Covid-19 phone survey (round 2) in Jordan and Palestine Core respondent module
Sarah Baird, Bassam Abu Hamad, Nicola Jones, Agnieszka Małachowska and Erin Oakley December 2020 Acknowledgements The authors are grateful for the contributions of Joan Hamory Hicks, Jennifer Muz, Rebecca Dutton, Sarah Alheiwidi, Riyad Diab, The WHO Regional Office for the Eastern Mediterranean, Mindset Jordan and UNICEF Jordan.
Suggested citation: Baird, S., Abu Hamad, B., Jones, N., Małachowska, A. and Oakley, E. (2020) Covid-19 phone survey (round 2). Core respondent module. London: Gender and Adolescence: Global Evidence. Core Respondent ID: [____|____|____][____|____][____|____]
GAGE - COVID-19 SURVEY (2020) HOUSEHOLD QUESTIONNAIRE CORE RESPONDENT MODULE - JORDAN 1. Date of interview (Gregorian dd/mm/yy): [___|___]/[___|___]/[___|___] 2. Start time (hh:mm; 24-hour clock): [___|___] : [___|___] 3. Household ID: [____|____|____] 3a. Enumerator: Are you able to proceed with this Yes …...... 1 >> Q4 interview? (Were you able to locate CR by phone?) No …...... 2 3b. Reason interview cannot proceed: Parent/guardian refused CR to participate…...... 1 CR refused to participate …...... 2 Someone else refused CR to participate …...... 3 CR was unable for interview (too busy/not at home …...... 4 Parent/guardian did not want to be recorded >> End consenting …...... 5 CR did not want to be recorded consenting or assenting …...... 6 CR is deceased …...... 7 CR moved separately from previous HH…...... 8 Phone number(s) on file disconnected…...... 9 Phone number(s) on file incorrect…...... 10 Other (specify) ______-96 If NO, discontinue interview and fill in tracking sheet with information on interview status. 4. What is the current status of the CR? Minor …...... 1 Emancipated Minor …...... 2 Adult (18+) …...... 3 5. Did CR assent/consent to be surveyed? Yes………………………………………………………1 No………………………………………………………2 If NO, discontinue interview and fill in tracking sheet with information on interview status. If YES, continue to Q6. 6. CR name (First Middle Last): ______7. Consult with CR, to verify name and age with information Yes………………………………………………………1 on tracking sheet. Are you confident you are speaking to No………………………………………………………2 the CR we seek? If NO, consult with household to determine the correct CR before proceeding. 8. Did CR assent/consent to be surveyed? Yes………………………………………………………1 No………………………………………………………2 If NO, discontinue interview and fill in tracking sheet with information on interview status. If YES, continue to Q9. 9. What is [CR NAME]'s gender? Male…………………………………………………….1 Female………………………………………………………..2 10. How old is [CR NAME]? [__|__] years old 11 Does the CR know his/her birthdate? Yes …...... 1 No ...... 2 >>Q12 11a. What is [CR NAME]'s birthdate? [___|___]/[___|___]/[___|___|___|___]
12. Is [CR NAME] part of the disability sample? Yes………………………………………………………1 No………………………………………………………2 Not on the tracking sheet -99 13. What is [CR NAME]'s nationality? Jordanian………………………………………………………1 Syrian…………………………………………………….2 Palestinian………………………………………………3 Iraqi……………………………………………………..4 Egyptian………………………………………………………..5 Pakistani…………………………………………………………6 Other (specify ) ______...... -96 Refused…………………………………………………-97
GAGE Core Respondent Survey 1 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
14. Is there a Round 1 Covid-19 survey for this household? Yes, both AF and CR …...... 1 Yes, AF only …...... 2 Yes, CR only…...... 3 No…...... 4 15. According to the most recently completed survey (Covid Round Camp………………………………………………………1 1 or baseline), what was the location at previous survey: Camp, ITS………………………………………………………..2 ITS, or host? Host…………………………………………………………3 16. Does this household currently live in any of the following camp Azraq …...... ……………………………..1 locations? Zaatari …...... ……………………………….2 Gaza Camp/Jerash Camp …...... ………………………………..3 Souf Camp …...... ………………………………..4 No, does not live in a Camp…...... -95 Other Refugee Camp, specify: …...... ………………………………..-96 17. Does this CR live alone, with no other household members? Yes……………………………………………………1 No………………………………………………………..2 Refused…………………………………………………………-97
GAGE Core Respondent Survey 2 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
GAGE - COVID-19 SURVEY ROUND 2 (2020) HOUSEHOLD QUESTIONNAIRE CORE RESPONDENT MODULE - PALESTINE 1. Date of interview (Gregorian dd/mm/yy): [___|___]/[___|___]/[___|___] 2. Start time (hh:mm; 24-hour clock): [___|___] : [___|___] 3. Household ID: [____|____|____] 3a. Enumerator: Are you able to proceed with this Yes …...... 1 >> Q4 interview? (Were you able to locate CR by phone?) No …...... 2 3b. Reason interview cannot proceed: Parent/guardian refused CR to participate…...... 1 CR refused to participate …...... 2 Someone else refused CR to participate …...... 3 CR was unable for interview (too busy/not at home …...... 4 Parent/guardian did not want to be recorded >> End consenting …...... 5 CR did not want to be recorded consenting or assenting …...... 6 CR is deceased …...... 7 CR moved separately from previous HH…...... 8 Phone number(s) on file disconnected…...... 9 Phone number(s) on file incorrect…...... 10 Other (specify) ______-96 If NO, discontinue interview and fill in tracking sheet with information on interview status. 4. What is the current status of the CR? Minor …...... 1 Emancipated Minor …...... 2 Adult (18+) …...... 3 5. Did CR assent/consent to be surveyed? Yes………………………………………………………1 No………………………………………………………2 If NO, discontinue interview and fill in tracking sheet with information on interview status. If YES, continue to Q6. 6. CR name (First Middle Last): ______7. Consult with CR, to verify name and age with information Yes………………………………………………………1 on tracking sheet. Are you confident you are speaking to No………………………………………………………2 the CR we seek? If NO, consult with household to determine the correct CR before proceeding. 8. Did CR assent/consent to be surveyed? Yes………………………………………………………1 No………………………………………………………2 If NO, discontinue interview and fill in tracking sheet with information on interview status. If YES, continue to Q9. 9. What is [CR NAME]'s gender? Male…………………………………………………….1 Female………………………………………………………..2 10. How old is [CR NAME]? [__|__] years old 11 Does the CR know his/her birthdate? Yes …...... 1 No ...... 2 >>Q12 11a. What is [CR NAME]'s birthdate? [___|___]/[___|___]/[___|___|___|___]
12. Does this household currently live in the West Bank or Gaza? West Bank…………………………………………………………...... 1 >> Q14 Gaza………………………………………………………...... 2 Refused…………………………………………………-97 >> Q15 13. Does this household currently live in an Access Restricted Yes…………………………………………………………...... 1 Area? No………………………………………………………...... 2 >> Q15 Refused…………………………………………………-97 14. Does this household currently live in Area A, Area B, or Area C? Area A…………………………………………………………...... 1 Area B………………………………………………………...... 2 Area C………………………………………………………...... 3 Refused…………………………………………………-97
GAGE Core Respondent Survey 3 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
15. Is the CR a registered refugee? Yes…………………………………………………………...... 1 No………………………………………………………...... 2 Refused…………………………………………………-97 16. Does this household currently live in a camp? Yes…………………………………………………………...... 1 No………………………………………………………...... 2 Refused…………………………………………………-97 17. Does this CR live alone, with no other household members? Yes……………………………………………………1 No………………………………………………………..2 Refused…………………………………………………………-97
GAGE Core Respondent Survey 4 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
CORONAVIRUS KNOWLEDGE & ATTITUDES Sources: Parts of this section were drawn from Mindset's COVID-19 survey, the Yale CBPS COVID-19 survey, and the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020)
Read: First, I'd like to ask you a few questions about the health situation in your country. If Palestine, or if Jordan without R1 Covid CR survey begin with Q1. If Jordan and R1 Covid survey was completed, skip to Q1a. Knowledge About COVID-19 and Preventative Behaviors - 1
Source: Questions adapted from the Mindset COVID-19 survey and the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020) 1. What is your main source of reliable information Newspapers, radio, or TV………………………………………………. 1 about the current "Corona" situation? Informational calls/SMS (not sent by family or acquaintances)……………………………………………….2 Employer, work colleague, or others at work (incl. employees)……………………………………………….3 Family/relatives……………………………………………….……………………………………………….4 Friends/neighbors/acquaintances……………………………………………….5 NGOs……………………………………………….……………………………………………….6 Social media (internet on the phone, Facebook, Twitter, etc.)……………………………………………….7 Informational campaigns on the street……………………………………………….8 Door-to-door informational campaign……………………………………………….9 Local or community leaders (e.g., village leader, block majhee)……………………………………………….10 Religious leaders……………………………………………….……………………………………………….11 Health unit/Health care worker……………………………………………….12 Jordan only: Makani Center …...... 16 Jordan: Informational WhatsApp Messages (not sent by family or acquaintances)…...... 17 Palestine: UN Agencies or WHO website …...... 18 Palestine: Government officials …...... 19 No reliable source -95 Other, specify______-96 Refused...…………………………………………...... -97 Don't know……………………………………………...... …-99 1a. If someone wanted to get important health Newspapers…………………………………………………...... 1 information to you about the current Corona Radio…………………………………………………...... pandemic, what would be your preferred method to 2 receive it? TV …………………………………………………...... 3 Social media, specify ______…………………………………………………...... 4 Other, specify______…………………………………………………...... -96 Refused...…………………………………………...... -97 Don't know……………………………………………...... …-99 2. In your community, how many households do you think have been Many, including my own……………………………………………….1 affected by infection from Corona (the virus causing COVID-19), with someone in the household becoming sick? [Read answer Many, but not my own ………………………………………………..2 options aloud unless otherwise specified] Some ………………………………………………..3 Few …...... 4 None …...... 5 Do not read: Refused...………………………………………..-97 Do not read: Don't know……………………………………………-99 2a. On a scale of 0-10, how likely do you think it is that you have |__|__| been or will be infected by Corona (the virus causing COVID-19), with 0 being no likelihood and 10 being 100% likelihood [Read answer options aloud unless otherwise specified] Do not read: Refused...………………………………………..-97 Do not read: Don't know……………………………………………-99
GAGE Core Respondent Survey 5 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
If Palestine, or if Jordan without R1 Covid CR survey, continue to Q3 If Jordan and R1 Covid survey was completed, skip to inst before Q4. 3. What is one common symptom of Corona/the new Dry cough…...... 1 Coronavirus disease? Do not read response Wet cough…...... 2 options aloud. Simply indicate the symptom listed first. Cough, unspecified 3 Shortness of breath and breathing difficulties…...... 4 Muscle pain…...... 5 Headache…...... 6 Fever…...... 7 Diarrhea…...... 8 Vomiting…...... 9 Loss of taste and/or smell…...... 10 Runny nose…...... 11 Fatigue…...... 12 Chills…...... 13 Repeated shaking will chills…...... 14 Sore throat…...... 15 Coronavirus has no symptoms…...... -95 Other, specify______…...... -96 Refused...…………………………………………...... -97 Don't know…………………………………………… -99 If CR is <15 years old, skip to instructions before Q5. Otherwise, continue PROGRAMMING: RANDOMIZE ORDER OF STATEMENTS A-N BELOW 4. In your community, which of the following has increased since the start of the Corona pandemic and the social containment efforts to control the spread of the virus (e.g., lockdowns, curfews, etc.)? [For each statement: 01=Yes, 02=No, -97=Refused, -99=DK]
a. Many people have lost their jobs or their ability to earn wages, and some have lost their business. [ __ __]
b. Many children are unable to continue their studies at home [ __ __]
c. There is more violence towards boys (such as spanking or hitting) in the household [ __ __]
d. There is more violence towards girls (such as spanking or hitting) in the household [ __ __]
e. There is more violence towards women from family male members increased? (i.e. husband, brother, [ __ __] brother-in-law, etc..)
f. Adolescent girls are facing more bullying and violence from male siblings [ __ __]
g. There is more violence from police towards people who go out illegally during lockdown [ __ __]
h. People are smoking and using Shisha more [ __ __]
i. More people are becoming very anxious or depressed [ __ __]
j. There is an increase in thoughts about self-harm, or people harming themselves [ __ __]
k. Young people are volunteering more (such as distributing hygiene kits or participating in social media [ __ __] campaigns)
l. There is more stigma against people with disabilities [ __ __]
m. Increase in pregnancy since the start of corona and lockdown [ __ __]
n. More people in the community are unable to get medical care for health needs that are not related to [ __ __] COVID-19 (e.g., maternal health care, medications for chronic diseases, contraceptives, etc.)
GAGE Core Respondent Survey 6 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
If Palestine, or if Jordan without R1 Covid CR survey, continue to Q5 If Jordan and R1 Covid survey was completed, skip to inst before Q14. Knowledge About COVID-19 and Preventative Behaviors - 2 Source: Questions in this section are adapted from the Yale COVID-19 survey. NOTE: RANDOMIZE THE ORDER IN WHICH STATEMENTS ARE READ I will read to you a series of measures that are recommended by international and [Name of Country] health experts to prevent infection Heard that it is important Implemented and to slow the spread of the disease. Please tell me which ones, if any, have you heard about and/or implemented in the past week: Yes….....1 Yes….....1 No….....2 No….....2 Refused…... -97 Refused…... -97 Only for Q6: N/A….95
5. Wash your hands regularly with soap and water for at least 20 seconds [__] [__] 6. Maintain at least 1 metre distance between you and people coughing or sneezing [__] [__] 7. Avoid touching your face (unless you have just washed your hands) [__] [__] 8. Avoid leaving the home unnecessarily [__] [__] 9. Wash your hands regularly with ash and water for at least 20 seconds [__] [__]
If CR is <15 years old, skip to Q14. Otherwise, continue.
10. Do you think that people can spread Corona without showing any symptoms (i.e., without being visibly Yes……………………………………………….1 sick)? No………………………………………………..2 Refused...…………………………………………...... -97 Don't know……………………………………………-99 11. Do you think it may be possible that a person can get Corona by touching a surface or object that has the Yes……………………………………………….1 virus on it? No………………………………………………..2 Refused...…………………………………………...... -97 Don't know……………………………………………-99 12. Jordan: Do you think that the main reason Corona is spreading in your country is due to the return of Yes……………………………………………….1 Jordanian migrants from overseas? No………………………………………………..2 Palestine: Do you think that the main reason Corona is spreading in your country is due to the return of Refused...…………………………………………...... -97 Palestinian workers from Israel? Don't know……………………………………………-99 If Jordan, skip to Q14. 13. Palestine: Do you think that the main reason Corona is spreading in your country is due to the return of Yes……………………………………………….1 Palestinian travelers from other countries? No………………………………………………..2 Refused...…………………………………………...... -97 Don't know……………………………………………-99 14. Do you have a mask (even a homemade one or a face covering) to Yes……………………………………………….1 cover your mouth and nose when you leave your house (bari)? No………………………………………………..2 >> Q14b Refused...…………………………………………...... -97 >> Q15 Don't know……………………………………………-99 >> Q15 14a. Do you wear your mask most of the time you leave your Yes……………………………………………….1 >> Q15 house? No ………………………………………………..2 Do not read: Refused...………………………………………..-97 >> Q15
GAGE Core Respondent Survey 7 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
14b. What is the MAIN reason you do not have a Masks are not available …...... 1 mask or do not wear a mask most of the time? Masks are too expensive …...... 2 Masks are unattractive …...... 3 God will protect me so I don't need a mask…...... 4 Virus is not here so I don't need a mask …...... 5 Not going out so I do not need a mask …...... 6 Not compulsory …...... 7 People will think I'm infected …...... 8 Not convinced that a mask is effective …...... 9 Other, specify______…...... -96 Refused...…………………………………………...... -97 Don't know…………………………………………… -99
If CR is <15 years old, skip to Education Section. Otherwise, continue.
Respondent's Perceptions of the Crisis Caused by COVID-19 Source: These questions are drawn from the Yale COVID-19 survey. 15. What do you think: should all shops in your country other than particularly important ones, such as Yes……………………………………………….1 supermarkets, pharmacies, post offices, and gas stations, be closed because of the Corona situation right now? No………………………………………………..2 Refused...…………………………………………...... -97 Don't know……………………………………………-99 16. What do you think: should people in your country cancel their participation at religious gatherings because Yes……………………………………………….1 of the Corona situation right now? No………………………………………………..2 Refused...…………………………………………...... -97 Don't know……………………………………………-99 17. Do you agree, partially agree or disagree with the following statement: I do not need to change my behavior due to Corona Agree …...... 1 because God will protect me. Partially Agree …...... 2 Disagree …...... 3 Refused …...... -97 Don't Know …...... -99 Respondent Attitudes Towards Government/Camp Authorities' Response Source: Adapted from COVID-19 Survey (via Yale COVID-19 Survey) PALESTINE: Continue. JORDAN: If AF/CR lives outside of a refugee camp, continue. Otherwise, skip to Q19. 18. Do you think the reaction of your country's government to the The reaction is too extreme…...... 1 current Corona outbreak is appropriate, too extreme, or not 2 sufficient? The reaction is appropriate…...... The reaction is not sufficient…...... 3 Do not read: Refused...………………………………………..-97 JORDAN: If CR lives inside of a refugee camp, continue. Otherwise, skip to Q21. PALESTINE: Skip to Q20.
19. Do you think the reaction to the current coronavirus outbreak of the The reaction is too extreme…...... 1 authorities and NGOs in your camp is appropriate, too extreme, or 2 not sufficient? The reaction is appropriate…...... The reaction is not sufficient…...... 3 Do not read: Refused...………………………………………..-97 JORDAN: Skip to Q21. PALESTINE: If CR is refugee, continue. Otherwise, skip to Q21.
20. Do you think the reaction to the current coronavirus outbreak of The reaction is too extreme…...... 1 UNRWA is appropriate, too extreme, or not sufficient? The reaction is appropriate…...... 2 The reaction is not sufficient…...... 3 Do not read: Refused...………………………………………..-97
GAGE Core Respondent Survey 8 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
21. What measures have been put in place by the Closures of schools and businesses …...... 1 authorities to prevent the spread of Corona? Restrictions on people leaving their homes …...... 2 [Do not read options aloud. Select all that apply]. Curfews to prevent people from leaving their homes at certain times ……3 Requiring people to wear masks in public …...... 4 Road closures or restrictions on travel …...... 5 Authorities are visiting homes to take temperatures and/or check for symptoms…...... 6 Authorities are providing Corona testing…...... 7 Authorities are quarantining those who are ill…...... 8 Public service announcements …...... 9 Palestine: Closure of health centers …...... 10 Palestine: Suspended essential services …...... 11 Limiting number of people in cars and public transportation …...... 12 Providing handwashing stations and or hand sanitizers …...... 13 Checking for temperature before entering public/shared spaces …...... 14 Authorities are not doing anything …...... -95 Other, specify______…...... -96 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99
GAGE Core Respondent Survey 9 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
EDUCATION Read: Next, I would like to ask you some questions about school. If Jordan and there is R1 CR survey, skip to Q3. If Palestine or if no R1 survey, begin with Q1. 1 What is the highest level of formal education you have attended? Ask for highest level attended; it does not If "no school" >> have to be completed. (Jordan: Use E1 codes; [__|__|__] ______Q2a Palestine: ADD UPDATED CODES HERE)
2 What is your highest educational qualification (certificate)? (Use E2 codes.) [__|__|__] ______
2a. Imagine you had no constraints and could study for as long as you liked. What level of education would you ultimately like to achieve? Enumerator: if respondent If "no school" in says they do not want any more education, put [___|___|___] ______Q1 >> inst. current highest grade attended here. (Jordan: use Before Q12 E1 codes; Palestine: ADD UPDATED CODES HERE)
3 Jordan: Were you enrolled in formal school in March Yes…………………………………………………...... 1 2020, when the Corona situation began in your country and most schools closed? No…………………………………………………...... 2 Palestine: Were you enrolled in formal school or Refused...…………………………………………...... -97 university/college at the beginning of the year when the Corona situation began in your country and most schools Don't know………………………………………………...... -99 closed? 4 Jordan: Did you re-enroll or return to formal school in Yes…………………………………………………...... 1 person when the schools opened in September 2020 for 10 days? No…………………………………………………...... 2 Palestine: Did you re-enroll or return to formal school or Refused...…………………………………………...... -97 university/college in person after summer vacation? Don't know………………………………………………...... -99
If Q3==No, Refused, DK AND Q4==No, Refused, Don't know, skip to Q12. Otherwise, continue. If Jordan, skip to Q7. If Palestine, continue. 5 Palestine only: Are you currently enrolled in formal Yes…………………………………………………...... 1 school or university/college? No…………………………………………………...... 2 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99 6 Palestine only: Who provides this educational UNRWA…………………………………………………...... 1 programme? Ministry of Education (MOE)………………………………………………..2 Private school/program………………………………………………..3 Other (specify)______...... -96 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99 7 Jordan: What is the MAIN thing you are doing to Working on assignments provided by school…………………..…………………1 continue learning while schools are closed? Spending time studying with own books ……...... 2
Palestine: What is the MAIN thing you are doing Watching educational videos online (e.g., YouTube, etc.)………………………………………………..3 to continue learning while schools and Jordan: Watching MOE educational programs online universities are closed? Palest: Watching MOE or UNRWA educational programs online …...... 4 Using mobile learning apps …...... 5 Other online learning………………………………...... 6 Jordan: Watching MOE educational programs on TV
Palest: Watching MOE or UNRWA educational programs on TV…………………………………7 Palest: Listening to MOE/UNRWA education programs on the radio…...... 8 Palestine only: Private lessons …...... 9 Palestine only: Talking with my teachers on WhatsApp …...... 10 Not doing anything…...... -95 Other (specify)______…...... -96 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99
GAGE Core Respondent Survey 10 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
Source: Answer options for Q7a are, in part, adapted from the Hidden Impact of COVID-19 on Children survey by Save the Children International (Burgess et al, 2020).
7a. Jordan: What is the MAIN challenge you are No clear guidance on what to do …...... 1 facing to continue learning while schools are 2 closed? Lack of or unreliable internet connection …...... Lack of or unreliable electricity …...... 3 Palestine: What is the MAIN challenge you are Lack of other physical resources for learning …...... 4 facing to continue learning while schools and 5 universities are closed? Someone else is always using the computer, TV, or radio …...... Do not understand homework or assignments provided…...... 6 [Do not read response options aloud, select Limited adult support from family …...... 7 only one] Limited adult support from teachers …...... 8 No time to study because of chores/household responsibilities …...... 9 No time to study because of paid work/employment …...... 10 Too much stress to focus on learning …...... 11 I am not allowed to study at home…...... 12 I am not interested in studying at home…...... 13 No major challenges…...... -95 Other (specify) ______…...... -96 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99 8 Jordan: Is your formal school providing any Yes…………………………………………………...... 1 support for learning while schools are closed? No…………………………………………………...... 2 Palestine: Is your formal school or university/college providing any support for Refused...…………………………………………...... -97 >>Q9 learning while schools and universities are Don't know………………………………………………...... -99 closed?
8a. Jordan: What type of support is your formal Online learning…………………..……………………...... 1 school providing? [Read response options Providing text books to take home …...... 2 aloud unless otherwise specified. Select all that apply.] Worksheets or books to use at home ……...... 3 Jordan: Providing Learning Bridges activity packs ………...... 4 Palestine: What type of support is your formal Jordan: School provides a WhatsApp group ………...... 5 school or university/college providing? [Read response options aloud unless otherwise Other (specify)______…...... -96 specified. Select all that apply.] Do not read: Refused...... ………………………………………………..-97 Do not read: Don't know…………………………………………………… -99 9 Have you or someone in your household been in Yes…………………..……………………...... 1 contact with a teacher in the last 7 days? No ……...... 2 Refused...... …………………………………………………...... -97 >> Q10 Don't know………………………………………………………...... -99 9a. Has your teacher provided feedback for your Yes…………………..……………………...... 1 work in the last 7 days? No ……...... 2 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99
If CR is in Jordan, continue. If Palestine, skip to Q11. 10 Are you or have you participated in any Learning Yes, participated or tried to participate in at least one activity…………………..……………………...... 1 Bridges activities? No, not at all…...... 2 Do not read: Refused...... ………………………………………………..-97 >> Q11 Do not read: Don't know…………………………………………………… -99 10a. If you are participating in Learning Bridges, how many activities have you completed? [-97=Refused, - [ __ __ ] activities 99=DK how many activities]
GAGE Core Respondent Survey 11 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
10b. Did you discuss these Learning Bridges Parent or other adult family member(s)…………………..……………………...... 1 activities with anyone? Community facilitator, including Makani…...... 2
[Read response options aloud unless Siblings or other non-adult family members……...... 3 otherwise specified. Select all that apply.] Friends …...... ……...... 4 Did not discuss with anyone ……...... -95 Other (specify)______…...... -96 Do not read: Refused...... ………………………………………………..-97 Do not read: Don't know…………………………………………………… -99 Do you agree, partially agree or disagree with the following statements... [Read answer options aloud unless specified: 01=Agree, 02=Partially Agree, 03=Disagree, Do not read: -97=Refused, -99=DK]
10c. Learning Bridges activities help me to learn practical problem-solving skills [ __ __ ] Learning Bridges activities help me to learn across more than one subject area (such as reading, mathematics, or science) 10d. [ __ __ ] in each activity
10e. I am able to discuss Learning Bridges activities at home with my parents or family members. [ __ __ ]
10f. I am able discuss Learning Bridges with community facilitators (including Makani) [ __ __ ]
10g. Learning Bridges activities are a valuable use of time while learning from home. [ __ __ ]
11 Is your family providing any support for learning while Yes…………………………………………………...... 1 schools are closed? No…………………………………………………...... 2 >> instructions Refused...…………………………………………...... -97 before Q12 Don't know………………………………………………...... -99 11a. Are they providing any of the following Teaching you the school material (homeschooling)…………………..…………………1 support? [Read response options aloud Helping with schoolwork ……...... 2 unless otherwise specified. Select all that apply.] Providing a space to study at home………………………………………………..3 Reducing household chores to allow more time to study …...... 4 Providing access to a device with internet access to study at home…………………………….5 Purchasing books or learning materials to use at home…………………………………6 Jordan: Allocating TV time to watch MoE TV based classes Palest: Allocating TV time to watch MoE or UNRWA TV based classes…...... 7 Palest: Allocating time to listen to MoE or UNRWA radio based classes…...... 8
Helping organize group study over the phone or internet…...... 9 Helping to access mobile learning apps…...... 10 Palestine only: Arranging or paying for private lessons…...... 11 Jordan only: Helping with Learning Bridges Activities…...... 12 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99 If CR is in Jordan, continue. If Palestine, skip to instructions before Q18. Read: Next, I would like to ask you some questions about informal or non-formal education that you may have been involved in. Non-formal education is something that is certified by the MOE that gives you proper certification. This includes the drop-out education, home-school, evening studies, summer, and adult education programmes. Informal education classes are not certified by the MOE and include learning support services provided by Makani or by other NGOs.
12 Were you enrolled in informal or non-formal schooling Yes, was enrolled before Corona (March 2020)……………………………………………….1 when the Corona situation hit your country in March 2020, Yes, have enrolled since Corona began in March 2020…...... 2 or have you enrolled in informal or non-formal schooling since the Corona situation began? [Read response No…………………………………………………...... 3 >>inst before options aloud unless specified] Do not read: Refused...……………………………………….. -97 Q18 Do not read: Don't know…………………………………………… -99
GAGE Core Respondent Survey 12 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
12a. What type of informal or non-formal schooling Drop-out education………………………………………………. 1 program were you enrolled in? [Read response options Jordan: Catch Up Program…...... 2 unless otherwise specified. Select all that apply. For Makani, use list and specify using M4 codes.] Evening studies…………………………………………...... ………..3 Adult education program………………………………………………..4 Homeschool………………………………………………...... …..5 Jordan: Makani (specify)______………………………………………………..6 Informal education classes………………………………………………..7 Other (specify) ______…...... -96 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99 12b. Are you currently enrolled in this informal or non- Yes…………………………………………………...... 1 formal schooling program? No…………………………………………………...... 2 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99 If CR was/is enrolled in informal/nonformal school (Q12=1 or Q12=2) and not enrolled in formal school, continue. If CR was/is enrolled in both formal and informal school, skip to Q14. 13 What is the MAIN thing you are doing to continue Working on assignments provided by school…………………..…………………1 learning while schools are closed? Spending time studying with own books ……...... 2 Watching educational videos online (e.g., YouTube, etc.)………………………………………………..3 Watching MOE educational programs online …...... 4 Using mobile learning apps …...... 5 Other online 6 learning………………………………...... Watching MOE educational programs on TV…………………………………7 Not doing anything…...... -95 Other (specify)______…...... -96 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99 Source: Answer options for Q13a are, in part, adapted from the Hidden Impact of COVID-19 on Children survey by Save the Children International (Burgess et al, 2020).
13a. Jordan: What is the MAIN challenge you No clear guidance on what to do …...... 1 are facing continue learning while schools are 2 closed? Lack of or unreliable internet connection …...... Lack of or unreliable electricity …...... 3 Lack of other physical resources for learning …...... 4 Someone else is always using the computer, TV, or radio …...... 5 Do not understand homework or assignments provided…...... 6 Limited adult support from family …...... 7 Limited adult support from teachers …...... 8 No time to study because of chores/household responsibilities …...... 9 No time to study because of paid work/employment …...... 10 Too much stress to focus on learning …...... 11 I am not allowed to study at home…...... 12 I am not interested in studying at home…...... 13 No major challenges…...... -95 Other (specify) ______…...... -96 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99 14 Is your informal/non-formal school or program providing Yes…………………………………………………...... 1 any support for learning while schools are closed? No…………………………………………………...... 2 Refused...…………………………………………...... -97 >> Q16 Don't know………………………………………………...... -99
GAGE Core Respondent Survey 13 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
15 What type of support are they providing? [Read Online learning…………………..………………...... ……1 response options aloud unless otherwise Providing text books to take home …...... 2 specified. Select all that apply.] Worksheets or books to use at home ……...... 3 Jordan: School provides a WhatsApp group ………...... 5 Other (specify)______…...... -96 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99 If CR was/is enrolled in informal/nonformal school (Q12=1 or Q12=2) and not enrolled in formal school, continue. Otherwise, skip to instructions before Q18. 16 Is your family providing any support for learning while Yes…………………………………………………...... 1 schools are closed? No…………………………………………………...... 2 Refused...…………………………………………...... -97 >>Q18 Don't know………………………………………………...... -99 17 What type of support are they providing? [Read Teaching you the material (homeschooling)…………………..…………………1 response options aloud unless otherwise Helping with schoolwork ……...... 2 specified. Select all that apply.] Providing a space to study at home………………………………………………..3 Reducing household chores to allow more time to study …...... 4 Providing access to a device with internet access to study at home…………………………….5 Purchasing books or learning materials to use at home…………………………………6 Allocating TV time to watch MoE TV based classes…...... 7 Allocating time to listen to MoE radio based classes…...... 8 Helping organize group study over the phone or internet…...... 9 Helping to access mobile learning apps…...... 10 Other (specify)______…...... -96 Refused...... …………………………………………………...... -97 Don't know………………………………………………………...... -99
Skip to Q23 if CR was not enrolled in formal or informal school immediately prior to Covid (Q3 is not =1 & Q12 is not =1 or 2) 18 On a typical weekday during the past seven days, how many hours a day do you spend studying/learning? (Refused=-97. If CR claims not to know, ask them for [___|___] hours their best estimate.)
If there is a R1 CR survey >> Q20. Otherwise, continue. 19 On a typical weekday prior to the shutdown in March 2020 how many hours a day did you usually spend studying/learning? (Refused=-97. If CR claims not to [___|___] hours know, ask them for their best estimate.)
Source: Q20 is taken with minor adaptation from the Hidden Impact of COVID-19 on Children survey by Save the Children International (Burgess et al, 2020).
20 Thinking about the time that you were attending school in Learning materials …...... 1 person before the Corona pandemic began in March 2020, was there anything you were given at school that Lunch …...... …...... 2 you need now? [Read answer options aloud unless Food to take home…...... …...... 3 specified]. Counseling …...... 4 Health advice …...... 5 Girls only: Sanitary products …...... 6 No, nothing…...... 7 Other (specify)______…...... -96 Do not read: Refused………..…………………………………… -97 Do not read: Don't know………………...... -99 21 Do you agree, partially agree or disagree with the Agree…...... 1 following statement: "I want to return to school when restrictions are over and schools reopen.” Partially Agree…...... 2 Disagree…...... 3 Do not read: Refused………..…………………………………… -97 Do not read: Don't know…………...... ………...... -99
GAGE Core Respondent Survey 14 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
22 Do you agree, partially agree or disagree with the Agree…...... 1 following statement: "I will not be able to return to school when restrictions are over, even if I wanted to.” Partially Agree…...... 2 Disagree…...... 3 Do not read: Refused………..…………………………………… -97 >> Q23 Do not read: Don't know…………...... ………...... -99 22a What is the main reason you think you may not be Jordan: Family won’t afford school costs …...... able to return to school? Read answer options aloud unless otherwise specified. Palest: Family won’t afford school/university costs …...... 1 Need to get a job to contribute to family income …...... 2 Need to take care of other family members …...... 3 I cannot catch up with what I missed …...... 4 Got married …...... 5 Other (specify)______…...... -96 Do not read: Refused………..…………………………………… -97 Do not read: Don't know………………...... -99 23. Do you agree, partially agree or disagree with the Agree…...... 1 following statement: "I spend more time on household chores now than before the Corona situation ." Partially Agree…...... 2 Disagree…...... 3 Do not read: Refused………..…………………………………… -97 Do not read: Don't know…………...... ………...... -99 24 Do you agree, partially agree or disagree with the Agree…...... 1 following statement: "I spend more time taking care of children and the elderly now than before the Corona Partially Agree…...... 2 situation ." Disagree…...... 3 Do not read: Refused………..…………………………………… -97 Do not read: Don't know…………...... ………...... -99 25 Do you agree, partially agree or disagree with the Agree…...... 1 following statement: "I spend more time working outside of the home to support myself or my family than before the Partially Agree…...... 2 Corona situation ." Disagree…...... 3 Do not read: Refused………..…………………………………… -97 Do not read: Don't know…………...... ………...... -99 26 Jordan: Have you heard of the MoE national education broadcast on TV? [Read answer options aloud unless otherwise specified]. Palestine: Have you heard of the MoE or UNRWA education broadcasts on TV? [Read answer options aloud unless otherwise specified]. Yes, heard of but not watched…...... 1 Yes, watched one time ...... 2 Yes, watched a few times (less than 5 times) …...... 3 Yes, watched many times (more than 5 times) …...... 4 No, haven't heard of it…...... 5 Do not read: Refused...... …………………………………………………..…………………………..………………………..-97 Do not read: Don't know………………...... -99
If CR is in Jordan, skip to the next section. If Palestine, continue. 27. Palestine: Have you heard of the MoE or UNRWA education broadcasts on the radio? [Read answer options aloud unless otherwise specified].
Yes, heard of but not listened to…...... 1 Yes, listened one time ...... 2 Yes, listened a few times (less than 5 times) …...... 3 Yes, listened many times (more than 5 times) …...... 4 No, haven't heard of it…...... 5 Do not read: Refused...... …………………………………………………..…………………………..………………………..-97 Do not read: Don't know………………...... -99
GAGE Core Respondent Survey 15 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
HEALTH AND NUTRITION Source: Some questions in this section adapted from the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020) Read: Next I would like to ask you some questions about your health and nutrition. 1. In general, would you say your health is… Very good……………………………………………1 Read response options aloud unless otherwise noted. Good…………………………………………………2 Fair…………………………………………………..3 Poor………………………………………………….4 Very Poor……………………………………………5 Do not read aloud: Refused………..……………………………………-97 Do not read aloud: Don't know……………..-99 1a. Is your health in general now better, worse, or about the same Better……………………………………………1 as it was before the Corona pandemic and the social containment efforts to manage the spread of the virus (lockdown, curfew, and Worse…………………………………………………2 other social distancing efforts)? The same…………………………………………………..3 Read response options aloud unless otherwise noted. Do not read aloud: Refused………..……………………………………-97 Do not read aloud: Don't know……………..-99 2. Have you experienced any of the following symptoms in the past 2 weeks? Read aloud. (1=Yes, 2=No, -95=DK what that symptom is, -97=Refused; -99=DK if has had it)
a. Fever [ ____ ] b. Dry cough [ ____ ] c. Shortness of breath or difficulty breathing [ ____ ] d. Loss of taste or smell [ ____ ] e. Chills or repeated shaking with chills [ ____ ] f. Muscle pain, headache, or sore throat [ ____ ] g. Diarrhea [ ____ ]
If CR had any of these symptoms A-G in the last 2 weeks, proceed. Otherwise, skip to Q2b. Note: Answer options for Q2a adapted from the Mindset COVID-19 survey. 2a. What actions did you take when you I or someone in my household contacted the hospital or health clinic experienced these symptoms, if any? for advice……...... Read response options aloud unless 1 otherwise noted, select all that apply. I went to the hospital or health clinic in person…...... 2
I or someone in my household contacted the neighborhood health center for advice…………………………...... 3 I went to the neighborhood health center in person…...... 4
I or someone in my household bought medicine at the pharmacy for me to take…...... 5 I stayed home and stayed away from other people (self-quarantine) …...... 6 Palestine: I sought traditional medicine…...... 7 I did not take any action………………………………………………….. 8 Other, specify ______...... -96 Do not read aloud: Refused………..…………………………………… -97 Do not read aloud: Don't know………………...... -99
GAGE Core Respondent Survey 16 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
2b. Do you have any of the following chronic conditions Read aloud. (1=Yes, 2=No, -95=DK what condition is, - 97=Refused; -99=DK if has had it)
a. Asthma [ ____ ] b. Diabetes [ ____ ] c. Cancer [ ____ ] d. Another condition, specify ______[ ____ ] Source: Questions 3-3b are adapted from the Washington Group on Disability Statistics' Short Set on Functioning (WG-SS) Read: The few next questions ask about difficulties people might have doing certain activities. If CR is in younger cohort, skip to Q3b. Otherwise, continue. 3. Do you have moderate to severe difficulties seeing, hearing, Yes…………………………………………… 1 walking, remembering, communicating, or caring for yourself, such as dressing or washing all over? No…………………………………………………2 Do not read aloud: Refused………..……………………………………-97 >> Q3b Do not read aloud: Don't know……………..-99 3a. What kind of activities do you have moderate or severe difficulty doing? Read a-f aloud. (1=Yes, 2=No, - 97=Refused; -99=DK)
a. Seeing, even if wearing glasses [ ____ ] b. Hearing, even if using a hearing aid [ ____ ] c. Walking or climbing steps [ ____ ] d. Remembering or concentrating [ ____ ] e. Caring for yourself, such as washing all over or dressing [ ____ ] f. Communicating, either expressing yourself or being understood [ ____ ]
3b. Do you have a friend or peer in your community who has Yes…………………………………………… 1 moderate to severe difficulties seeing, hearing, walking, remembering, communicating, or caring for themselves, such as No…………………………………………………2 dressing or washing all over? Do not read aloud: Refused………..……………………………………-97 >> Q4 Do not read aloud: Don't know……………..-99 3c. Do you agree, partially agree, or disagree with the following Agree………………………………………………….1 statement: "My peer who has moderate to severe difficulties doing certain Partially agree………………………………………………….2 activities had more trouble accessing information about Disagree………………………………………………….3 Corona/COVID-19 than peers my age without these difficulties." Do not read aloud: Refused………..……………………………………-97 Do not read aloud: Don't know……………..-99 COVID-19 and Food Security 4. Now I am going to read you a statement that some young people Many times/more than 2 times………………………………………………….1 have made about their food situation. I feel hungry, because there is not enough food to eat. In the last four weeks, this has 1 or 2 times………………………………………………….2 happened… Read response options aloud unless otherwise Never………………………………………………….3 noted. Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 5. Comparing the time right before the Corona situation to now, I feel More………………………………………………….1 hungry because there is not enough food to eat… Read response options aloud unless otherwise noted. Less………………………………………………….2 The same………………………………………………….3 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 6. How many meals did you eat yesterday? 0, -97, -99 >> [___|___] meals (Refused = -97; Don't know = -99) Q6b 6a. How many of these meals contained meat, chicken, fish, or eggs? (Refused = -97; Don't know = -99) [___|___] meals
GAGE Core Respondent Survey 17 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
6b. Were you fasting yesterday? Yes………………………………………………….1 No………………………………………………….2 Refused…………………………………… -97 7. Compared to before the Corona situation my meals are more likely, More likely………………………………………………….1 less likely, or the same likelihood of containing meat, chicken, fish or eggs? Read response options aloud unless otherwise Less likely………………………………………………….2 noted. The same likelihood………………………………………………….3 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 Covid-19 & Nutrition Source: Question 8 adapted from FAO and FHI 360's Minimum Dietary Diversity for Women: A Guide for Measurement. 8. Thinking of today compared to before the Corona situation, are you consuming the following foods in more quantity, less quantity, or the same quantity? [Read response options out loud unless otherwise specified]
Answer Codes for 8a-g 01= Greater quantity 02= Less quantity 03= The same quantity -95= N/A, do not eat these items before or now Do not read: -97=Refused
Food Category Description a. Savoury and fried snacks Crisps and chips, fried dough, or other fried snacks [__ __]
b. Sweets Sugary foods, such as chocolates, candies, cookies/sweet biscuits and cakes, sweet pastries or ice cream [__ __]
c. Sugar-sweetened beverages Sweetened fruit juices and “juice drinks”, soft drinks/fizzy drinks, chocolate drinks, malt drinks, yoghurt drinks or sweet tea or coffee [__ __] with sugar
d. Food made from grains Bread, rice, noodles, or other foods made from grains [__ __]
e. Vitamin A-rich vegetables, roots and Pumpkin, carrots, squash or sweet potatoes that are yellow or orange tubers, and fruits inside, Pink or Red Grapefruit, Tangerines [__ __]
f. Other vegetables and fruits Cauliflower, cubbage, turnip greens, ridge gourd, eggplant, tomato, Banana, lemon, pineapple, orange, apple, pomganades [__ __]
g. Milk and milk products Milk, cheese, hogurt or other milk products but NOT including butter, ice cream, cream or sour cream [__ __]
Health and Sleep 9. In the past 24 hours, how many hours did you sleep? [ ______]
If Q9=0, skip to Q11 10. Did you sleep all these hours at one time, or were these hours Slept all hours at the same time………………………………………………….1 broken up across shorter periods of sleep (e.g., sleep for a few hours, then got up, then slept again later)? Disrupted sleep………………………………………………….2 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99
GAGE Core Respondent Survey 18 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
11. Comparing the time right before the Corona situation to now, are More………………………………………………….1 you sleeping more hours, less hours, or the same number of hours on a usual day? Read response options aloud unless otherwise Less………………………………………………….2 noted. The same………………………………………………….3 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 COVID-19 and Handwashing 12. Do you have access to the following when you need it: [Read answer options aloud, then read each entry a-c]
Answer Options for Q12: 01 = Yes, always have it 02 = Have it most of the time I need it 03 = Have it about half of the time I need it 04 = Have it less than half of the time I need it 05 = Never have it -97=Refused, -99=DK
a. Clean water for washing hands [___|___] b. Soap for washing your hands [___|___] c. Hand sanitizer [___|___] 12d. How many times did you wash your hands with soap 0 times………………………………………………….1 yesterday? I want you to only count the times you washed your hands with soap for at least 20 seconds. [Read response options 1-2 times………………………………………………….2 aloud unless specified] 3-5 times………………………………………………….3 More than 5 times…...... 4 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 COVID-19 and Physical Activity Source: Q13 and 14 were adapted form the PACE+ Adolescent Physical Activity Measure Read: Now I am going to ask some questions about the amount of moderate physical activity you have engaged in over the past 7 days. Moderate physical activity is activity that "usually makes you breathe hard or feel tired some of the time." This might include brisk walking, weight lifting, or agricultural work.
a. 30 minutes? b. 60 minutes? 13. Over the past 7 days, on how many [____] days [___] days days were you active for a total of at least… Enter value 0-7 Enter value 0-7 Ref=97, DK=-99 Ref=97, DK=-99 If 0 days >> Q14
14. Thinking about the time prior to the [____] days [___] days Corona pandemic and social restrictions, on how many days in a Enter value 0-7 Enter value 0-7 usual week were you usually physically Ref=97, DK=-99 Ref=97, DK=-99 active for a total of at least…. If 0 days >> Q15
GAGE Core Respondent Survey 19 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
COVID-19 and Injuries Source: Q15 follow-up questions( 15a-15e) are drawn from the WHO Guidelines for Conducting Community Surveys on Injuries and Violence (Sethi et al, 2004) 15. Since the start of the pandemic and Yes………………………………………………. 1 social containment, have you suffered No……………………………………………….. 2 any serious injuries? Note: a serious >> Q16 injury may include a broken bone or Refused...……………………………………….. -97 a sprain, a burn or cut, a concussion Don't know…………………………………………… -99 or other head injury, etc.
Read: Let's focus on the most serious injury that you have experienced in this time. 15a. Where were you when this injury Home …...... 1 occurred? [Do not read answer School …...... 2 options aloud] Street or highway …...... 3 Residential institution …...... 4 Sports or athletic area …...... 5 Industrial or construction site …...... 6 Farm (excluding your home) …...... 7 Commercial area (shop, store, hotel, bar, office) …...... 8 Countryside …...... 9 Other, specify: ______…...... -96 Refused...…………………………………………...... -97 Don't know……………………………...... …………………-99 15b. What were you doing at the time of Paid work …...... 1 the injury? [Do not read answer Unpaid work …...... 2 options aloud] Education …...... 3 Sports …...... 4 Leisure/play …...... 5 Daily activities such as sleeping, eating, or washing …...... 6 Traveling …...... 7 Socializing with friends in another way (hanging around) …...... 8 Other, specify: ______…...... -96 Refused...…………………………………………...... -97 Don't know……………………………...... …………………-99 15c. What happened to cause the Traffic …...... 1 injury? Fall…...... 2 [Do not read answer options aloud] Struck or hit by a person or object …...... 3 Stabbing …...... 4 Gunshot …...... 5 Fire, flames, or heat …...... 6 Drowning or near drowning…...... 7 Poisoning …...... 8 Animal bite …...... 9 Electricity shock …...... 10 Other, specify: ______…...... -96 Do not read: Refused...…………………………………………...... -97 Do not read: Don't know……………………………...... …………………-99 15d. How did the injury happen, was it It was an accident …...... 1 an accident, did someone else hurt you, Someone else did it to me deliberately …...... 2 or did you hurt yourself? [Do not read answer options aloud] I did it to myself deliberately …...... 3 Do not read: Refused...…………………………………………...... -97 Do not read: Don't know……………………………...... …………………-99
GAGE Core Respondent Survey 20 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
15e. What was the physical injury you Fracture/broken bone …...... 1 sustained? Sprain or strain …...... 2 [Do not read answer options aloud] Dislocation …...... 3 Cut, bite, or other open wound …...... 4 Bruise or superficial injury …...... 5 Burn …...... 6 Poisoning…...... 7 Concussion or other head injury …...... 8 Internal injury/internal organ injury …...... 9 Other, specify: ______…...... -96 Do not read: Refused...…………………………………………...... -97 Do not read: Don't know……………………………...... …………………-99 16. Read with the CR's gender selected: Increased………………………………………………….1 Compared to before the Corona situation began in March 2020, do you think the risk of injury for young [men/women] in your Decreased………………………………………………….2 community increased, decreased or stayed the same? Read Stayed the same………………………………………………….3 response options aloud unless otherwise noted. Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 Skip to Next Section if CR is part of the younger cohort (less than 15 years old), otherwise continue.
COVID-19 and Substance Use JORDAN: If CR is female, skip to instructions before Q17b. PALESTINE: Begin with Q17 for all.
17. Have you ever smoked cigarettes? Yes……………………………………………………...... 1 No……………………………………………………...... 2 >>instr. Refused………………………………………...... -97 before Don’t know…………………………………………...... -99 Q17b 17a. Comparing the time right before the Corona situation to now, More………………………………………………….1 are you smoking more, less, or about the same number of cigarettes as usual? Less………………………………………………….2 The same………………………………………………….3 Stopped smoking completely………………………………………………….4 Was not smoking before or now…...... 5 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 If CR lives alone (Jordan CS Q17==1 OR Palestine CS Q17==1, skip to Q18) 17b. Comparing the time right before the Corona situation to now, More………………………………………………….1 are members of your household smoking more, less, or about the same number of cigarettes as usual? Less………………………………………………….2 The same………………………………………………….3 Stopped smoking completely………………………………………………….4 No household members smoke………………………………………………….5 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 18. Have you ever smoked a shisha pipe? Yes……………………………………………………...... 1 No……………………………………………………...... 2 >>Instr. Refused………………………………………...... -97 before Don’t know…………………………………………...... -99 Q18c
GAGE Core Respondent Survey 21 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
18a. Comparing the time right before the Corona situation to now, More………………………………………………….1 are you smoking a shisha pipe more, less, or the about the same amount as usual? Less………………………………………………….2 The same………………………………………………….3 >>Instr. Stopped completely………………………………………………….4 before Was not smoking before or now…...... 5 Q18c Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 18b. Where do you usually smoke shisha pipe? [Read response At home………………………………………………….1 options unless specified] At a friend's home………………………………………………….2 Somewhere else outside the home………………………………………………….3 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 If CR lives alone (Jordan CS Q17==1 OR Palestine CS Q17==1, skip to statement before Q19 18c. Comparing the time right before the Corona situation to now, More………………………………………………….1 are other members of your household smoking a shisha pipe more, less, or about the same amount as usual? Less………………………………………………….2 The same………………………………………………….3 Stopped completely………………………………………………….4 No household members smoke shisha………………………………………………….5 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 For the following question, read with the CR's own gender selected. Read: I am now going to ask you a few questions about drugs and [girls/boys] in your community.
19. Do you think that 13-19 year-old [girls/boys] in your community Yes………………………………………………….1 use hasheesh or marijuana? No………………………………………………….2 Refused…………………………………… -97 >>Q20 Don’t know……………………………………….-99 19a. Do you think that 13-19 year old [girls/boys] using hasheesh Increased………………………………………………….1 or marijuana in your community has increased, decreased, or stayed the same compared to before the Corona pandemic? Decreased………………………………………………….2 Remained the same………………………………………………….3 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99 20. Jordan: Do you think that 13-19 year-old [girls/boys] in your Yes………………………………………………….1 community use other drugs like joker or heroin? No………………………………………………….2 >>Next Palestine: Do you think that 13-19 year-old [girls/boys] in your Refused…………………………………… -97 Section community use other drugs like tramadol? Don’t know……………………………………….-99 20a. Do you think that 13-19 year old [girls/boys] using drugs in Increased………………………………………………….1 your community has increased, decreased, or stayed the same compared to before the Corona pandemic? Decreased………………………………………………….2 Remained the same………………………………………………….3 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99
GAGE Core Respondent Survey 22 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
PSYCHOSOCIAL/MENTAL HEALTH 1: ANXIETY Source: This scale is the GAD-7 (Spitzer, Williams, Kroenke, and colleagues, 2006) Read: Now I'd like to ask you a few questions about feelings people may have, and how often each of these things have happened to you in the last two weeks. Over the last two weeks, how often have you been bothered by the following problems?
Codes for Q1-7 0= Not at all ( 0 days out of the last 2 weeks) 1 = Several Days (1-6 days our of the last 2 weeks) 2 = More than half of the days (7-11 days out of the last 2 weeks) 3 = Nearly every day (12-14 days out of the last 2 weeks) Do not read: -97=Refused
After each statement, read answer options aloud: Not at all, Several days, More than half of days, Nearly every day 1. Feeling nervous, anxious, or on edge [___|___] 2. Not being able to stop or control worrying [___|___] 3. Worrying too much about different things [___|___] 4. Trouble relaxing [___|___] 5. Being so restless that it is hard to sit still [___|___] 6. Becoming easily annoyed or irritable [___|___] 7. Feeling afraid, as if something awful might happen [___|___] 8. [if CR answered 1+ to Q1-7] How difficult have the Not difficult at all…...... 0 problems you mentioned, made it for you to do your Somewhat difficult…...... 1 work, to take care of things at home or to get along with other people in your life? Very difficult…...... 2 Read answer options aloud Extremely difficult…...... 3 (Do not read aloud) Refused...... …………………………………………….-97 (Do not read aloud) Don't know………………………………………………...... -99
GAGE Core Respondent Survey 23 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
BODILY INTEGRITY Read: Now I would like to ask you some questions about relationships and marriage. Please remember that the researchers are the only ones who will see your answers to my questions - your answers will not be shared with anyone else.
Marital History If CR is younger cohort (<15), begin with Q2b. 1. Have you ever been married? Yes………………………………………...... ………….1 No…………………………………...... ………………..2 >> Q2b Refused...………………………...... …………………..-97 >>Q8 Don't know…………………...... ……………………………-99 JORDAN: In programmed survey, if the CR was married in previous surveys but the CR responds that they have never been married (Q1= No), the program will prompt "Our records indicate that you were previously married. Please confirm, have you ever been married before, even if you are no longer married now?"
2. Are you currently married? Yes………………………………………...... ………….1 >> Q3 No…………………………………...... ………………..2 >> Q2a Refused...………………………...... …………………..-97 >>Q8 Don't know…………………...... ……………………………-99 2a. Are you widowed, divorced, or separated? Widowed…...... ……………………………………………….1 Divorced…...... ………………………………………………..2 Separated…...... …………………………3 Refused…...... ………………………………………..-97 Don't know………...... ………………………………………-99 2b. Are you currently engaged to be married? Yes………………………………………………. 1 No……………………………………………….. 2 If ever married > Q3; never > Q8 [Only if under 15] Currently married………………………… 3 >> Q3 Refused...……………………………………….. -97 >> Q8 Don't know…………………………………………… -99 2c. What month/year did you get engaged? (Ref = -97; DK = -99) [___|___|___|___] year [____|____] month
2d. Is the Corona situation likely to delay your marriage, move your Delay date of marriage…...... 1 marriage to an earlier date, or no change. Move date of marriage earlier…...... 2 >> If "ever married" (Q1=1) but not "currently No change in date of marriage…...... 3 married"(Q2=2), continue to Refused...…………………………………………...... -97 Q3. Otherwise, skip to Q8 Don't know………………………………………………...... -99
GAGE Core Respondent Survey 24 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
3. In what month and year did you first get married and/or have a formal wedding ceremony? If never had a formal ceremony, inquire about year respondent [___|___|___|___] year [____|____] month started to consider herself married (such as living together). (Ref = -97; DK = - 99) 4. How old were you when you first got married and/or had formal wedding ceremony? If never had a formal ceremony, inquire about age respondent started to [____|____] years old consider herself married (such as living together). (Ref = -97; DK = -99)
4a. How old was your spouse when you first got married or had a formal wedding ceremony? If never had a formal ceremony, inquire about age respondent [____|____] years old If -95 >> Q8 started to consider herself married (such as living together). (Never Married = -95; Ref = -97; DK = -99) If CR is ever married (Q1=1) but not currently married (Q2=2, -97, -99), skip to Q8. 5. Does your spouse live in the same household, under the same roof? Yes……………………………………………….…………………..……………………………….1 No…………………………………………………...... …………..2 >>Q7 Refused...... …………………...... ………………-97 If Palestine, skip to Q7. 6. Is your spouse a migrant worker who has recently returned from Yes, other city……………………………………………….……………………………………………….1 another city or country? Yes, other country …...... 2 No………………………………………...... ……………………..3 Refused...... ……………...... ………………………...... -97 7. Do you live with in-laws or any extended family members? Yes………………………………………...... ………….1 No……………………………………...... ……………..2 Refused...……………………...... ……………………..-97 Don't know………………...... ………………………………-99
GAGE Core Respondent Survey 25 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
COVID-19 Impact on Bodily Integrity Do you agree, partially agree, or disagree with the following statement(s): Read answer options aloud.
Answer Codes for Q8-10a Agree…...... 1 Partially Agree…...... 2 Disagree…...... 3 Do not read: Refused………..……………………………………-97 Do not read: Don't know……………..-99
8. The Corona situation has increased the stress in my household. [ ____ ] Randomize order of next four questions:
If CR has never been married: 9. I worry I will marry earlier as a result of the Corona situation. [ ____ ]
All CRs: 9a. The Corona situation has increased pressure on [girls/boys] in my community to marry. [ ____ ] If CR has never been married: 10. The Corona situation has decreased the pressure on me to get married. [ ____ ]
All CRs: 10a. The Corona situation has decreased the pressure on [boys/girls] in my community to marry [ ____ ] 11. For this question, read the question with the CR's gender selected. Compared to before the Corona situation, has physical violence experienced by adolescent [boys/girls] in your community increased, decreased, or stayed the same?
Increased……...... 1 Decreased…...... 2 Stayed the same…...... 3 Refused…...... -97 12. For this question, read the question with the CR's gender selected. Compared to before the Corona situation, has physical violence experienced by adolescent [girls/boys] in your community from the police, military, or security services increased, decreased, or stayed the same?
Increased……...... 1 Decreased…...... 2 Stayed the same…...... 3 Refused…...... -97
GAGE Core Respondent Survey 26 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
13. Which of the following describes how you are coping and responding to Corona? Are you… [1=yes, 2=no, -97=refused, 13D only: -95 = No other household members]
a. Getting angry more quickly [__ __] b. Arguing more often [__ __] c. Praying more often [__ __] d. Only if CR does not live alone (CS - Q17): Helping household members more with chores or other tasks [__ __] e. Fearing and worrying about your own health and the health of your loved ones [__ __]
If CR lives alone with no other HH members (Jordan CS Q17==1 OR Palestine CS Q17==1), skip to instructions before Q15. 14. Which of the following describes how other members of your household are coping and responding to Corona? Are members of your household… [1=yes, 2=no, -97=refused]
a. Getting angry more quickly [__ __] b. Arguing more often [__ __] c. Praying more often [__ __] d. Helping household members more with chores or other tasks [__ __] e. Fearing and worrying about your own health and the health of your loved ones [__ __]
COVID-19 Impact on Bodily Integrity - Vignettes If CR is ever married (Q1=1 or Q2b=3), skip to instructions before Q17. Otherwise, continue. [Read the following filling in the CR's gender]: We now want you to think about [girls/boys] living in your community and the experiences they are currently having. For example, let’s think about a [girl/boy] who is your age and is not married. [She/He] lives with [her/his] parents and attends school regularly. This isn’t a real person – but for the purposes of these questions let’s call [her/him] [Elizabeth/John] [replace with locally appropriate name].
15. Thinking about [Elizabeth/John], what are some of the challenges [she/he] 16. Do you think this challenge has increased, 16a. Do you think this challenge has might currently be experiencing? decreased, or remained the same for increased, decreased, or remained the [Elizabeth/John] compared to just before the same for [Elizabeth/John] compared to Corona situation began? [Read answer options July 2020? [Read answer options aloud unless specified] aloud unless specified]
Codes for 15 Codes for 16 Codes for 16a 01=Yes 01 = Increased 01 = Increased 02=No 02 = Decreased 02 = Decreased Do not read: -97=Refused, -99=DK 03 = Stayed the same 03 = Stayed the same Do not read: -97=Refused, -99=DK Do not read: -97=Refused, -99=DK
If "No", "Refused, or "DK', go on to the next item. If "Yes", go to Q16, then 16a. a. Lack of money to pay for non-food necessities [___|___] [___|___] [___|___]
GAGE Core Respondent Survey 27 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____] b. [Her/his] parents yelling at [her/him] or calling [her/him] names [___|___] [___|___] [___|___] c Lack of water and/or soap in the household [___|___] [___|___] [___|___] d. [Her/his] father pushing/hitting/slapping [her/his] mother [___|___] [___|___] [___|___] e. [Her/his] father or mother pushing/hitting/slapping [her/him] [___|___] [___|___] [___|___] f. [His/her] family treating [her/him] poorly in another way, such as withholding food when others in the family are fed [___|___] [___|___] [___|___] g. Female CRs only: Difficulty getting things girls need for menstrual hygiene or other things related to puberty [___|___] [___|___] [___|___] h. [His/her] siblings bullying [her/him] [___|___] [___|___] [___|___] i. [His/her] family wanting [her/him] to get married soon [___|___] [___|___] [___|___]
If CR is never married (Q1=2, -97, -99 or Q2b=1, 2, -97, -99), skip to instructions before Q19. If CR is ever married (Q1=1 or Q2b=3), continue. [Read the following filling in the CR's gender]: We now want you to think about [girls/boys] living in your community and the experiences they are currently having. For example, let's think about a [girl/boy] who is your age and married. [She/He] lives with [her husband/his wife] and has 1 child.. This isn’t a real person – but for the purposes of these questions let’s call [her/him] [Sarah/Tom] [replace with locally appropriate name].
17. Thinking about [Sarah/Tom] what are some of the challenges [she/he] might 18. Do you think this challenge has increased, 18a. Do you think this challenge has currently be experiencing? decreased, or remained the same for [Sarah/Tom] increased, decreased, or remained the compared to just before the Corona situation same for [Sarah/Tom] compared to July began? [Read answer options aloud unless 2020? [Read answer options aloud specified] unless specified]
Codes for 17 Codes for 18 Codes for 18a 01=Yes 01 = Increased 01 = Increased 02=No 02 = Decreased 02 = Decreased Do not read: -97=Refused, -99=DK 03 = Stayed the same 03 = Stayed the same Do not read: -97=Refused, -99=DK Do not read: -97=Refused, -99=DK
If "No", "Refused, or "DK', go on to the next item. If "Yes", go to Q18, then 18a. a. Lack of money to pay for non-food necessities [___|___] [___|___] [___|___] b. Yelling or arguments in [her/his] household [___|___] [___|___] [___|___] c Lack of water and/or soap in the household [___|___] [___|___] [___|___] d. Female CRs: Her husband pushing/hitting/slapping her [___|___] [___|___] [___|___] Male CRs: Pushing/hitting/slapping his wife e. Female CRs only: Her family treating her poorly in another way, such [___|___] as withholding food when others in the family are fed [___|___] [___|___] f. Female CRs only: Her husband mistreating her by touching her against her will, or making her do something sexual that she doesn't [___|___] [___|___] want to. [___|___]
GAGE Core Respondent Survey 28 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____] g Female CRs only: Challenges accessing healthcare services she might need for family planning, pregnancy, or reproductive health [___|___] [___|___] [___|___]
COVID-19 Impact on Bodily Integrity - Menstrual Hygiene If CR is male, skip to the next section. If CR is female, continue. Read: For the next set of questions, I would like to remind you that this survey is confidential, and your answers will only be shared with the research team. We are asking this information to help gain understanding about the issues facing adolescent girls in your community. Now, I would like to ask you about your period. Please remember that we can skip any questions that make you feel uncomfortable.
Sources: Questions on Menstrual Hygiene taken or adapted from the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020), as well as: Core questions on drinking water, sanitation and hygiene for household surveys: 2018 update. New York: United Nations Children’s Fund (UNICEF) and World Health Organization, 2018; International Institute for Population Sciences, & ICF. (2017). National Family Health Survey (NFHS-4), 2015-16: India; Sebert Kuhlmann A, Peters Bergquist E, Danjoint D, Wall, LL. Unmet menstrual hygiene needs among low-Income women, Obstetrics & Gynecology: Feb 2019; 133(2): 238-244.
19. Have you gotten your period yet, by which I mean have you started to have your period or monthly bleeding?
Yes……...... 1 No…...... 2 Refused…...... -97 >> instr before Q24 Don't know…...... -99 20. Did you face difficulties in finding period-related hygiene products since the start of corona and lockdown?
Yes……...... 1 No…...... 2 Refused…...... -97 >> Q22 Do not use any products…...... -98 21. Why could you not obtain your menstrual product of choice since the Corona pandemic started? Read aloud, select all that apply.
Could not go to the store to buy it or ask someone to go to the store for me……...... 1 The product is not available at the store now …...... 2 I do not have enough money to buy the product…...... 3 I usually get this product at school or a youth program that is currently closed…...... 4 Only if CR does not live alone (CS-Q17==2): My family members no long prioritize getting me these products…...... 5 Other, specify______...... -96 Do not read: Refused…...... -97
GAGE Core Respondent Survey 29 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
22. Do you currently face any of the following constraints to menstrual hygiene management? Read aloud, select all that apply.
Shortage in soap or water……...... 1 Not enough supplies…...... …...... 2 Inadequate privacy…...... …...... 3 No challenges…...... …...... 4 Other, specify______...... -96 Do not read: Refused…...... -97 23. Do you agree, partially agree, or disagree with the following statements: [Read answer options after each statement: 01=Agree, 02=Partially Agree, 03=Disagree, -97=Refused, -99=DK]
a. I am embarrassed about asking family members to support me with my menstrual management. [ __ __ ]
b. I am fearful about asking family members to support me with my menstrual management. [ __ __ ]
If CR lives alone with no other HH members (Jordan CS Q17==1 OR Palestine CS Q17==1), skip to next section Gendered Constraints to Women's/Girl's Behaviors in the Household Source: Questions in this section were adapted from the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020). Items on freedom of movement and gendered constraints on household behaviors created for this survey, based on literature review.
Read: In many households during the Corona lockdown, young women and adolescent girls have had to change the way they live in their own homes, due to increased presence of men in households during the day. Have you had to alter your behavior at home in any way due to the increased presence of men in the household following the Corona pandemic and the social containment efforts to manage the spread of the virus (lockdown, curfew, etc.). Please respond yes or no to each of the following statements, as applies to you:
24. Since the start of the pandemic, I have to wear clothing that I would usually not Yes ………………………………………………………………………………...... 1 wear while being at home, for example wearing only traditional clothes or clothes that cover more of my body. No ………………………………………………………………………………...... 2 Refused...... ………………………………………...... -97 25. I cannot do things for entertainment that I used to do previously, for example watch Yes ………………………………………………………………………………...... 1 my favorite TV show or listen to my favorite radio show, because male members of the family are now home. No ………………………………………………………………………………...... 2 Refused...... ………………………………………...... -97 26. Married CRs only (Q2=1 or Q2b=3): I cannot talk on the phone/chat online with Yes ………………………………………………………………………………...... 1 my parents or other family members for as long as I used to previously, because male members of the family are now home. No ………………………………………………………………………………...... 2 Refused...... ………………………………………...... -97 27. I cannot talk on the phone/chat online with my friends for as long as I used to Yes ………………………………………………………………………………...... 1 previously, because male members of the family are now home. No ………………………………………………………………………………...... 2 Refused...... ………………………………………...... -97
GAGE Core Respondent Survey 30 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
28. I cannot talk on the phone/chat online with male friends, because family members Yes ………………………………………………………………………………...... 1 are home more. No ………………………………………………………………………...... ……….2 I have no male friends …………………………………………………………………………….3 Refused...... ………………………………………...... -97 29. Only if the CR confirms beginning menstruation (Q19=1): I struggle/ don't have Yes ………………………………………………………………………………...... 1 freedom/ find difficulty when my period starts and my male family members are at home No ………………………………………………………………………………...... 2 Refused...... ………………………………………...... -97 30. I must fulfill the demands of males, including male siblings, fathers, or any other Yes ………………………………………………………………………………...... 1 male family members, when they are at home more now since Corona started No ………………………………………………………………………………...... 2 Refused...... ………………………………………...... -97
GAGE Core Respondent Survey 31 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
BODILY INTEGRITY 2: Health Services, Family Planning, And ANC Read: Now I would like to ask you a few more questions about your access to health services . Please remember that the researchers are the only ones who will see your answers to my questions - your answers will not be shared with anyone else.
If CR is ever married (Bodily Integrity 1 - Q1=1 or Q2b=3) and female begin with Q1. If CR is ever married (Bodily Integrity 1 - Q1=1 or Q2b=3) and male, begin with Q5. Otherwise, skip to instructions before Q13. Reproductive Health: Antenatal & Postnatal Care Source: Questions on ANC in this section (Q1-4) are adapted from the Elrha GD COVID survey (2020). 1. Are you currently pregnant or were you pregnant at any time since March 2020? Yes, currently pregnant……………………………………………….1 >>Q1b Yes, pregnant since March 2020 …...... 2 >>Q1a No…………………………………………………...... 3 Do not read: Refused...………………………………………..-97 >>Q5 Do not read: Don't know……………………………………………-99 1a. Are you still pregnant now? Yes, still pregnant……………………………………………….1 >>Q1b No, have given birth since March 2020………………………………………………..2 >> Q1c No, pregnancy did not end in live birth………………………………………………..3 >> Q2 Do not read: Refused...………………………………………..-97 >>Q5 Do not read: Don't know……………………………………………-99 1b. How many months pregnant are you? [-97=Refused, -99=DK] [ __ __ ] >> Q2
1c. What month did you give birth? [-97=Refused, -99=DK] [ __ __ ] (month)
2. Did the Corona pandemic and the social restrictions affect your ability to avoid Yes, describe______……………………………………………….1 or delay pregnancy? No……………………………………………….. 2 Refused...……………………………………….. -97 Don't know……………………………………………-99 3. Did you have a prenatal visit scheduled for any time between March 2020 and Yes………………………………………………. 1 today? No……………………………………………….. 2 Refused...……………………………………….. -97 >>Q5 Don't know……………………………………………-99 3a. Did the Corona pandemic and the social restrictions affect your ability to No …...... …...... 1 access prenatal care during your pregnancy? Yes, inability to access hospital…...... 2 Yes, put on quarantine…...... 3 Yes, lack of funds for necessary medications or supplies…...... 4 Yes, fear of accessing health centers…...... 5 Yes, shortage of medications or supplies…...... 6 Yes, other (specify _____)…...... -96 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99 3b. How many prenatal visits have you had in total for this pregnancy? [-97=Refused, -99=DK] [ __ __ ] number of visits
If gave birth since March 2020 (Q1a==2), continue. Otherwise, skip to Q5. 4. Did the Corona pandemic and the social restrictions affect your ability to access No …...... …...... 1 healthcare when you gave birth, or postnatal care after you gave birth? Yes, inability to access hospital…...... 2 Yes, put on quarantine…...... 3 Yes, lack of funds for necessary medications or supplies…...... 4 Yes, fear of accessing health centers…...... 5 Yes, shortage of medications or supplies…...... 6 Yes, other (specify _____)…...... -96 Refused...……………………………………….. -97 Don't know……………………………………………-99
GAGE Core Respondent Survey 32 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
Living Children and Parenting/Physical Punishment 5. Do you have any living children? Yes……………………………………………………………………………….1 No…………………………………………………………………….2 Refused...... ………………………………………………………………………………………..-97 >>Q13 Don't know………………………………………………………………………………….-99 6. How many living children do you have? [-97=Refused] [ __ __ ] If -97 >> Q13
7. Do you believe that in order to bring up, raise, or educate a child properly, the Yes…………………………………………………………………………………...... 1 child needs to be physically punished? No………………………………………………………………………...... 2 Refused...... ………………………………………………………………………….....………………..-97 Don't know………………………………………………………………………………....…….-99 8. Have you physically punished any of your children in the past 14 days? Yes…………………………………………………...... 1 No…………………………………………………...... 2 Refused...…………………………………………...... -97 Don't know………………………………………………...... -99 Children's Health Care and Vaccination Source: Questions on vaccination visits in this section (Q9-12) are adapted from the Elrha GD COVID survey (2020). Q12 answer options are adapted from USAID Research for Scalable Solutions (R4S) Project on "Documenting the Effects of COVID-19 on Family Planning Access and Use with Standardized Questions" (2020).
9. Do you have any children under the age of 2 years old? Yes…………………………………………………...... 1 No…………………………………………………...... 2 Refused...…………………………………………...... -97 >> Q13 Don't know………………………………………………...... -99 10. Were any of these children scheduled to be vaccinated between March 2020 Yes…………………………………………………...... 1 and today? No…………………………………………………...... 2 Refused...…………………………………………...... -97 >> Q13 Don't know………………………………………………...... -99 11. Did the vaccination happen as planned? Yes…………………………………………………...... 1 >>Q13 No…………………………………………………...... 2 Refused...…………………………………………...... -97 >>Q13 Don't know………………………………………………...... -99 12. What is the MAIN reason the Usual places to get health care for children closed …………………………………………………...... 1 vaccination did not happen as Usual/other places not offering vaccination because vaccines are out of stock………………………………………………..2 planned? Usual/other places not offering vaccination because no available providers………………………………………………..3 [Do not read answer options aloud. Usual/other places were only offering emergency health services at the time………………………………………………..4 Select one response] Told that providers did not have enough protective equipment to see clients during COVID-19 …………………………………………………...... 5 Provider thought I or my child had Corona …………………………………………………...... 6 Afraid of being infected with Corona …...... ………………………………………………..7 Afraid people would think I had Corona if they saw me going…………………………………………………...... 8 Not able travel to the health care provider due to Corona government restrictions…………………………………………………...... 9 Partner/family prevented me from going due to worries about Corona …………………………………………………...... 10 I was too sick to leave the house …...... ………………………………………………..11 My child was too sick to leave the house …...... ………………………………………………..12 Looking after sick family member …...... ………………………………………………..13 Too busy to leave the house …...... ………………………………………………..14 Changed my mind about vaccinating my child…...... ………………………………………………..15 Jordan only: Did not have enough money for the health care visit …………………………………………………...... 16 Did not have enough money for transportation …………………………………………………...... 17 Other, specify: ______…...... -96 Refused…………………………………………………...... -97
GAGE Core Respondent Survey 33 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
COVID-19 and Healthcare Source: Q13 through 14a are drawn from the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020) 13. Since the start of the pandemic and social containment, have you needed to see Yes…………………………………………………...... 1 a health provider due to illness, injury, regular check up, or maternal and child No…………………………………………………...... 2 health needs? Refused...…………………………………………...... -97 > > Q14 Don't know………………………………………………...... -99 13a. Did the situation with the Corona Yes, because there was no available doctor or other good health provider ……………………………………………….1 pandemic ever result in you not Yes, because the wait times for the available doctor/health provider have become quite getting health care when you needed long …………………………………………………...... 2 it? [If yes, probe, Why? Then select ONE best response] Yes, because I was afraid to go out and get care due to Corona ………………………………………………..3 Yes, because I was not permitted to go out and get care due to the Corona government restriction ……………………………………...... 4 Yes, because my family prevented me from getting care due to worries about Corona…………………………………………………...... 5 Palestine: The services or specialty I needed are not available where I live …...... 6 No, Corona was not the issue …...... 7 No, I was able to get health care when needed ...... 8 Do not read: Refused...…………………………………………...... -97 Do not read: Don't know……………………………...... …………………-99 14. Since the start of the pandemic and social containment, have you needed to get Yes………………………………………………. 1 any medication? No……………………………………………….. 2 Refused...……………………………………….. -97 > > Q15 Don't know……………………………………………-99 14a. Did the situation with the Corona Yes, because the pharmacies and clinics are closed……………………………………………….1 pandemic ever result in you not getting medication when you needed Yes, because even though the pharmacies and clinics are open, I am not able to get to it? [If yes, probe, Why? Then select them due to the social restrictions in place (e.g., curfew, lockdown, no buses)… 2 ONE best response] Yes, because I was afraid to go out and get medications due to Corona ………………………………………………..3 Yes, because my family does not allow me to go out because of the Corona pandemic ……………………………………………………...... 4 Yes, because even though the pharmacies and clinics are open, they do not have medications in supply ……………………………………………...... 5 No, Corona was not the issue …...... 6 No, I was able to get medication when needed ...... 7 Do not read: Refused...…………………………………………...... -97 Do not read: Don't know……………………………...... …………………-99 Reproductive Health: Family Planning If female and currently married (Bodily Integrity 1 - Q2=1 or Q2b=3), continue. Otherwise, skip to the next section. Source: Questions on Family Planning in this section (Q15-17) are adapted from USAID Research for Scalable Solutions (R4S) Project on "Documenting the Effects of COVID-19 on Family Planning Access and Use with Standardized Questions" (2020).
15. Since the start of the pandemic and social containment, have you needed to get Yes…………………………………………………...... 1 any form of contraceptive method? No…………………………………………………...... 2 >> Next Refused...…………………………………………...... -97 Section Don't know………………………………………………...... -99 16. Were you able to obtain the method of contraception that you wanted? Yes…………………………………………………...... 1 >> Next Section No…………………………………………………...... 2 Refused...…………………………………………...... -97 >> Next Don't know………………………………………………...... -99 Section
GAGE Core Respondent Survey 34 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
17. What is the MAIN reason why you Usual/other locations to get the method are not offering FP services or no available were not able to obtain this method? provider …………………………………………………...... 1 Told that providers did not have enough protective equipment to see clients during [Do not read answer options aloud, 2 select one response]. Corona ………………………………………………...... …...... …..... Provider thought I had Corona …………………………………………………...... 3 Afraid of being infected with Corona …...... ………………………………………………..4 Afraid people would think I had Corona if they saw me going…………………………………………………...... 5 Not able travel to the health care provider due to Corona government restrictions…………………………………………………...... 6 Method not available…………………………………………………...... 7 Method requires a prescription …………………………………………………...... 8 Provider did not have equipment or supplies to provide method. …………………………………………………...... 9 Provider not trained to provide the method I wanted…………………………………………………...... 10 Provider recommended a different method…………………………………………………...... 11 Not eligible for method …………………………………………………...... 12 Changed my mind ……………………………………...... ………………...... 13 Partner/family prevented me from going due to worries about Corona …………………………………………………...... 14 Partner/family prevented me from going because they disagreed with the method …………………………………………………...... 15 I was too sick to leave the house …...... ………………………………………………..16 Looking after sick family member …...... ………………………………………………..17 Too busy to leave the house …...... ………………………………………………..18 Did not have enough money for the method or health care appointment…………………………………………………...... 19 Did not have enough money for transportation…………………………………………………...... 20 I became pregnant ……………………………………...... ………………...... 21 Other, specify: ______…...... -96 Refused………………………………………………...... ……...... -97
GAGE Core Respondent Survey 35 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
BODILY INTEGRITY 3: Experienced Violence If CR is <15 years old, skip to the next section. If Palestine, skip to the next section. If Jordan, continue. Screening Question Source: Questions 2, 3, 5, 6, 9, and 10 in this section are adapted in part from Garcia-Moreno et al (2006).
1. Do you currently have privacy where others cannot hear you speaking on the phone or can you Yes…………………………………………1 go to a place that is private? [If no, ask respondent to try to find a private place, if possible, before answering no to this question] No…………………………………………2 Refused…………………………………………-97 >> Next Section Don't know…………………………………………-98 Witnessing and Experiencing Violence 2. Have you witnessed physical violence in your household in the past 12 months? Physical Yes…………………………………………1 violence includes someone in your household being slapped, hit, or beaten, yelled at. No…………………………………………2 >> Q5 Refused …………………………………………-97 3 Have you witnessed physical violence in your household in the past two weeks? Physical Yes…………………………………………1 violence includes someone in your household being slapped, hit, or beaten, yelled at. No…………………………………………2 Refused …………………………………………-97 4 Has this increased, decreased, or stayed the same since before the Corona pandemic began in Increased…………………………………………1 March 2020? Decreased…………………………………………2 Stayed the same…………………………………………3 Refused …………………………………………-97 5 Have you experienced physical violence in your household in the past 12 months? Physical Yes…………………………………………1 violence includes someone in your household being slapping, hitting, or beating you. No…………………………………………2 >> Q8 Refused -97 6 Have you experienced physical violence in your household in the past two weeks? Physical Yes……………………………………1 violence includes someone in your household being slapping, hitting, or beating you. No……………………………………2 Refused ……………………………………-97 7 Has this increased, decreased, or stayed the same since before the Corona pandemic began in Increased……………………………………1 March 2020? Decreased……………………………………2 Stayed the same……………………………………3 Refused ……………………………………-97 Source: Q8 is adapted in part from Jewkes's Pakistan evaluation. 8. Read each item a through d for question 8a, followed by 8b, 8a. _____ in the past 12 8b. _____ in the past two 8c. Has this increased, decreased, or followed by 8c. months? weeks? stayed the same compared to just before the Corona situation began in March 2020? [Read answer options aloud unless specified] Codes for 8a and 8b Codes for 8c 01=Yes 01 = Increased 02=No If 8a = No, DK, or 02 = Decreased Do not read: -97=Refused, -99=DK Refused >> next item 03 = Stayed the same Do not read: -97=Refused, -99=DK a. Has a parent or other adult in the household yelled at you or called you names … [___|___] [___|___] [___|___] b. Has a parent or other adult in the household pushed/hit/slapped/ [___|___] beaten you… [___|___] [___|___] c Have you seen or heard your father/ male guardian push/hit/slap your mother or female guardian … [___|___] [___|___] [___|___] d Has a parent or other adult in your household treated you poorly in another way, such as withholding food from you when others in the [___|___] [___|___] [___|___] family were fed …
9. Do you fear for your safety in the coming week? Yes………………………………………………….1 No………………………………………………...... …….2 Refused………………………………………...... -97 Don’t know…………………………………………...... -99 10. Do you fear for the safety of children living in your house?
Yes……………………………………………………...... 1 No……………………………………………………...... 2 Refused………………………………………...... -97 Don’t know…………………………………………...... -99
GAGE Core Respondent Survey 36 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
If Q9=2 & Q10=2, skip to next section 11. I can give you a referral phone number in case you want more support. I can SMS it to you, tell it to you while we are talking, or skip and not give you the number? Send SMS………………………………………………….1 Tell………………………………………………….2 Skip………………………………………………….3 Refused……………………………………-97 Don’t know……………………………………….-99 12. Do you want me or another researcher to phone you again to check in on your safety or the Yes………………………………………………….1 safety of your children? No………………………………………………….2 Refused……………………………………-97 Don’t know……………………………………….-99
GAGE Core Respondent Survey 37 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
PSYCHOSOCIAL/MENTAL HEALTH 2 Source: Questions 1-9 are the PHQ-8 (Kroenke, Strine, Spitzer, Williams, Berry, & Mokdad, 2008) Read: I now would like to ask you some questions about your current general well-being. First, I will read the question out loud. Then I will provide you with a few answer choices. I would like you to select one answer from the options that I read out loud that suits your feeling. I can repeat any question or any set of answers as many times as you need. Please remember your answers are confidential. Over the last two weeks, how often have you been bothered by [read statement] ?
Codes for Q1-8
0= Not at all ( 0 days out of the last 2 weeks) 1 = Several Days (1-6 days our of the last 2 weeks) 2 = More than half of the days (7-11 days out of the last 2 weeks) 3 = Nearly every day (12-14 days out of the last 2 weeks) Do not read aloud: -97=Refused
After each statement, Read: Not at all, Several Days, More than half of the days, Nearly every day
1. Having little interest or pleasure in doing things that you used to enjoy? [___|___]
2. Feeling sad, down, depressed, or hopeless? [___|___]
3. Trouble sleeping including staying asleep or sleeping much more or much less than you normally do? [___|___]
Feeling tired or like you are carrying a heavy burden or like you have little strength in 4. your body? [___|___]
5. Your appetite including eating much less or much more than you normally do? [___|___]
Feeling bad about yourself, feeling that you are a failure, feeling that you are worthless, or feeling guilt that that you have let 6. yourself or your family down [___|___]
7. Having trouble concentrating on things such as your work, the care of your children or other activities? [___|___]
Moving or speaking so slowly that other people have noticed? or have you experienced the opposite - meaning that others 8. noticed that you had so much movement, or restlessness that caused you to move around a lot more than usual? [___|___] 9. [if CR answered 1+ to Q1-8] How difficult have the Not difficult at all…...... 0 problems you mentioned, made it for you to do your Somewhat difficult…...... 1 work, to take care of things at home or to get along with other people in your life? Very difficult…...... 2 Read answer options aloud Extremely difficult…...... 3 (Do not read aloud) Refused...... …………………………………………….-97 (Do not read aloud) Don't know………………………………………………...... -99 9a. [if CR answered 1+ to Q1-8] Have you looked Yes, describe______…...... 1 for support for any of these challenges? No…...... 2 (Do not read aloud) Refused...... …………………………………………….-97 (Do not read aloud) Don't know………………………………………………...... -99
GAGE Core Respondent Survey 38 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
COVID 19 Psychosocial Questions Source: Questions 10-11 are adapted from the Mindset COVID-19 Survey.
Read: Thinking about the current Corona situation, how much do you feel … [read all statements aloud]. Read answer options aloud: 01=Completely, 02=A moderate amount, 03=A little bit, 04=Not at all. Do not read: -97=Refused If the CR claims not to know, please ask them for their best estimate.
10. Scared/Fearful? [___|___] 11. Worried/Anxious? [___|___] Source: Questions 12 and 13 were adapted from EMERGE the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020). 12. Do you feel you are receiving more support, less More support…...... 1 support, or the same level of support from your Less Support…...... 2 friends and family as you were before the Corona pandemic and social containment efforts? By Same level of support/no change…...... 3 support we mean helping you with problems, (Do not read aloud) Refused...... …………………………………………….-97 chores, or your health needs. [Read answer (Do not read aloud) Don't know………………………………………………...... -99 options aloud unless specified]
13. Do you feel that your friends and family are More support…...... 1 expecting you to give them more support, less Less Support…...... 2 support, or the same level of support as you were giving to them before the Corona pandemic and Same level of support/no change…...... 3 social containment efforts? By support we mean (Do not read aloud) Refused...... …………………………………………….-97 helping you with problems, chores, or your health needs. [Read answer options aloud unless (Do not read aloud) Don't know………………………………………………...... -99 specified]
COVID 19 and Coping Source: Q14 below is adapted from the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020); the Coping Measure items a-d are taken from: Sinclair, V. G., & Wallston, K.A. (2004). The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment, 11 (1), 94-101.
Codes for Q14 0= Does not describe me at all 1 = Does not describe me 2 = Neutral 3 = Describes me 4 = Describes me very well Do not read aloud: -97=Refused
14. How well do each following statements describe your behavior and actions at this time? After each statement, read response options aloud [Does not describe me at all; Does not describe me; Neutral; Describes me; Describes me very well] a. I try to find/ come up with innovative/new ways to face difficult situations. [___|___] b. No matter what happens to me, I control my reaction to what is happening [___|___] c. I believe that I can develop myself in positive ways by dealing with difficult situations [___|___] d. I am eagerly searching for ways to recoup the losses I am facing in life [___|___] e. I am coping well with the difficulty and stress caused by the Corona/COVID-19 pandemic. [___|___] f. I seek comfort and guidance from religion, such as by praying, reading from the holy book, or other religious activities [___|___] g. My family is helping me cope with the difficulty and stress caused by the Corona/COVID-19 pandemic. [___|___] h. My friends offer me help and assistance to overcome the difficulty and stress caused by Corona [___|___] Adults outside my family (such as community members, sports coaches, religious leaders, or teachers) are helping me cope i. with the difficulty and stress caused by the Corona/COVID-19 pandemic [___|___]
GAGE Core Respondent Survey 39 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
MVA Read: Now I am going to ask you some questions about what you and members of your household have done in the past 7 days. Social distancing in the past week Source: Question 1 is drawn from the Yale COVID-19 survey; Question 2 was adapted from the Mindset COVID-19 survey. 1. In the past 7 days, on how many days did you stay at home all day, without going out at all and without receiving any visits from |__|__| days >> if 7, -97 go people who don't live in your household? (-97=Refused) If CR claims to not know, as them for their best estimate. to Q3 2. Where have you gone during the last 7 Pharmacy………………………………………………...... 1 days? Doctor………………………………………………...... 2 ...... [DON'T READ OPTIONS OUT - SELECT To buy food/groceries/to the market………………………………………………...... 3 ALL THAT APPLY] To see family and friends………………………………………………...... 4 To work………………………………………………...... 5 To go to school………………………………………………...... 6 To religious services at a church/mosque…...... 7 Family or friends visited my home…...... 8 Other, specify: ______…...... -96 Refused………………………………………………...... -97 Source: Q3 is adapted from the Hidden Impact of COVID-19 on Children survey by Save the Children International (Burgess et al, 2020). 3. In the past 7 days, have you gotten to No, we do not get to speak or hang out at all………………………………………………...... 1 speak to or hang out with your friends? We hang out in person………………………………………………...... 2
[Read answer options aloud unless We play together in person………………………………………………...... 3 otherwise specified. If answer is not We talk/message on the phone………………………………………………...... 4 no, select all that apply.] We use social media to keep in touch………………………………………………...... 5 We play internet games together………………………………………………...... 6 We see each other or speak in another way, specify: ______-96 Do not read: Refused………………………………………………...... -97 Perspectives on Social Distancing, Mobility, and Technology Source: Questions in this section were adapted from the Mindset COVID-19 survey.
Answer Codes for Q4-7 01 = Completely 02 = A moderate amount 03 = A little bit 04 = Not at all Don't Read: -97=Refused, -99=Don't Know
Thinking about the current Corona situation/pandemic, how much do you feel that the following has happened compared to before the pandemic… [Read answer options aloud unless otherwise specified for each statement]
4. Your mobility has been restricted |__|__| 5. Your privacy has decreased |__|__| 6. You have more access to technology (e.g. internet, phone) |__|__| 7. Peer pressure to do things that I don't want to do has decreased |__|__| 8. Do you have access to your own personal device, such as a laptop, tablet, or Yes, a laptop…………………………………………………………………………….1 phone, that is just for you to use? [Read response options aloud unless otherwise specified. Select all that apply.] Yes, a tablet…………………………………………………………………………….2 Yes, a mobile phone…………………………………………………………………………….3 No, do not have own personal device…………………………………………………………………………….4 Do not read aloud: Refused...... ……………………………………-97 >> Q9 Do not read aloud: Don't know……………………………………….-99 8a. Are you able to access the internet with your personal device? [Read Yes …………………………………………………………………………….1 response options aloud unless otherwise specified. Select all that apply.] No …………………………………………………………………………….2 Do not read aloud: Refused...... ……………………………………-97 Do not read aloud: Don't know……………………………………….-99 9. On a typical day, how many hours do you spend on a screen? By screen, we mean a phone, a computer, a tablet, or a television [Enter number of hours, 0-24; , -95 = No access to screens, - [ __ __ ] hours If -95 >> Q11a 97=Refused, -99=DK]
GAGE Core Respondent Survey 40 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
10. Thinking about the time prior to the Corona pandemic, how many hours do you spend on a screen on a usual day before the pandemic began? [ __ __ ] hours
[Enter number of hours, 0-24; -97=Refused, -99=DK] Source: Q11 is taken with minor adaptation from the Hidden Impact of COVID-19 on Children survey by Save the Children International (Burgess et al, 2020).
11. Do you know how to keep yourself safe when you are using the I don't know what this means………………………………………………………………………..1 internet? [Read answer options aloud unless otherwise specified, select all that apply if both 2 and 3] Yes, I know which information I should and should not share online………………………………...... 2
Yes, I know how to change whom I share content with (e.g., friends, friends of friends, or public)………. 3 No, I don't know how…………………………………………………………………………………………………………4 No, I do not think I am at risk online…………………………………………………………………………………………………………5 I do not use the internet…………………………………………………………………………………………………………-95 >> Q12 Do not read: Refused………..……………………………………-97 11a. In the past 12 months, has anything EVER happened online that Yes………………………………………………………………………..1 bothered or upset you in some way (e.g., made you feel uncomfortable, scared or that you shouldn’t have seen it)? No…………………………………………………………………………………………………………2 Do not read: Refused………..……………………………………-97 Do not read: Don't know………………...... -99 12. Do you have any friends, who are not members of your household, Yes………………………………………………………………………..1 that you trust, and with whom you can talk about feelings and personal matters, or call on for help? No…………………………………………………………………………………………………………2 Do not read: Refused………..……………………………………-97 Do not read: Don't know………………...... -99 13. Is there an adult, who is either in your household or not in your Yes…...... 1 household , that you trust, and with whom you can talk about feelings and personal matters, or call on for help? No…...... 2 Do not read: Refused………..……………………………………-97 Do not read: Don't know………………...... -99 14. Are there opportunities for young people like you to volunteer Yes, I am volunteering………………………………………………….1 (provided unpaid help for a charitable/good cause) in response to I know other young people who are volunteering…………………………………………………. Covid-19 [Read response options aloud unless otherwise 2 specified] I have heard about volunteering opportunities for young people, but do not know anyone who is volunteering … 3 I have not heard of any opportunities…...... 4 Do not read aloud: Refused……………………………………-97 Do not read aloud: Don’t know……………………………………….-99
If CR is age 15 or older, continue. Otherwise, skip to the next section. 15. Do you agree, partially agree, or disagree with the following Agree…...... 1 statement: 'People in my community, regardless of nationality, ethnicity, and Partially Agree…...... 2 religion, are coming together to help each other during the current Disagree…...... 3 health crisis.' Do not read: Refused………..……………………………………-97 Do not read: Don't know………………...... -99
GAGE Core Respondent Survey 41 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
PAID WORK & ECONOMIC EMPOWERMENT Source: Parts of this section were adapted from the Young Lives Round 2 survey. If Jordan and CR has a R1 survey, skip to Q6. Otherwise, continue. Read: Now I would like to talk to you about things you may do to get money or things and what access you have to money. We are asking this information to help gain understanding about the issues facing adolescents in your community and to learn about how these issues may have changed because of the Corona/COVID-19 pandemic. Sometimes, adolescents may work to get money for themselves or their family. I would like to ask you about any paid work or activities that you have done to earn money.
1. In the month prior to the Corona situation, during February 2020, were you Yes………………………………………………...... 1 doing anything to get money or things for yourself or your family? This No…………………………………………………...... 2 includes any work that you get paid for in your house or outside your house including asking people on the street for money. Refused...... ………………………………...... -97 >>Q6 Don't know……………………………………………………...... -99
Read: I would like to ask you some questions about the main activity you did to get money or things for yourself or your family during the month prior to the Corona situation. Let's focus on the activity you spent the most time doing.
2. What was this main activity? 3. During the seven days prior to the Corona 4. In the seven days prior to the Corona 5. Has the Corona situation impacted this 5a. How was this activity impacted? Please specify the situation, how many hours did you spend situation, how much did you earn TOTAL for activity? individual job. (Use L1 doing this activity? [ACTIVITY]? Specify amount in JD. If In- [Read response options aloud unless codes.) kind, ask CR to estimate the value of in- specified] kind payment in JD.
-97=Refused -77=In Kind, estimate value_____ 01=Yes 01= Stopped completely, has not resumed -99=Don't Know -78=Debt Relief 02=No 02= Stopped completely, now back to -97=Refused -97=Refused, -99=DK work as normal -99=Don't Know 03= Stopped completely, now back to work with less hours 04= Stopped completely, now back to work with more hours 05= Ongoing, with less hours 06= Ongoing, with more hours -96= Other specify Don't read: -97=Refused, -99=DK
0, -97, -99 >> Q5 02, -97, -99 >> Q6 a. [___|___] ______[___|___] [_____] amount ______[___|___] [___|___] ______6. Are you currently engaged in any paid work or activities to get money or Yes………………………………………………...... 1 things for yourself or your family? This includes any work that you get paid No…………………………………………………...... 2 for in your house or outside your house including asking people on the street for money. Refused...... ………………………………...... -97 >>Q11 Don't know……………………………………………………...... -99
GAGE Core Respondent Survey 42 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
Read: I would like to ask you about any activities you are currently doing to get money or things for yourself or your family. Let's focus on the activity you spent the most time doing in the last seven days.
If Q1=1, continue. If Q1 is 8. What is this activity? 9. During the seven days prior to today, how 10. In the seven days prior to today, how not 1, or if no Q1, begin with Enter each type of activity, not each many hours did you spend doing this much did you earn TOTAL for [ACTIVITY]? Q8. individual job. (Use L1 codes.) activity? Specify amount in [local currency]. If In- 7. Is this the same paid work kind, ask CR to estimate the value of in- that you were doing prior to kind payment in [local currency]. the Corona pandemic, in February 2020?
01=Yes, same activity -97=Refused -77=In Kind, estimate value_____ 02=No, different activity -99=Don't Know -78=Debt Relief -97=Refused, -99=DK -97=Refused -99=Don't Know 0, -97, -99 >> Instructions before Q11 a. [___|___] [___|___] ______[___|___] [_____] amount ______If CR is in Jordan sample and has a R1 CR survey, skip to Q13. Otherwise, continue. 11. Immediately prior to the Corona situation, were you engaged in: 12. Since the Corona situation began, what is the status of this activity? If CR is [Read each entry a-b] enrolled in more than one activity listed, ask about the one she/he spent the most time on prior to Corona. Read response options aloud unless specified.
Codes for 11 Codes for 12 01=Yes 01 = Continuing as usual 02=No 02 = Already online -97=Refused, -99=DK 03 = Will be moved online 04 = Will resume after Corona situation If "No", "Refused, or "DK', go on to the next item. If "Yes", go to Q12. 05 = Permanently stopped 06 = Other specify Do not read: -97=Refused, -99=DK a. Palestine Only: TVET? [___|___] [___|___] ______b Jordan: … job skills training, a course (in person or online) outside of regular school), and internship, or an apprenticeship?
Palestine: … other job skills training, a course (in person or online) outside of regular school), and internship, or an apprenticeship? [___|___] [___|___] ______c … religious studies/education, such as at a Quranic center? [___|___] [___|___] ______
GAGE Core Respondent Survey 43 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
Source: Questions 13 and 14 below are adapted from the EMERGE COVID-19 and Gender Survey Questions (Center on Gender Equity & Health, 2020) as well as: UN Women, Surveys show that COVID-19 has gendered effects in Asia and the Pacific. April 29, 2020. Read: Now I would like to ask you a few questions about domestic responsibilities in your home, including cooking, cleaning, and caring for family members. 13. Compared to the time before the Corona pandemic and social restrictions in March 14. In the past 24 hours, how many hours 2020, has the amount of time you spend on [ACTIVITY] increased, decreased, or stayed did you spend doing [ACTIVITY] ? the same? [Round up to the nearest half hour, - 97=Refused, -99=DK] Response Codes: 1=Increased 2=Decreased 3=Stayed the same 4=I never do this activity, before or now Do not read: -99=DK, -97=Refused
If answer==4 (Never do this activity before or now) >> Next item. a. House cleaning, including disinfecting activities [___|___] [___|___] b. Cooking [___|___] [___|___] c. Taking care of children, older family members, or family members with a [___|___] disability during normal times [___|___] d. Taking care of family members when they are ill [___|___] [___|___] e. Making sure siblings are continuing to study and do schoolwork, or helping [___|___] them with their studies [___|___] f. Agricultural work for the household [___|___] [___|___] g. Working for the household business [___|___] [___|___] h. Paid work outside the household [___|___] [___|___] i. Shopping for everyday supplies [___|___] [___|___] j. Paid work inside the home (such as embroidery, food preparation, or other [___|___] work that is done from home) [___|___]
15. Prior to the Corona situation, did you have money that you control? By Yes……………………………………………………...... 1 control, I mean that you decide how it is used? No……………………………………………………...... 2 Refused………………………………………...... -97 >> Q17 Don’t know…………………………………………...... -99 16. What has happened to most of this money since the Corona situation I still have the money………………………………………………….1 began? [Read response options aloud unless specified] Given to family members………………………………………………….2 Placed in a savings account………………………………………………….3 Spent it on food………………………………………………….4 Spent it on non-food essential items…...... 5 Other, specify______…...... -96 Do not read: Refused……………………………………-97 Do not read: Don’t know……………………………………….-99
GAGE Core Respondent Survey 44 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
17. What do you want to be doing when you are 30? For instance, working in a job, caring for your own family, or running a business? Prompt respondent to be specific in order to code response. (Use L1 codes.) [___|___]
17a. What do you think would be the main challenge you could face that Can't get the necessary education…...... 1 might result in your not being able to work in the occupation that you want by age 30? Do not read response options aloud, select just one. Permission from parent/guardian/spouse…...... 2 Lack of support from parent/guardian/spouse…...... 3 Financial constraints…...... 4 Lack of connections to people in this field…...... 5 Health problems…...... 6 Shortage of jobs…...... 7 Bad luck…...... 8 Nothing will interfere…...... 9 Jordan Only: Not able to get government permit to work …...... 10 Other, specify______…...... -96 Do not read: Refused………………………………………...... -97 Do not read: Don’t know…………………………………………...... -99 17b. Do you think you will be able to work in the occupation that you want in Current community…...... 1 >> Q17d your current community, or will you have to move elsewhere? Have to move elsewhere…...... 2 >> Q17c Refused………………………………………...... -97 >> Q17d Don’t know……………………………………….-99 17c. Where do you think you will need to move to work in this occupation? An urban area within my country…...... 1 [Read answer options aloud unless otherwise specified] Another country...... 2 Other, specify: ______………………………………………...... -96 Do not read: Refused………………………………………...... -97 Do not read: Don’t know……………………………………….-99 17d. Do you agree, partially agree or disagree with the following statement: Agree…...... 1
"The Corona pandemic and social restrictions are causing adolescents in Partially Agree…...... 2 my community to migrate or consider migrating away for work." Disagree…...... 3 Refused………………………………………...... -97 Don’t know……………………………………….-99
GAGE Core Respondent Survey 45 COVID-19 Survey Round 2 (2020-21) Adult Female ID: [____|____|____][____|____][____|____]
CONTACT INFORMATION - JORDAN
Read : We are almost at the end of our interview. Now I would like to make certain that we have full contact information for this household. If there was a survey for Covid R1, continue. Otherwise, skip to Q2 1. This is the contact information we currently have for your household. Is this Yes………………………………………………………1 If Camp >> still correct? [Read prior round response aloud to the respondent] No………………………………………………………..2 Q4; If Non-Camp -97 Do not read: Refused…………………………………………………………>>Q3
2. Where are you currently living? [Read response options aloud unless Jordan, in a refugee camp………………………………………………………1 >>Q2a otherwise specified] Jordan, not in a refugee camp………………………………………………………..2 >>Q3 A country other than Jordan…………………………………………………………3 >>Q3d Do not read: Refused…………………………………………………………-97 >>Q4 2a. Camp (use R2f codes): If Azraq/Zaatari or Other >> Q3h [___|___|___] If Gaza Camp or Souf Camp >> Q3a 3. Does your household currently live in a tent settlement? Yes………………………………………………………1 No………………………………………………………..2 Do not read: Refused…………………………………………………………-97 If location is confirmed (Q1 = Yes), proceed to Q4. If CR is in Jordan, and answer to Q2 is NOT CAMP, continue to Q3a - Governorates. If CR is NOT CURRENTLY IN JORDAN (Q2=3), skip to Q3d. 3a. Governorates/ Muhafazah (use R2e codes): [___|___|___] 3b. District/Liwa (use R3e codes): [___|___|___] 3c. Sub-District/qda/qada (use R4e codes): [___|___|___] . . . >> Q4 3d Province/Region: ______3e District/County: ______3f Sub-district/sub-county: ______>> Q4 3h District (use R3 codes): [___|___|___] 3i Block number ______3j Plot number (N/A= -98) ______3k Shelter number ______4. If we want to call you in the future, will you share the best phone number to Yes……………………………………………..1 reach you at? This number may be for household member or may be the No…………………………………………….2 number of a non household member. Refused...... ………………………...... -97 >> Concl. Don't know……………………………………-99 4a. Is this a Jordanian phone number? Yes……………………………………………..1 No…………………………………………….2 4b. Please give me that number. Number:______4c. Is this a mobile or a landline? Mobile……………………………………………..1 Landline…………………………………………….2 4d. Whose phone is this? Owner's full name (First, Middle, Last): ______4e.What is this person's relationship to you? "This person is your...?" Use G1 codes. [____|____] ______
GAGE Adult Female Survey 46 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
CONTACT INFORMATION - PALESTINE Read : We are almost at the end of our interview. Now I would like to make certain that we have full contact information for this household.
1. Where are you currently living? [Read response options aloud unless West Bank………………………………………………………1 >>Q2 otherwise specified] Gaza………………………………………………………..2 >>Q3 Another country…………………………………………………………3 >>Q4 Do not read: Refused…………………………………………………………-97 >>Q5 If CR is in West Bank, proceed to Q2. If CR is in Gaza, proceed to Q3. If CR is outside of Palestine, proceed to Q4. 2 Do you live in a refugee camp? Yes………………………………………………………1 >>Q2a No………………………………………………………..2 >>Q2b Do not read: Refused…………………………………………………………-97 2a. Which camp do you live in? Jenin Camp………………………………………………………1 Other, specify ______…………………………………………………………-96 >> Q6 Do not read: Refused…………………………………………………………-97
2b. Which governorate do you live in? Jenin………………………………………………………1 Hebron………………………………………………………..2 Ramallah and Al-Bireh…………………………………………………………3 Other, specify ______…………………………………………………………-96 Do not read: Refused…………………………………………………………-97 >> Q5 2c. Which locality do you live in? [use Palestine Locality Codes] [___|___|___] 2d. What is the name of your village or city? ______>> Q5 3 Do you live in a refugee camp? Yes………………………………………………………1 >>Q3a No………………………………………………………..2 >>Q3b Do not read: Refused…………………………………………………………-97 3a. Which camp do you live in? Beach camp………………………………………………………1 Maghazi camp………………………………………………………6 Bureij camp………………………………………………………..2 Nuseirat camp………………………………………………………7 >> Q6 Deir El-Balah Camp………………………………………………………3 Rafah camp………………………………………………………8 Jabalia Camp………………………………………………………4 Other, specify ______…………………………………………………………-96 Khan Younis Camp………………………………………………………5 Do not read: Refused…………………………………………………………-97 3b. Which governorate do you live in? North Gaza………………………………………………………1 Gaza………………………………………………………..2 Deir al-Balah …………………………………………………………3 Khan Yunis …………………………………………………………4 Rafah …………………………………………………………5 Do not read: Refused…………………………………………………………-97 >> Q5 3c. Which locality do you live in? [use Palestine Locality Codes] [___|___|___] 3d. What is the name of your village or city? ______>> Q5 4 Country: ______4a. Province/Region: ______4b. District/County: ______4c. Sub-district/sub-county: ______5. Is the location of this household a village, small town, or big city? Village…………………………………...... 1 Small town……………………………………...... 2 Big city………………………………...... 3 Camp………………………………...... 4 Don’t know……………………………...... -99 6. Does this household have an address where you collect mail? Yes……………………………………………..1 No……………………………………………. 2 Refused...... ………………………...... -97 >> Q7 Don't know…………………………………… -99 6a. Please give me that address. ______(Refused= -97; DK= -99) ______7. If we want to call you in the future, will you share the best phone number to Yes……………………………………………..1 reach you at? This number may be for household member or may be No……………………………………………. 2 the number of a non household member. Refused...... ………………………...... -97 >> Concl. Don't know…………………………………… -99
GAGE Core Respondent Survey 47 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
7a. Is this a Palestinian phone number? Yes……………………………………………..1 No……………………………………………. 2 7b. Please give me that number. Number:______7c. Is this a mobile or a landline? Mobile……………………………………………..1 Landline…………………………………………….2 7d. Whose phone is this? Owner's full name (First, Middle, Last): ______7e.What is this person's relationship to you? "This person is your...?" Use G1 codes. [____|____] ______
GAGE Core Respondent Survey 48 COVID-19 Survey Round 2 (2020-21) Core Respondent ID: [____|____|____][____|____][____|____]
CONCLUSION 1. Did the respondent terminate the survey early? Yes………………………………………………………………………………………………..1 No…………………………………………………………………………………………………2 >> Q2 1a. Why did the respondent terminate the survey Temporary stop only. Wishes to continue survey at a early? later time…………………………………………………… 1 Tired…………………………………………………………………………………………………2 Too busy / doesn’t have time…………………………………………………………………………………………………3 Offended at question…………………………………………………………………………………………………4 Suspicious of enumerator or survey intent…………………………………………………………………………………………………5 Does not feel like continuing survey……………………………………………………………………………………………………..6 Phone call dropped or bad reception…...... 7 CR not comfortable providing answers by phone…...... 8 Other (specify) ______…………………………………………………………………………………………………-96 Don't know……………………………………………………. -99 2. Record time survey ended. (24-hour clock; hh:mm) [____|____] : [____|____] 3. Interviewer ID: [___|___|___|___] 4. Interviewer name (First Middle Last): : ______5. In what language was the interview conducted? [____|____|____] ______Use G2 codes. 6. How was the respondent's skill at speaking and Displayed no problems speaking or understanding the understanding this language? language………………………………………………………….language………….…………………………………………. 1 Displayed a little difficulty speaking or understanding the language…………………….…………………………….2 Displayed moderate difficulty speaking or understanding understandingthe language …………………..………… the language…………………………………….3 Displayed serious problems speaking or understanding the language…………………….…………………………….language………………………………………………… 4
7. Did the respondent seem uncomfortable answering Yes…………………………………………………………………………………..1 any questions? No………………………………………………………………………………………………….0 >> Q8 7a. Specify which questions ______8. Do you feel that the CR had privacy during the call? Yes…………………………………………………………………………………..1 >> Q9 No………………………………………………………………………….2 Unsure…………………………………………………………………………………….3 8a. Why do you think the CR did not have privacy? ______9. Did any other household members contribute to or Yes…………………………………………………………………………………..1 interrupt the interview? No………………………………………………………………………………………………….0 >> Q10 9a. Specify who contributed to or interrupted the ______10. Areinterview. you very confident, somewhat confident or not Very confident…………………………………………………………………………………..1 >> Q11 very confident in the overall quality and Somewhat confident………………………………………………………………………….2 truthfulness of this respondent’s responses? Not confident…………………………………………………………………………………….3 10a. Why are you not confident ? ______11. Did the call drop off at any point during the Yes…...... 1 interview? No………………………………………………………………………………………………….0 >> Conclusion 11a. How many times did the call drop off? [___|___| Thank the respondent for their time, and end the interview.
GAGE Core Respondent Survey 49 COVID-19 Survey Round 2 (2020-21) References
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ISBN: 978-1-913610-33-3 Front cover: Boy in Jordan © Nathalie Bertrams/GAGE 2020