes, from family and 90% friend 04=100% (entire 04 = Yes, from other population) institutions (associations, religious institutions, -77=NK community-based -88=NA organizations) 05 = Yes, from NGOs NOT Month Year working in LOCALITY (1 to 13) First main effect Second main effect (E.C.) 88 = NA (E.C.) Fieldworker: please record up to three in order of importance DISASTID DISASTER OTHDISTR DISTYEAR DISTMNTH DISEFCT1 DISEFCT2 PRCEFFCT RECVHELP 1 [ __ __ ] ___________________ 1. [ __ __ ] 2. [ __ __ ] [ __ __ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ __ ] % 3.[ __ __ ] 2 [ __ __ ] ___________________ 1. [ __ __ ] 2. [ __ __ ] [ __ __ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ __ ] % 3.[ __ __ ] 3 [ __ __ ] ___________________ 1. [ __ __ ] 2. [ __ __ ] [ __ __ __ __ ] [ __ __ ] [ __ __ ] [ __ __ ] [ __ __ __ ] % 3.[ __ __ ] 4 [ __ __ ] ___________________ 1.
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