Final Performance Evaluation of the ASOTRY Development Food Security Activity in Madagascar

March 2020 |Volume II – Annexes J, K & L

IMPEL | Implementer-Led Evaluation & Learning Associate Award

ABOUT IMPEL The Implementer-Led Evaluation & Learning Associate Award works to improve the design and implementation of Food for Peace (FFP) funded development food security activities (DFSAs) through implementer-Led evaluations and knowledge sharing. Funded by the USAID Office of Food for Peace (FFP), the Implementer-Led Evaluation & Learning Associate Award will gather information and knowledge in order to measure performance of DFSAs, strengthen accountability, and improve guidance and policy. This information will help the food security community of practice and USAID to design projects and modify existing projects in ways that bolster performance, efficiency and effectiveness. The Implementer-Led Evaluation & Learning Associate Award is a two-year activity (2019-2021) implemented by Save the Children (lead), TANGO International, and Tulane University, in Haiti, the Democratic Republic of Congo, Madagascar, Malawi, Nepal, and Zimbabwe.

RECOMMENDED CITATION IMPEL. (2020). Final Performance Evaluation of the ASOTRY Development Food Security Activity in Madagascar (Vol. 2). Washington, DC: The Implementer-Led Evaluation & Learning Associate Award

PHOTO CREDITS Douglas R. Brown. Rice fields in central Madagascar at various stages of planting. September 2019.

DISCLAIMER This report is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of the Implementer-Led Evaluation & Learning (IMPEL) award and do not necessarily reflect the views of USAID or the United States Government.

CONTACT INFORMATION IDEAL Activity c/o Save the Children 899 North Capitol Street NE, Suite #900 Washington, DC 20002 www.fsnnetwork.org [email protected]

PREPARED BY:

Final Performance Evaluation of the Food for Peace ASOTRY DFSA in Madagascar

TABLE OF CONTENTS

Annex J: FFP Endline Indicators ...... 1 Annex K: Data Collection Instruments ...... 7 Part A: Qualitative Study Topical Outlines ...... 7 Part B: Quantitative Population-Based Survey ...... 20 Annex L: Disclosure of Conflicts of Interest ...... 108

Table of Contents i

Final Performance Evaluation of the ASOTRY DFSA in Madagascar

ANNEX J: FFP ENDLINE INDICATORS

Table 1: FFP endline indicators - ASOTRY Indicators, 95% Confidence Intervals and Base Population [Madagascar, 2019] 95% Confidence Number Indicator Interval of Weighted Standard Standard Value Lower Upper Records Population Deviation Error DEFT FOOD SECURITY INDICATORS Prevalence of households with moderate or severe hunger (HHS) 24.4 20.0 28.8 976 93,714 2.1 45.98 1.5 Male and Female Adults 21.5 18.5 24.6 745 93,842 1.5 44.14 0.9 Adult Female no Adult Male 33.7 22.0 45.3 166 88,231 5.6 50.20 1.4 Adult Male no Adult Female 33.8 21.9 45.8 55 87,314 5.8 50.26 0.9 Child No Adults NA NA NA 10 31,844 NA NA NA Average Household Dietary Diversity Score (HDDS) 3.8 3.6 4.0 762 73,046 0.1 1.94 1.2 POVERTY INDICATORS Per capita expenditures (as a proxy for income) of USG- assisted areas $1.44 $1.34 $1.55 969 98,136 0.1 1.43 1.1 Male and Female Adults $1.50 $1.37 $1.63 739 98,321 0.1 1.49 1.1 Adult Female no Adult Male $1.14 $0.99 $1.29 166 92,970 0.1 0.96 1.0 Adult Male no Adult Female $1.60 $1.17 $2.03 54 91,900 0.2 1.58 1.0 Child No Adults NA NA NA 10 33,444 NA NA NA Prevalence of poverty: Percent of people living on less than $1.90/day 78.4 74.1 82.7 980 99,126 2.1 43.89 1.5 Male and Female Adults 76.8 71.8 81.8 748 99,126 2.4 45.01 1.5 Adult Female no Adult Male 87.6 82.0 93.1 167 93,028 2.7 35.11 1.0 Adult Male no Adult Female 69.8 54.3 85.2 55 92,027 7.5 49.22 1.1 Child No Adults NA NA NA 10 33,444 NA NA NA Mean depth of poverty 38.6 36.1 41.1 980 99,126 1.2 31.90 1.2 Male and Female Adults 36.6 33.8 39.5 748 99,126 1.4 31.34 1.2 Adult Female no Adult Male 47.0 42.3 51.7 167 93,028 2.3 32.16 0.9

Annex J: FFP Endline Indicators 1 IMPEL | Implementer-Led Evaluation and Learning

Indicators, 95% Confidence Intervals and Base Population [Madagascar, 2019] 95% Confidence Number Indicator Interval of Weighted Standard Standard Value Lower Upper Records Population Deviation Error DEFT Adult Male no Adult Female 36.7 25.6 47.7 55 92,027 5.3 34.01 1.2 Child No Adults NA NA NA 10 33,444 NA NA NA

WASH INDICATORS Percent of households using an improved drinking water source 27.2 19.6 34.9 978 93,945 3.7 47.67 2.4 Percent of households in target areas practicing correct use of recommend household water treatment technologies 36.3 31.9 40.7 977 93,905 2.1 51.46 1.3 Percent of households in target areas practicing boiling 35.0 30.0 40.0 978 93,945 2.4 51.05 1.5 Percent of households in target areas practicing bleaching 6.9 4.8 9.1 978 93,945 1.1 27.20 1.2 Percent of households in target areas practicing filtering 0.6 -0.5 1.6 978 93,945 0.5 8.03 1.9 Percent of households in target areas practicing solar disinfecting 0.3 -0.2 0.8 978 93,945 0.2 6.06 1.3 Percent of households that can obtain drinking water in less than 30 minutes (round trip) 72.2 68.0 76.3 978 93,945 2.0 47.99 1.3 Percent of households using improved sanitation facilities 0.9 -0.2 1.9 978 93,945 0.5 9.89 1.6 Percent of households in target areas practicing open defecation 37.6 31.3 43.8 978 93,945 3.0 51.85 1.8 Percent of households with soap and water at a handwashing station commonly used by family members 7.8 5.8 9.7 978 93,945 0.9 28.65 1.0 AGRICULTURAL INDICATORS Percentage of farmers who used financial services in the past 12 months 20.7 16.1 25.4 1,105 122,793 2.3 42.84 1.8 Male farmers 21.9 16.8 27.0 624 125,697 2.5 43.57 1.4 Female farmers 19.3 13.6 24.9 481 125,914 2.7 41.85 1.4 Percentage of farmers who practiced the value chain activities promoted by the project in the past 12 months 27.1 22.1 32.2 1,116 124,199 2.4 46.95 1.7 Male farmers 30.3 24.6 36.0 629 126,245 2.8 48.45 1.4 Female farmers 23.1 17.4 28.7 487 126,772 2.7 44.60 1.4

2 Annex J: FFP Endline Indicators Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Indicators, 95% Confidence Intervals and Base Population [Madagascar, 2019] 95% Confidence Number Indicator Interval of Weighted Standard Standard Value Lower Upper Records Population Deviation Error DEFT Percentage of farmers who used at least three sustainable agricultural practices and/or technologies in the past 12 months 64.4 57.2 71.7 818 92,716 3.5 50.60 2.0 Male farmers 68.3 60.2 76.4 479 110,602 3.9 48.82 1.8 Female farmers 59.0 51.4 66.5 339 110,932 3.6 51.95 1.3 Percentage of farmers who used at least two sustainable crop practices and/or technologies in the past 12 months 50.8 43.7 57.8 1,148 128,818 3.4 52.62 2.2 Male farmers 54.1 45.8 62.3 646 128,818 4.0 52.34 1.9 Female farmers 46.4 40.1 52.8 502 128,818 3.1 52.65 1.3 Percentage of farmers who used at least two sustainable livestock practices and/or technologies in the past 12 months 34.1 29.3 38.9 1,148 128,818 2.3 49.90 1.6 Male farmers 38.0 32.3 43.8 646 128,818 2.8 50.98 1.4 Female farmers 29.0 23.9 34.1 502 128,818 2.5 47.90 1.2 Percentage of farmers who used at least two sustainable NRM practices and/or technologies in the past 12 months 2.4 0.8 4.0 818 92,716 0.8 16.06 1.4 Male farmers 2.9 0.8 5.0 479 110,602 1.0 17.67 1.3 Female farmers 1.6 -0.1 3.2 339 110,932 0.8 13.08 1.1 Percentage of farmers who used improved storage practices in the past 12 months 74.0 68.2 79.8 1,093 122,971 2.8 46.20 2.0 Male farmers 76.8 70.5 83.0 629 126,783 3.0 44.41 1.7 Female farmers 70.2 63.9 76.5 464 125,006 3.1 48.16 1.4 WOMEN'S HEALTH AND NUTRITION INDICATORS Prevalence of underweight women 15.7 12.1 19.3 918 98,397 1.7 38.61 1.4 Minimum Dietary Diversity - Women (MDD-W) 13.3 10.2 16.4 986 105,458 1.5 35.97 1.3 Women’s Dietary Diversity Score (WDDS) 2.9 2.8 3.1 986 105,458 0.1 1.42 1.5 Percent of births receiving at least 4 antenatal care (ANC) visits 62.1 56.5 67.6 483 51,906 2.7 52.13 1.1 Contraceptive Prevalence Rate 39.0 32.3 45.7 509 54,578 3.2 52.40 1.4

Annex J: FFP Endline Indicators 3 IMPEL | Implementer-Led Evaluation and Learning

Indicators, 95% Confidence Intervals and Base Population [Madagascar, 2019] 95% Confidence Number Indicator Interval of Weighted Standard Standard Value Lower Upper Records Population Deviation Error DEFT CHILDREN'S HEALTH AND NUTRITION INDICATORS Prevalence of underweight children under 5 years of age (Total) 15.9 12.0 19.9 755 75,730 1.9 39.09 1.3 Male 17.7 12.9 22.4 374 75,730 2.3 40.43 1.1 Female 14.2 9.9 18.4 381 75,730 2.1 37.54 1.1 Prevalence of stunted children under 5 years of age (Total) 39.4 33.7 45.0 755 75,730 2.7 52.20 1.4 Male 41.9 35.1 48.6 374 75,730 3.3 52.29 1.2 Female 36.9 30.1 43.7 381 75,730 3.3 51.96 1.2 Prevalence of wasted children under 5 years of age (Total) 2.9 1.5 4.3 755 75,730 0.7 17.92 1.0 Male 3.8 1.7 5.9 374 75,730 1.0 20.22 1.0 Female 2.0 0.4 3.6 381 75,730 0.8 15.07 1.0 Percentage of children under age 5 with diarrhea in the last two weeks (Total) 17.1 13.5 20.8 779 78,517 1.8 40.30 1.2 Male 16.3 11.6 20.9 392 78,631 2.3 39.38 1.1 Female 18.0 13.7 22.4 387 78,648 2.1 41.20 1.0 Percentage of children under age 5 with diarrhea treated with ORT (Total) 53.1 39.4 66.8 135 13,462 6.6 55.81 1.4 Male 56.4 41.0 71.8 66 45,387 7.4 54.55 1.1 Female 50.0 34.6 65.4 69 46,377 7.5 54.16 1.1 Prevalence of exclusive breast-feeding of children under six months of age 46.2 33.0 59.5 81 8,108 6.3 55.99 1.0 Male 48.4 29.8 67.1 46 40,628 9.0 53.74 1.1 Female 43.2 25.0 61.4 35 43,211 8.8 55.14 0.9 Prevalence of children 6-23 months of age receiving a minimum acceptable diet (MAD) 5.9 2.2 9.7 228 22,721 1.8 26.23 1.0 Male 6.7 1.5 11.9 108 49,556 2.5 27.34 1.0 Female 5.3 1.5 9.1 120 51,927 1.8 24.27 0.8 GENDER INDICATORS

4 Annex J: FFP Endline Indicators Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Indicators, 95% Confidence Intervals and Base Population [Madagascar, 2019] 95% Confidence Number Indicator Interval of Weighted Standard Standard Value Lower Upper Records Population Deviation Error DEFT Percentage of men and women who earned cash in the past 12 months 36.1 31.0 41.3 1,496 143,161 2.5 52.89 1.8 Percentage of men who earned cash in the past 12 months 48.5 42.5 54.5 747 71,546 2.9 55.62 1.4 Percentage of women who earned cash in the past 12 months 23.8 18.1 29.5 749 71,615 2.8 47.42 1.6 Percentage of men in union and earning cash who make decisions alone about the use of self-earned cash 9.5 6.5 12.5 313 34,607 1.5 32.00 0.8 Percentage of women in union and earning cash who make decisions alone about the use of self-earned cash 17.4 9.1 25.6 151 17,088 3.9 42.90 1.1 Percentage of men in union and earning cash who make decisions jointly with spouse/partner about the use of self- earned cash 64.7 57.3 72.0 313 34,607 3.5 52.08 1.2 Percentage of women in union and earning cash who make decisions jointly with spouse/partner about the use of self- earned cash 69.7 59.8 79.5 151 17,088 4.7 52.04 1.1 Percentage of men and women with children under two who have knowledge of maternal and child health and nutrition (MCHN) practices 78.2 73.4 83.0 353 51,911 2.3 44.81 1.0 Percentage of men with children under two who have knowledge of maternal and child health and nutrition (MCHN) practices 81.7 73.9 89.5 172 39,124 3.8 39.22 1.3 Percentage of women with children under two who have knowledge of maternal and child health and nutrition (MCHN) practices 78.2 70.0 86.5 181 20,952 4.0 47.88 1.1 Percentage of men in union with children under two who make maternal health and nutrition decisions alone 22.3 15.9 28.8 137 31,452 3.1 42.10 0.9 Percentage of women in union with children under two who make maternal health and nutrition decisions alone 29.4 21.5 37.3 146 16,756 3.8 53.48 0.8 Percentage of men in union with children under two who make maternal health and nutrition decisions jointly with spouse/partner 53.0 41.8 64.2 137 31,452 5.4 50.47 1.3

Annex J: FFP Endline Indicators 5 IMPEL | Implementer-Led Evaluation and Learning

Indicators, 95% Confidence Intervals and Base Population [Madagascar, 2019] 95% Confidence Number Indicator Interval of Weighted Standard Standard Value Lower Upper Records Population Deviation Error DEFT Percentage of women in union with children under two who make maternal health and nutrition decisions jointly with spouse/partner 51.2 42.8 59.6 146 16,756 4.0 58.67 0.8 Percentage of men in union with children under two who make child health and nutrition decisions alone 31.0 21.3 40.7 137 31,452 4.7 46.77 1.2 Percentage of women in union with children under two who make child health and nutrition decisions alone 27.9 20.1 35.8 146 16,756 3.7 52.67 0.9 Percentage of men in union with children under two who make child health and nutrition decisions jointly with spouse/partner 49.2 35.8 62.6 137 31,452 6.5 50.55 1.5 Percentage of women in union with children under two who make child health and nutrition decisions jointly with spouse/partner 59.3 49.6 68.9 146 16,756 4.6 57.67 1.0

* Not a required FFP Indicator

Food Security (All Households) Coping Strategies Index 45.8 38.7 52.8 959 91,631 3.4 48.61 2.2 Agriculture (All Farmers) Percentage of farmers who used agricultural or livestock services in the past 12 months 13.6 9.8 17.4 1,093 122,971 1.8 36.13 1.7 Male farmers 13.6 9.8 17.4 629 126,783 1.8 36.01 1.3 Female farmers 13.7 9.1 18.3 464 125,006 2.2 36.22 1.3

6 Annex J: FFP Endline Indicators Final Performance Evaluation of the ASOTRY DFSA in Madagascar

ANNEX K: DATA COLLECTION INSTRUMENTS Part A: Qualitative Study Topical Outlines

ASOTRY Endline Qualitative Evaluation

The purpose of the investigations using the following questions is to obtain information through qualitative instruments (key information interviews, focus group discussions, and activity observations) to provide context and explanations for the performance results indicated in the quantitative household survey. The questions are designed to:

1. Assess the quality of the outputs produced under each objective 2. Gather information that assists in providing context and explanation for the outcomes and impact generated by respective interventions 3. Assess the quality of the approaches used by the program 4. Provide information to aid in determining the potential sustainability of the impact that has been achieved Information will be gathered in conversation with program participants, interviews with program implementation staff and program managers, and observation of program activities and outputs. The following topical outlines and questions are organized by each set of purposes/ objectives of the ASOTRY program.

TOPICAL OUTLINE General questions (All Team Members)

1. How have you or other members of your household participated in this program? Please describe your involvement in ASOTRY activities (integration) 2. How did the project/activities help you, your family and community? Give examples. 3. Were there any negative effects of the program on you, your family, others? 4. What changes (positive and negative) have you seen in your community as a result of the ASOTRY program? 5. Which practices have been adopted by non-project participants? (why and how) 6. Was the targeting appropriate (e.g., who should have been included in activities but was not, who should not have been included? (special needs, criteria, process, etc…) 7. What has been the involvement of other agencies during ASOTRY? (complementarity, coordination, sustainability) 8. Are there locations/resources in your community that members would wish to access but have not for the past year due to insecurity/or avoidance of conflict? How has the level of access to this resource changed? How free are you to move around? Has this changed over time? 9. Who in your community most benefited from ASOTRY and why? (individuals or group/type) 10. Who in your community least benefited from ASOTRY and why? (landless, disabled, more remote, etc.) 11. Do you think project interventions were in alignment with community priority needs? 12. How could the project have helped you/your family/your community better?

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13. Did any conflicts take place in your community during implementation? How did the program respond/handle the situation? 14. Any lessons learned or to be learned from ASOTRY to apply to similar projects in Madagascar? (general, specific, cross-cutting, outcomes/impact, process, etc.) 15. If you had/might have had any problem with any activity/staff, what did you do/would have done? [Accountability] 16. How were the relationships regarding: a) ADRA, b) ASOTRY partners, c) project stakeholders, d) others……….. [Accountability] 17. Is there any other additional information you would like to share with us about your access to and consumption of food, your work/livelihood, and healthcare practices? 18. Anything else we have not discussed?

TOPICAL OUTLINE Sustainability (All Team Members)

Longer-term sustainability of the effects and impact being achieved by the ASOTRY Program is an area of investigation that will be covered by each team member who is investigating specific purposes and sub- purposes. The following questions are intended to guide interviews and discussions around analyzing sustainability when the discussions/interviews reach that point.

1. For the changes that you have described as having been facilitated by the program, how permanent are the changes? 2. What resources are required to sustain the changes? Where do those resources come from now? Where will they come from after the ASOTRY Program has ended? 3. What relationships, such as for technical support, inputs, marketing, social capital or political capital, are required to sustain the changes? What role has the ASOTRY Program had in developing or facilitating these relationships? After the program ends, how do you think these relationships will change? 4. What are the biggest challenges or threats to sustaining the changes induced by the ASOTRY Program? How can these challenges be addressed? 5. What exit strategies are in place to ensure sustainability? Are you confident in the strategies?

TOPICAL OUTLINE Women's Empowerment and Gender Equity (All Team Members)

These questions will be asked of technical staff and partner managers and staff and local Government officials who know the program at the national and local levels. The questions are open-ended to encourage discussion.

I. General Background 1. What is your current position? What is your association with the ASOTRY Program? How long have you worked with program? 2. What activities are you engaged in on gender? II. Activities A. Program Design and Implementation 1. What documents or plans currently guide your work on gender? To what extent is the original gender strategy guiding the day-to-day activities of the program?

8 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

2. Has the program had to drop any of the original planned activities? If yes, why? 3. In your opinion, were the right gender activities identified? Have the activities fit the needs of the communities? Are the activities appropriate to the local context? Why or why not? 4. Have you received any training related to gender to support you to do your work? If yes, have you applied any of what was covered? What / how? 5. Do you think programming has had a sustainable impact on gender equity within the communities? How? B. Collaboration with Government Extension Offices & Partners 1. Tell me a bit about your working relationship with the ASOTRY Program. What other counterparts do you work with on gender-related priorities? 2. Has ASOTRY successfully integrated gender program activities within the local development plans? What is the collaboration with other programs or programs? Factors affecting local collaboration. Success/ challenges? 3. Please describe the training you have received from the ASOTRY Program. What types of gender training? How were participants selected to participate? What were the most successful training activities? What were less successful training activities? Why? What has been happening after the trainings? 4. What have been some of the greatest successes to date? The greatest challenges? 5. Who in a household makes important household decisions? Any changes for the past 2 years (Probe for which decisions are considered “important”; e.g., deciding medical treatment, education, taking out loans, bearing more children, etc.?) Probe for reasons/details for all questions. C. Overall impression 1. What is your understanding of empowerment? Do you think the program has been able to empower women and men in the program area? How? probe 2. What changes, positive or negative, have you noticed in the communities in which you work since the program began? Do you feel the well-being of the program participants have changed over the last two years? Probe for how it’s better/worse and why 3. In your opinion, which activities have been the most successful? For whom? What program activities should be included to promote gender and equity for the remaining period of the program? Why? 4. What has been the key lessons learned from the implementation of the program as well as partnering with different stakeholders to achieve gender equality? 5. Have gender norms/cultural beliefs in the community impacted outcomes? How? 6. Have there been any negative gender-related outcomes? [Probe for possible increase in gender-based violence as a result of women specific benefits].

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TOPICAL OUTLINE SO1- Improved health and nutrition status of women of reproductive age and children under five

Purpose 1: Improved health and nutrition status of women of reproductive age and children under five Sub purpose 1.1 Improved health and nutrition behaviors of caregivers and children 0-59 months Immediate Outcome 1.1.1 Improved awareness of nutritional status Immediate Outcome 1.1.2 Improved knowledge of appropriate health and nutrition practices Immediate Outcome 1.1.3 Increased access to a diversified and sufficient food Sub purpose 1.2 Increased utilization of health and nutrition services for women of reproductive age and children 0-59 months Immediate Outcome 1.2.1 Increased access to quality community health services Immediate Outcome 1.2.2 Increased awareness of available services Sub purpose 1.3 Reduced incidence of water- and hygiene-related illnesses for children under five Immediate Outcome 1.3.1 Increased access to drinking water Immediate Outcome 1.3.2 increased access to sanitation and hygiene facilities and equipment Immediate Outcome 1.3.3 Increased adoption of appropriate WASH behaviors

 Care group leaders  Care group clients  Village health workers  Community health volunteers (CHVs)  Community support groups for health and nutrition  Participants who attended courtyard sessions (for breastfeeding, dietary diversity, good WASH practices, improved household latrines)  Lactating mothers for breastfeeding, cooking and feeding demonstrations  Lead Mothers  Supplemental food ration recipients  CoSan (Comité de Santé)  Community Health Centers (Centre de la Santé à la Base, CSB)  Comité Communal de Développement de la Santé (CC DS)  Village leaders (awareness regarding intra-household food distribution, improved household latrine demonstrations, modified/hybrid)  Community-based water management committees  Health Committees implementing health advocacy campaigns  Implementing Partner NGOs (WASH and MCHN)  Program implementing staff: SO1 Coordinator, Sector Technicians (WASH and MCHN)  Program Technical staff: MCHN Advisor and Capacity Strengthening Advisor

Site Visits/Observations may include: MCHN ration post-distribution activity (HH visit), Community Health Center/Community clinic visits, latrine, hand washing facilities and water point visits.

10 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

TOPICS TO BE COVERED WITH COMMUNITY-LEVEL PARTICIPANTS

SUBGROUP: Male and female household heads; male and female youth; community health workers

Evaluation Questions (MNCH/nutrition) Intervenants clés Bénéficiaires directs (AC, lead mothers, Bénéficiaires indirects Criteria (ADRA team, Ministères, paysans leaders) (mères, pères, jeunes gens) secteur privé) Impact What role have you played in What is your role in ASOTRY? Would you tell us a bit After you introduce yourself, would you, ASOTRY to ensure that households about ASOTRY? (goal, objectives , results) please, share what you have learned or and communities have food reinforced as messages on food security and How would you describe food insecurity and /or security and better nutrition? nutrition with ASOTRY Program? (nutritional malnutrition? Is it the same for children and adults? status, nutrition practices, access to diversified Tell us about ASOTRY program In your opinion, what tangible results has ASOTRY and sufficient food, etc.) (health, nutrition and WASH): goal, achieved in households and communities? What objectives, results. were determining factors that influenced positively or negatively to it? Explain.

Beneficiary Do you think ASOTRY beneficiaries Tell us about stories you are proud of around Is there any period that people in your satisfaction (direct and indirect ones) were ASOTRY. Give us some details on it. community lack of food? Has it changed satisfied? Why or why not? recently? (positively, negatively) Why? Any failure? Why?

Relevance Were you involved in selecting What is/are ASOTRY component(s) you like the In your opinion, what is food insecurity and ASOTRY beneficiaries? If yes, how most. Why? (concept, approach, tools, messages, malnutrition? did you do? If not, why? work organization, etc.) In case you detect that your baby has Would you rather say that ASOTRY met your needs malnutrition problem, what would you do? or not? Justify. (Where or to whom to go?) Why?

Effectiveness What can you tell us about the Tell us about your work organization during ASOTRY Have you heard about ‘lead mothers’ program implementation? implementation. (planning, target people, collaborating with ASOTRY? What difference (health/nutrition, WASH) messages, collaboration, tools, available services, have they made in your surrounding? Is there etc.) any improvement to bring in the way they intervene?

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Intervenants clés Bénéficiaires directs (AC, lead mothers, Bénéficiaires indirects Criteria (ADRA team, Ministères, paysans leaders) (mères, pères, jeunes gens) secteur privé) Coordination Who were involved as partners Did you work alone or was there someone to Have you personally changed something in the during ASOTRY implementation and support you? way you or your children eat because of some what was their respective role? ASOTRY implementers?

If yes, have you shared it to others? Why or why not?

Sustainability Did you have any particular What difference has ASOTRY made in your home Could you name any behavior change and strategy for sustainable results? If first, then in your community as far as nutrition is promoted by ASOTRY? Do you apply it/them? Replicability not, why? concerned? If yes, how would you sustain it beyond Do you have any particular strategy to make it last ASOTRY? far beyond ASOTRY period?

Cross‐cutting What about gender and Is ASOTRY conveying gender and environmental What do you know about gender and issues environmental considerations issues? If yes, how have you lived them personally? environmental issues conveyed by ASOTRY? through ASOTRY activities in health/nutrition and WASH?

Lessons What lessons have you learned Are there any other lessons on its impact, Is there any behavior change you or someone Learned from ASOTRY (negative/positive)? beneficiary satisfaction, relevance, effectiveness, in your community is proud of, especially Are there any other lessons on its coordination, sustainability and replicability, cross- concerning nutrition, hygiene, sanitation from impact, beneficiary satisfaction, cutting issues? ASOTRY? relevance, effectiveness, What would you suggest to do differently? coordination, sustainability and replicability, cross-cutting issues?

12 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

SUBGROUP: Participants targeted by WASH interventions/activities

GUIDE DE DISCUSSION FGD POUR LES BENEFICIAIRES ET NON-BENEFICIAIRES (WASH)

Eau Questions principales Questions additionnelles Questions explicatives Pouvez-vous parler de l’eau que la Y a-t-il différentes sources pour l’eau (à boire) Lesquelles ? population a l’habitude d’utiliser pour Pourriez-vous les décrire ? boire dans votre village?

Que faites-vous pour rendre l’eau Préciser les méthodes que vous utilisez pour rendre l’eau Pourquoi ? potable ? potable

Décrivez les difficultés que vous rencontrez pour obtenir et rendre l’eau potable

Quel type d’eau boivent les gens quand Décrivez ils sont dans les champs ?

Pouvez-vous parler des points d’eau Quels types ? Décrivez : que vous avez l’habitude d’utiliser pour Qui les utilise ? - Distance ? boire ? - Nombre de personnes qui les utilisent ?

- Temps mis pour aller et venir chercher de l’eau ? - Qui va chercher l’eau ? Pourquoi ? Le point d’eau est-il des fois hors de Quelle est la fréquence ? Comment faites-vous pour le réparer ? fonction ? Ou allez-vous chercher de l’eau quand elle est Qui le répare ? défectueuse ou abimée ? Combien de temps en moyenne prend-il pour le voir Quelles sont les mesures prises pour réduire réparé ?

< 3 jours ? 3-7 jours ? 8-14 jours ?15-30jours, plus de 30 jours ?

Y a-t-il des gens qui n’ont pas accès à Est-il plus facile pour vous d’obtenir l’eau potable par Pourquoi ? l’eau potable ? rapport aux autres personnes qui n’en n’ont pas?

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Questions principales Questions additionnelles Questions explicatives Est-il plus difficile pour vous d’obtenir l’eau potable par rapport aux autres personnes qui en ont ?

Que pensez-vous de la pérennité des Que suggérez-vous pour qu’ils soient pérennes ? Pourquoi ? points d’eau ?

Sanitation Questions principales Questions additionnelles Questions explicatives Parlez de l’utilisation de latrine par la population a Quel type de latrine utilisent-ils ? Pourquoi ? l’habitude d’utiliser dans votre village Quel type de latrine utilisez-vous ?

Qui utilisent les latrines ?

Combien de ménages utilisent une latrine en moyenne ? Combien de ménages utilisent votre Expliquer comment votre communauté s’organise latrine ? pour l’acquisition et l’utilisation de latrine

Quels problèmes rencontrez-vous pour avoir accès à une Comment faites-vous pour faire face ? Pourquoi ? latrine VIP Quelles sont vos suggestions ?

Que suggérez-vous pour obtenir une couverture plus Expliquez Pourquoi ? importante en latrine dans votre village?

Votre mot en ce qui concerne le genre ? Qu’en pensez-vous ?

14 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Hygiene Questions principales Questions additionnelles Questions explicatives D’habitude, à quel endroit allez-vous pour vous Comment faites-vous ? Pourquoi ? laver les mains ? Quels produits détergents utilisez-vous ? (vérifier)

A quel moment vous lavez-vous les mains Combien de fois par jour en moyenne ? Pourquoi ? d’habitude ?

Quelle eau utilisez-vous pour laver les légumes et Est-elle différente que l’eau que vous buvez ? Pourquoi ? les fruits

Satisfaction Questions principales Questions additionnelles Questions explicatives Parlez de votre satisfaction par rapport au Qu’est-ce qui vous a satisfait le plus ? Pourquoi ? programme relatif à l’eau de ASOTRY Qu’est-ce qui vous a satisfait le moins ?

Crossing Cutting Issues

1. Gender composition of water point? 2. Any incidents of bullying by boys/men? 3. Cleanliness of water points? 4. Service and repair of water points-women, Village pump mechanics (VPMs)? 5. User friendliness of latrines- girls, young mothers? 6. Gender and decision-making in higher level committees/structures?

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TOPICAL OUTLINE SO2 - Increased Access to Food for Vulnerable Household

Purpose 2. Increased Access to Food for Vulnerable Households Sub purpose 2.1. Increased Agriculture Production Immediate Outcome 2.1.1. Increased Access to Inputs Sub- Immediate Outcome 2.1.1.1 Increased linkages to services and input providers Immediate Outcome 2.1.2. Improved Agricultural Production Practices Sub-Immediate Outcome 2.1.2.1: Increased Agricultural Knowledge Immediate Outcome 2.1.3. Increased Access to Irrigation Sub- purpose 2.2 Increased Agricultural Sales Immediate Outcome 2.2.1 Improved market roads Immediate Outcome 2.2.2 Improved Storage Practices Sub- Immediate Outcome 2.2.2.1 Improved Storage practices Knowledge Sub-Immediate Outcome 2.2.2.2 Increased Storage Facilities Immediate Outcome 2.2.3: Improved Marketing Skills Sub-Immediate Outcome 2.2.3.1: Improved Marketing Knowledge Improved Sub- Immediate Outcome 2.2.3.2: Increased Market Linkages Sub-purpose 2.3. Increased engagement of women and men in diversified viable micro-enterprises Immediate Outcome 2.3.1 Increased Access to Credit – ASOTRY, MFIs other Immediate Outcome 2.3.2 – Improved Entrepreneurial skills Sub-Immediate Outcome 2.3.2.1: Improved financial management knowledge Sub-Immediate Outcome 2.3.2.2: Improved business management knowledge

The following topics should be covered with community-level participants through key informant interviews or focus group discussions.

 Farmer Field Schools (FFS)  Farmer Business Associations (FBA)  Village Savings and Loan Associations (VSLA)  Lead farmers (LF)  Agriculture Service Centers (CSA)  Local Seed Producers (LSP)  Agricultural Collection Centers (ACC)  Community Livestock Workers (CLW)  Livestock Marketing Groups (LMG)  Government Ag/Vet staff  Financial sector actors  Marketing/value chain actors Site visits/observations may include: Farmer fields and demo plots; HH food stores; Livestock pens;

16 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

SUBGROUP: Livelihoods; Farming; VSL groups, value chain groups, producer groups, Community Volunteers

1. What are the primary sources of income for your HH; the majority of households in this community? [Agriculture, livestock, trading, services, combination (primary, secondary, etc.), Other: selling wild food, firewood, charcoal, etc...] And who is involved in those activities? 2. Are there improvements in the capacity of your household to cover its nutritional needs, health care needs, and other necessary expenses over the last 5 years? If so, which and how? 3. What is the difference in borrowing and saving money now and before ASOTRY (your HH and in community)? 4. What are the main constraints to improving your capacity to: 1) feed your family; 2) earn income? 5. Of all the activities, tools and practices promoted by ASOTRY [explain]: a. What have been the best/most useful ones for crop production? b. What have been the best/most useful ones for livestock production? c. What have been the hardest/least useful ones to use for crop production? d. What have been the hardest/least useful ones to use for livestock production? e. What have been the best/most useful ones for improving livelihoods/income? f. What have been the hardest/least useful ones improving livelihoods/income? 6. Farming: What is the difference between now and before ASOTRY for (quant&qual)? a. Access and use of Ag inputs (seed, tools, fertilizer, pesticides); b. Crop Production (crop types, labor, tools, land use, pest management, Soil & Water Conservation practices, timing, harvesting); c. Post-Harvest (processing, storing, transporting d. Consumption and Selling (what, how, how much); e. Livestock (what and #s, production practices, veterinary support and practices, consumption & selling, …); f. Gender roles in farming, PH, marketing; g. External support (gov’t, private sector, NGOs, marketing networks, Community Volunteers, etc.). 7. Are there business development opportunities that you believe would help build food security in this area? Please explain. 8. How can communities be best supported to improve their livelihood/income sources?

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TOPICAL OUTLINE SO3 - Improved disaster mitigation, preparedness, and response invulnerable communities

Purpose 3: Improved disaster mitigation, preparedness, and response invulnerable communities. Sub-purpose 3.1: Community disaster mitigation assets improved Immediate Outcome 3.1.1: Environmentally sound community Infrastructure developed/maintained Immediate Outcome 3.1.2: Gender inclusive community infrastructure management systems implemented Sub-Immediate Outcome 3.1.2.1: IMA leadership strengthened Sub-Immediate Outcome 3.1.2.2: Community awareness of infrastructure management responsibilities increased Immediate Outcome 3.1.3: Improved community natural resource management Sub-Immediate Outcome 3.1.3.1: Community knowledge of natural resources management Sub-Intermediate Outcome 3.1.3.1.2: Community assets to NRM inputs increased Sub-purpose 3.2 Community early warning systems improved Immediate Outcome 3.2.1: Community knowledge of early warning systems improved Sub-Immediate Outcome 3.2.1.1: Communities mobilized in early warning system responsibilities Immediate Outcome 3.2.2: Community early warning structures capacities increased Sub-immediate Outcome 3.2.2.1: Community EWS links to national, international EWS formed Sub-purpose 3.3: Community response capacities improved Immediate Outcome 3.3.1: Community disaster preparedness knowledge improved Immediate Outcome 3.3.2: Community disaster response capacity increased Immediate Outcome 3.3.3: Community links to external response structures improved

The following topics should be covered with community-level participants through key informant interviews or focus group discussions.

 Disaster Risk Management Committee (DRMC)  Infrastructure Management Associations (IMA)  Community Development Committees (CDC)  Water User Associations (WUA)  Administrative and traditional leadership Site visits/observations may include: roads, water points, community assets, irrigation schemes, soil and water conservation schemes, DPMP and NRM plans, ….

[keywords/concepts: NRM, IMA, EWS, EWR, Disaster Preparedness and Mitigation Plans, NRM plans, Community-Based Natural Resource Management]

1. What are the main local disaster risks (past, current, future; slow/fast onset; natural/man- made)? 2. How are you now better prepared against those risks?

18 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

3. How has ASOTRY helped to address those risks? [main activities implemented for DRR with the project (HH and community level; software and hardware; preparedness and response)?] 4. What is working well and is sustainable? 5. What is not working well and less sustainable? (What, why and how) 6. What are the constraints to improving DRR? 7. What are the gender roles & responsibilities in DRR?

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Part B: Quantitative Population-Based Survey Household survey

Madagascar Endline Survey (Pilot)

Begin Module A: Household ID and Informed Consent Respondent for this module: Head of HH or Responsible Adult ◯ AMORON I MANIA ◯ ATSIMO ANDREFANA A01: Region ◯ ATSINANANA ◯ HAUTE MATSIATRA ◯ VATOVAVY FITOVINANY ◯ AMBATOFINANDRAHANA ◯ AMBOSITRA ◯ FANDRIANA ◯ MANANDRIANA ◯ AMPANIHY OUEST ◯ BETIOKY ATSIMO ◯ MOROMBE ◯ SAKARAHA ◯ TOLIARY-II ◯ BRICKAVILLE A02: District ◯ TOAMASINA II ◯ AMBALAVAO ◯ AMBOHIMAHASOA ◯ LALANGINA ◯ VOHIBATO ◯ IFANADIANA ◯ MANANJARY

p_cat=${A01}

◯ AMBONDROMISOTRA ◯ SOAVINA ◯ TSARASAOTRA ◯ ALAKAMISY AMBOHIMAHAZO ◯ MAHAZOARIVO ◯ AMBOHIMAHAZO ◯ ANKILIMIVORY ◯ BELAFIKE HAUT ◯ BEROY SUD A03: Commune ◯ GOGOGOGO ◯ VOHITANY ◯ ANKAZOMANGA OUEST ◯ LAZARIVO ◯ MAROARIVO ANKAZOMANGA ◯ MAROSAVOA ◯ AMBAHIKILY ◯ ANTANIMIEVA ◯ BASIBASY ◯ BEFANDRIANA SUD

20 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ TANANDAVA STATION ◯ MIKOBOKA ◯ MITSINJO ◯ ANDRANOVORY ◯ BEHOMPY ◯ BELALANDA ◯ MAROMIANDRA ◯ MIARY ◯ MITSINJO BETANIMENA ◯ TSIANISIHA ◯ AMBALARONDRA ◯ AMPASIMBE ◯ ANDOVORANTO ◯ ANIVORANO EST ◯ ANTSAPANANA ◯ BRICKAVILLE ◯ RANOMAFANA EST ◯ VOHIPENO RAZANAKA ◯ VOHITRANIVONA ◯ AMBODITANDROROHO ◯ FANANDRANA ◯ AMBINANINDOVOKA ◯ AMBOHIMANDROSO ◯ ANJOMA ◯ MAHAZOMY ◯ AMPITANA ◯ ANKAFINA TSARAFIDY ◯ SAHAVE ◯ VOHIPOSA ◯ AMBALAKELY ◯ IVOAMBA ◯ MAHATSINJONY ◯ SAHAMBAVY ◯ MAHASOABE ◯ VOHITRAFENO ◯ AMBIABE ◯ ANDRORANGAVOLA ◯ IFANADIANA ◯ KELILALINA ◯ AMBOHIMIARINA II ◯ ANDONABE ◯ ANKATAFANA ◯ ANOSIMPARIHY ◯ ANTSENAVOLO ◯ KIANJAVATO ◯ MAHATSARA SUD ◯ TSARAVARY ◯ TSIATOSIKA

dis_cat=${A02}

◯ EA-22307011 A04: Enumeration area (EA) code ◯ EA-22308001

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◯ EA-22308009 (Remplacement) ◯ EA-22308016 ◯ EA-22308031 ◯ EA-22106001 ◯ EA-22106010 (Remplacement) ◯ EA-22106023 ◯ EA-22215004 ◯ EA-22212003 ◯ EA-22212011 (Remplacement) ◯ EA-22407006 ◯ EA-22407007 (Remplacement) ◯ EA-51912013 ◯ EA-51908009 ◯ EA-51902004 ◯ EA-51902022 ◯ EA-51907004 (Remplacement) ◯ EA-51907011 ◯ EA-51907029 ◯ EA-51905016 ◯ EA-51819003 ◯ EA-51829009 ◯ EA-51820006 ◯ EA-51820013 (Remplacement) ◯ EA-51827005 ◯ EA-51305022 ◯ EA-51305043 ◯ EA-51305061 ◯ EA-51309013 ◯ EA-51303005 ◯ EA-51303027 ◯ EA-51308010 ◯ EA-51308034 ◯ EA-51306011 ◯ EA-51306014 (Remplacement) ◯ EA-51511012 (Remplacement) ◯ EA-51512005 ◯ EA-51614018 ◯ EA-51613006 (Remplacement) ◯ EA-51613008 ◯ EA-51611010 ◯ EA-51612010 ◯ EA-51601001 ◯ EA-51616005 ◯ EA-51616019 ◯ EA-51609010 ◯ EA-31303012 ◯ EA-31314008 ◯ EA-31317002 ◯ EA-31308002 ◯ EA-31318008 ◯ EA-31301015 ◯ EA-31315012 ◯ EA-31310007 (Remplacement)

22 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ EA-31309011 ◯ EA-31216004 (Remplacement) ◯ EA-31215003 ◯ EA-31215026 ◯ EA-21703008 ◯ EA-21708005 ◯ EA-21704013 ◯ EA-21704022 (Remplacement) ◯ EA-21706002 ◯ EA-21202006 ◯ EA-21206012 ◯ EA-21207004 (Remplacement) ◯ EA-21207013 ◯ EA-21210012 ◯ EA-21501007 ◯ EA-21505007 ◯ EA-21507005 (Remplacement) ◯ EA-21507013 ◯ EA-21508013 ◯ EA-21602004 ◯ EA-21602023 ◯ EA-21609012 (Remplacement) ◯ EA-23415002 (Remplacement) ◯ EA-23412016 ◯ EA-23401001 ◯ EA-23411009 ◯ EA-23321001 (Remplacement) ◯ EA-23326004 ◯ EA-23323013 ◯ EA-23325008 (Remplacement) ◯ EA-23322013 ◯ EA-23320009 ◯ EA-23314007 ◯ EA-23329002 ◯ EA-23315017

w_cat=${A03}

A05: Household number (HH) Household Listing ID: This is the HH number from the listing map (sketch map) A05b: Household number (HH) Question A05b is an intentional duplicate question. Enumerator must correctly enter the "Household Number" twice in order to continue with the survey. ◯ 1 ◯ 2 ◯ 3 A06: Supervisor Name and Code ◯ 4 ◯ 5 ◯ 6 ◯ 7

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◯ 8 ◯ 9 ◯ 10 ◯ 11 ◯ 12 ◯ 13 ◯ 14 ◯ 15 ◯ 16 ◯ 17 ◯ 18 ◯ 19 ◯ 20 ◯ 1 ◯ 2 ◯ 3 ◯ 4 ◯ 5 ◯ 6 ◯ 7 ◯ 8 ◯ 9 ◯ 10 ◯ 11 ◯ 12 ◯ 13 ◯ 14 ◯ 15 ◯ 16 ◯ 17 ◯ 18 ◯ 19 ◯ 20 A07: Enumerator Name and Code ◯ 21 ◯ 22 ◯ 23 ◯ 24 ◯ 25 ◯ 26 ◯ 27 ◯ 28 ◯ 29 ◯ 30 ◯ 31 ◯ 32 ◯ 33 ◯ 34 ◯ 35 ◯ 36 ◯ 37 ◯ 38 ◯ 39 ◯ 40

24 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ 41 ◯ 42 ◯ 43 ◯ 44 ◯ 45 ◯ 46 ◯ 47 ◯ 48 ◯ 49 ◯ 50 ◯ 51 ◯ 52 ◯ 53 ◯ 54 ◯ 55 ◯ 56 ◯ 57 ◯ 58 ◯ 59 ◯ 60 ◯ 61 ◯ 62 ◯ 63 ◯ 64 ◯ 65 ◯ 66 ◯ 67 ◯ 68 ◯ 69 ◯ 70 ◯ 71 ◯ 72 ◯ 73 ◯ 74 ◯ 75 ◯ 76 ◯ 77 ◯ 78 ◯ 79 ◯ 80

enum_cat=${A06}

Begin Interview: Please READ: "Hello. My name is (__). I am working with Agence CAPSULE. We are conducting a survey to learn about food security, food consumption, nutrition and wellbeing of households in Madagascar. Your household was selected for the survey. I would like to ask you some questions about your household. The questions usually take about 2 hours. All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time. Another member of

Annex K: Data Collection Instruments 25 IMPEL | Implementer-Led Evaluation and Learning

my team will come and take height and weight measurements of the eligible children in the HH." It is necessary to introduce the household to the survey and obtain the consent of all respondents. 1. First identify the primary decision maker and conduct the informed consent with them. 2. Then begin the interview. Add household members by selecting "Add group", when done select "Do not add". Consent for subsequent modules will be at the beginning of each module. A08. Please tell me who is the primary male adult (15 years or older) decision-maker in the household?

In households where there are no adult males, please enter "0". A09. Please tell me who is the primary female adult (15 years or older) decision-maker in the household?

In households where there are no adult males, please enter "0". A10. Does the primary adult (15 years or older) decision-maker in the household consent to participate in this household survey? ◯ Yes, I agree to participate in the survey If the Head of HH is not available, you may select the next primary adult ◯ No, I do not agree to participate in the decision maker as long as they are aged 15 years and over. You still must survey start the survey by recording the Head of Household first, even if this person is not present.

Begin Module B. Household Roster Respondent for this module: Head of HH or Responsible Adult Please tell me the name and sex of each person who lives here, starting with the head of the household. For our purposes today, members of a household are adults or children that live together and eat from the "same pot". It should include anyone who has lived in your house for 6 of the last 12 months, but it does not include anyone who lives here but eats separately. HH Member ID #: ${mem}

B01: Name of the household member

B02: How old is ${B01}? C'est l'âge au moment du dernier anniversaire. If age is less than 1, then please enter "0". If age is more than 95, then please enter "95". ◯ Male B03: Is ${B01} male or female? ◯ Female B03a: Yes, this is a female between the ages of 15 and 49 years of age and is eligible for module E, please mark the paper tools accordingly. (${B02}>=15 and ${B02}<=49) and ${B03}=2 This is a necessary count question. Please answer yes to B03a and move on to question B04. There is no need to re-ask the respondent her age. This ◯ Yes, she is an eligible female between the question will only appear if she has already answered between 15 and 49 ages of 15 and 49 years of age years of age for question B2. ${mem} = 1 B04_1: What is the relationship of ${B01} to the head of the household? ◯ Head of household ${mem} > 1 B04_2: What is the relationship of ${B01} to the head of the household? Household Head is the first household member entered ◯ Spouse ◯ Daughter/Son

26 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Daughter/Son-in-Law ◯ Grandchild ◯ Parent ◯ Parent-in-Law ◯ Brother/Sister ◯ Other family relation ◯ Adopted/Foster/Stepchild ◯ Not Related ◯ Don't Know ◯ Refused ${mem} > 1 and ${B02}>=15

◯ B05: Is ${B01} a responsible adult if head of household is absent? Yes ◯ No ◯ Don't know ◯ Refused to answer ${B05}=1

B05a: Yes, this person is an eligible household member for modules F and H2 - H7, please mark the paper tools accordingly. ◯ Yes, this person is an eligible household member, please mark the paper tools accordingly. ${B02}>=15

B06: Is ${B01} the primary person responsible for food preparation in the ◯ Yes household? ◯ No ◯ Don't know ◯ Refused to answer ${B06}=1

B06a: Yes, this person is an eligible household member for modules C and H1, please mark the paper tools accordingly. ◯ Yes, this person is an eligible household member, please mark the paper tools accordingly. B07: Who is the primary caregiver of ${B01}? ${B02} The primary caregiver and the child are eligible for Module D (Primary Caregiver). Please mark the paper tools accordingly

B07a: Who is the primary caregiver of ${B01}? ${B02}>=2 and ${B02} The primary caregiver and the child are eligible for Module D (Primary Caregiver). Please mark the paper tools accordingly ${B02}>=15

B08: Is ${B01} the biological parent of a child under the age of 2 (23 ◯ Yes months or younger) living in this household? ◯ No ◯ Don't know ◯ Refused to answer B08b: Yes, this person is biological parent of a child under the age of 2 (23 ${B08}=1 months or younger) and is eligible for module K, please mark the paper tools accordingly. ◯ Yes, this person is biological parent of a child Please select “yes”, this person is the biological parent of a child under 2 under the age of 2 (23 months or younger)

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B09: Has ${B01} done any work in the last 12 months? **Work includes jobs in the formal and/or informal sector, full time, part time, or seasonal work that is done within and/or outside the home. It includes, but is not limited to agricultural daily wage labor, off-farm daily ${B02}>=15 wage labor, income generation activities, sale of goods produced or processed outside the home or at the home, homestead garden or farm ◯ Yes (e.g., vegetables, eggs, fish, livestock, artisanal goods), or petty trading. ◯ For this indicator, work does not include participating in cash for work, No food for work, or conditional transfers and/or productive safety net ◯ Don't know programs. It does not include either caring for own children, cooking, ◯ Refused to answer cleaning or doing other routine chores for own household (e.g., fetching water, collecting firewood) or being involved in agricultural production solely for household consumption. ${B02}>=15 and ${B09}=1

◯ Cash only B10: During the last 12 months, was ${B01} usually paid in cash or kind for ◯ Cash and in-kind this work or was ${B01} not paid at all? ◯ In-kind only ◯ Not paid ◯ Don't Know ◯ Refused ${B10}=1 or ${B10}=2 B10a: Yes, this person is an eligible cash earner who has worked and earned cash in the past 12 months and is eligible for module J, please mark the paper tool accordingly. ◯ Yes, this household member has worked and Please select “yes”, this person is an eligible cash earner earned cash in the past 12 months, please mark the paper tool accordingly ${B02}>=15 or ${B02}=-8 or ${B02}=-9 B11: Does ${B01} have access to a plot of land (even if very small) over which you make decisions about what will be grown, OR how it will be grown, OR how to dispose of the harvest? ◯ Yes ◯ Includes plots of land allocated to farmers for growing crops but not No owned ◯ Don't know ◯ Refused to answer ${B02}>=15 or ${B02}=-8 or ${B02}=-9

B12: Does ${B01} have animals and/or aquaculture products over which ◯ you make decisions about their management OR how to dispose of the Yes production? ◯ No ◯ Don't know ◯ Refused to answer B12a: Yes this person is a Farmer and is eligible for module G, please mark ${B11} = 1 or ${B12} = 1 the paper tool accordingly. Please select "yes", this person is an eligible farmer ◯ Yes, this person is an eligible farmer ${B02}>=15

◯ Married or living together ◯ B13: What is ${B01}'s current marital status? Divorced/separated ◯ Widowed ◯ Never married and never lived together ◯ Don't Know ◯ Refused B14: Is ${B01}'s natural mother alive? ${B02}<=17

28 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Yes ◯ No ◯ Don't know ◯ Refused to answer ${B14}=1

◯ B15: Does ${B01}'s natural mother usually live in this household? Yes ◯ No ◯ Don't know ◯ Refused to answer B15_a: What is her name? Record mother's line number from household roster (using the paper tool). ${B15}=1 If the mother's name is not on the roster, ensure that the mother is a household member, if yes make sure she is added to the roster list. Enter -8 for don’t know ${B02}<=17

◯ B17: Is ${B01}'s natural father alive? Yes ◯ No ◯ Don't know ◯ Refused to answer ${B17}=1

◯ B18: Does ${B01}'s natural father usually live in this household? Yes ◯ No ◯ Don't know ◯ Refused to answer B18_a: What is his name? Record father’s line number from household roster (using the paper tool). If ${B18}=1 the father's name is not on the roster, ensure that the father is a household member, if yes make sure he is added to the roster list. Enter -8 for don’t know ${B02}>=5

◯ B20: Has ${B01} ever attended school? Yes ◯ No ◯ Don't know ◯ Refused to answer ${B20}=1

◯ Pre-primary ◯ Primary B21: What is the highest level of school ${B01} has attended? ◯ Secondaire 1 ◯ Secondaire 2 ◯ Superieur ◯ Don't Know ◯ Refused B21_grade: What is the highest grade ${B01} completed at that level? ${B21}=1 or ${B21}=2 or ${B21}=3 or ${B21}=4

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◯ Less than 1 year completed ◯ T1 ◯ T2 ◯ T3 ◯ T4 ◯ T5 ◯ T6 (6ème) ◯ T7 (5ème) ◯ T8 (4ème) ◯ T9 (3ème) ◯ T10 (2nd) ◯ T11 (1ère) ◯ T12 (Terminale) ◯ 1ère année ◯ 2ème année ◯ 3ème année ◯ 4ème année ◯ ≥ 5ème année ◯ Don't Know ◯ Refused ◯ Don't Know ◯ Refused ◯ Don't Know ◯ Refused ◯ Don't Know ◯ Refused

cf=${B21}

(${B02}>=5 and ${B02}<=24) and ${B20}=1

◯ B22: Did ${B01} attend school at any time during the 2019 school year? Yes ◯ No ◯ Don't know ◯ Refused to answer ${B22}=1

◯ Pre-primary ◯ Primary B23: During this school year, what level was ${B01} attending? ◯ Secondaire 1 ◯ Secondaire 2 ◯ Superieur ◯ Don't Know ◯ Refused ${B23}=1 or ${B23}=2 or ${B23}=3 or ${B23}=4

◯ Less than 1 year completed B23_grade: During this school year, what grade was ${B01} attending? ◯ T1 ◯ T2 ◯ T3 ◯ T4

30 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ T5 ◯ T6 (6ème) ◯ T7 (5ème) ◯ T8 (4ème) ◯ T9 (3ème) ◯ T10 (2nd) ◯ T11 (1ère) ◯ T12 (Terminale) ◯ 1ère année ◯ 2ème année ◯ 3ème année ◯ 4ème année ◯ ≥ 5ème année ◯ Don't Know ◯ Refused ◯ Don't Know ◯ Refused ◯ Don't Know ◯ Refused ◯ Don't Know ◯ Refused

cf=${B23}

READ: Just to make sure that I have a complete listing: 1. Are there any other such persons such as small children or infants that we have not listed? 2. Are there any other people who may not be members of your family, such as domestic servants, lodgers, or friends who usually live here? 3. Does anyone else live here even if they are not at home now? Include children in school or household members at work or migrated 4. To add another roster member select "add group" Double check for child respondents Program Participation ◯ Yes B24: Are you (or anyone in HH) participating in ASOTRY Project or Fararano ◯ No Project activities? Or have you participated project activities in the past? ◯ Don't know Use Probes ◯ Refused to answer ${B24} = 1

B25: Are you (or anyone in HH) receiving food rations as part of ASOTRY ◯ Project or Fararano Project activities? Or have you received food rations in Yes the past from the project? ◯ No ◯ Don't know ◯ Refused to answer ${B24} = 1

B26: Are you (or anyone in HH) participating in nutrition training/meetings ◯ organized as part of ASOTRY Project or Fararano Project activities? Or have Yes you participated nutrition activities in the past? ◯ No ◯ Don't know ◯ Refused to answer

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${B24} = 1

B27: Are you (or anyone in HH) participating in agriculture-related ◯ trainings/meetings as part of the ASOTRY Project or Fararano Project Yes activities? Or have you participated agriculture activities in the past? ◯ No ◯ Don't know ◯ Refused to answer ${B24} = 1

B28: Are you (or anyone in HH) receiving cash transfers as part of ASOTRY ◯ Project or Fararano Project activities? Or have you received cash transfers Yes in the past? ◯ No ◯ Don't know ◯ Refused to answer ${B24} = 1

B29: Are you (or anyone in HH) participating in any other activities as part ◯ of the ASOTRY or Fararano Project? Or have you participated in any other Yes activities in the past? ◯ No ◯ Don't know ◯ Refused to answer Total number of roster members for this household is "${hm_count}" Total number of primary person(s) responsible for food preparation in the household "${prep_count}" (Module C, H1) Total number of responsible adult(s) if the head of household is absent is "${res_count}" (Module F, H2- H7) Total number eligible children under the age of two years (23 months or younger) is "${kid_count2}" (Module D1) Total number eligible children under the age of five years (59 months or younger) is "${kid_countall}" (Module D2) Total number of eligible farmers is "${farmers_count}" (Module G) Total number of eligible women between the age of 15 and 49 years of age is "${wom_age}" (Module E) Total number of eligible cash earners is "${cash_count}" (Module J) Total number of eligible biological parents with children under the age of 2 years is "${biopar_count}" (Module K) The primary adult decision-maker is "${A08}" The primary adult female decision maker is "${A09}" Begin Module F. Water, Sanitation and Hygiene Respondent for this module: Head of HH or Responsible Adult There are "${res_count}" responsible adults of the Head of HH is absent F1. Is the current primary decision maker willing to continue to the next ◯ Yes module? ◯ No ◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} F01_sel. Please select the name of the eligible household member ◯ ${hm7} Please refer to the paper tool for the name of the head of household or ◯ ${hm8} responsible adult who will answer the questions in this section ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} ◯ ${hm12} ◯ ${hm13} ◯ ${hm14}

32 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ ${hm15} ◯ ${hm16} ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23} ◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the F01a: Does ${F01} give consent to continue? survey ◯ Household Member was not available Drinking Water ◯ Piped into home ◯ Piped to yard/plot ◯ Public tap/standpipe ◯ Tube well or borehole ◯ Dug well - protected ◯ Dug well - unprotected ◯ Water from spring - protected ◯ Water from spring - unprotected ◯ Rainwater F04: What is currently the main source of drinking water for members of ◯ Tanker truck your household? ◯ Cart with small tank ◯ Surface water (River/Dam/Lake/Pond/Stream/Canal/Irrigation Channel) ◯ Digging into a dry river bed ◯ Bottled water ◯ Other ◯ Don't Know ◯ Refused ${F04}=15 F04_other: Specify other:

selected (${F04},"3")or selected (${F04},"4")or selected (${F04},"5")or selected (${F04},"6")or se …

F05: Where is the water source located? ◯ In own dwelling ◯ In own yard/plot ◯ Elsewhere ◯ Don't know ◯ Refused F06: How long does it take to go there, get water and come back?

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F06a: Hours Enter "0" if less than 1 hour; -8 for Don't Know; -9 for Refused

F06b: Minutes Enter -8 for Don't Know; -9 for Refused ${F04}!=-8 or ${F04}!=-9

◯ F07: Is water available from this source all year round? Yes ◯ No ◯ Don't know ◯ Refused to answer ${F04}!=-8 or ${F04}!=-9

F08: In the last two weeks, was water unavailable from this source for a ◯ Yes day or longer? ◯ No ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No F09: Do you do anything to the water to make it safer to drink? ◯ Don't know ◯ Refused to answer ${F09}=1

☐ Boil (until the water comes to a boil) ☐ Add bleach/chlorine (Sur'eau) ☐ Strain through a cloth ☐ Use water filter (ceramic/sand/composite/etc.) F10: What do you usually do to make the water safer to drink? ☐ Solar disinfection ☐ Let it stand and settle ☐ [BIO] sand filtration ☐ Traditional, with plants (Moringa) ☐ Other (specify) ☐ Do not know ☐ Refused to answer selected (${F10}, "9") F10_other: Specify other:

SANITATION ◯ Flush or pour flush toilet - to piped sewer system ◯ Flush or pour flush toilet - to septic tank ◯ Flush or pour flush toilet - to pit latrine F11: What kind of toilet facility do members of your household usually ◯ Flush or pour flush toilet - to somewhere use? else ◯ Flush or pour flush toilet - don’t know where ◯ Pit latrine - vented improved pit latrine ◯ Pit latrine - pit latrine with slab ◯ Pit latrine - pit latrine without slab/open pit

34 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Bucket toilet ◯ No facility/bush/field ◯ Hanging latrine (pile) ◯ Other (specify) ◯ Don't know ◯ Refused selected (${F11}, "96") F11_other: Specify other:

${F11}!=61

◯ F12: Does your household share the toilet facility with other households? Yes ◯ No ◯ Don't know ◯ Refused to answer ${F12}=1

◯ Two households ◯ Three households ◯ Four households F13: How many households share that toilet facility? ◯ Five households ◯ Six households If sharing a toilet, there must be at least 2 households ◯ Seven households ◯ Eight households ◯ Nine households ◯ Ten or more households ◯ Don’t know ◯ Refused to answer HANDWASHING ◯ Observed F14: Please show me where members of your household most often wash ◯ Not observed - not in dwelling/yard/plot their hands ◯ Not observed - no permission to see ◯ Not observed - other reason ${F14}=1 F15: Observe presence of water at the place for handwashing. OBSERVATION ONLY ◯ Water is available ◯ Water is not available ${F14}=1

F16: Observe presence of soap, detergent or other cleaning agent at the ☐ Soap or detergent (bar, liquid, powder, place for handwashing. OBSERVATION ONLY paste) ☐ Ash, mud, sand ☐ None F17: Observe presence of toilet facility that households said they used. ◯ Toilet facility is available OBSERVATION ONLY ◯ Toilet facility is not available (${F01a}=2 or ${F01a}=-10) F18: Why was ${F01} unable to complete this part of the survey?

Annex K: Data Collection Instruments 35 IMPEL | Implementer-Led Evaluation and Learning

Begin Module C. Food Access Respondent for this module: Person(s) responsible for the preparation of meals during the past 7 days or an adult having taken their meals in the household during the last 7 days The total number of household members who have prepared food in the past 7 days is "${prep_count}" ◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} ◯ ${hm7} ◯ ${hm8} ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} C01_sel. Please select the name of the eligible household member who is ◯ ${hm12} responsible for food preparation in the household ◯ ${hm13} Please refer to the paper tool for the name of the person responsible for ◯ ${hm14} the preparation of meals during the past 7 days or an adult having taken ◯ ${hm15} their meals in the household during the last 7 days who will answer the ◯ ${hm16} questions in this section ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23} ◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the C02a. Does ${C01} give consent to continue? survey ◯ Household Member was not available ${C02a}=1

C03: Was yesterday an unusual or special day (Festival, Funeral, etc.) or ◯ Yes were most household members absent? ◯ No ◯ Don't know ◯ Refused to answer Now I would like to ask you about the types of foods that you or anyone else in your household ate yesterday during the day and at night. Read the list of foods. Record “yes” if anyone in the household ate the food in question. Record “no” if no one in the household ate the food. The foods listed should be those prepared in the household and eaten in the household or taken elsewhere to eat. Do not include foods consumed outside the home that were prepared elsewhere.

36 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Yes C04: Did you or anyone else in your household eat "Maize or gruel, samp, ◯ No bread, rice, sorghum, millet, finger millet, wheat, pasta, noodles or other ◯ Don't know foods made from cereals/grains?" yesterday? ◯ Refused to answer ◯ Yes C05: Did you or anyone else in your household eat "Cassava, potatoes, ◯ No sweet potatoes, yams, taro, breadfruit, or any other foods made from ◯ Don't know roots, plantains" yesterday? ◯ Refused to answer C06: Did you or anyone else in your household eat "Any vegetables or ◯ Yes vegetable leaves (anana), such as carrots, pumpkin, pumpkin leaves, ◯ No squash, gordes, traditional/indigenous vegetables, mushrooms, etc." ◯ Don't know yesterday? ◯ Refused to answer ◯ Yes C07: Did you or anyone else in your household eat "Any fruits? Including ◯ No traditional/indigenous fruits such as cactus, tamarin, watermelon, baobab" ◯ Don't know yesterday? ◯ Refused to answer ◯ Yes C08: Did you or anyone else in your household eat "Any meat? Beef, pork, ◯ No lamb, goat, rabbit, frog, wild game, chicken, duck, or other birds? Liver, ◯ Don't know kidney, heart, or other organ meats or blood" yesterday? ◯ Refused to answer ◯ Yes C09: Did you or anyone else in your household eat "Any eggs? [chicken, ◯ No turkey, fowl, duck, quay (oiseau domestique sauvage)]" yesterday? ◯ Don't know ◯ Refused to answer ◯ Yes C10: Did you or anyone else in your household eat "Any fresh or dried fish, ◯ No dried shellfish, crabs, orsin, anguille" yesterday? ◯ Don't know ◯ Refused to answer ◯ Yes C11: Did you or anyone else in your household eat "Any foods made from ◯ No Voamaina (beans, peas, lentils, cowpeas, pigeon peas), groundnuts, ◯ Don't know cashew nuts" yesterday? ◯ Refused to answer ◯ Yes C12: Did you or anyone else in your household eat "Any cheese, yogurt, ◯ No milk, sour milk (Abobo) or other dairy products" yesterday? ◯ Don't know ◯ Refused to answer ◯ Yes C13: Did you or anyone else in your household eat "Any foods made with ◯ No oil, fat, animal fat, lard or butter, peanut butter" yesterday? ◯ Don't know ◯ Refused to answer ◯ Yes C14: Did you or anyone else in your household eat "Any sugar or honey, ◯ No sugar cane" yesterday? ◯ Don't know ◯ Refused to answer ◯ Yes C15: Did you or anyone else in your household eat "Condiments for flavor, ◯ No such as chilies, spices, persil, oregon, laurier..." yesterday? ◯ Don't know ◯ Refused to answer C16: In the past [4 WEEKS/30DAYS] was there ever no food to eat of any ◯ Yes kind in your house because of lack of resources to get food? ◯ No

Annex K: Data Collection Instruments 37 IMPEL | Implementer-Led Evaluation and Learning

${C16}=1

C17: How often did this happen in the past [4 WEEKS/30 DAYS]? ◯ Rarely (1-2 times) ◯ Sometimes (3-10 times) Read options. ◯ Often (more than 10) ◯ Don't know ◯ Refused to answer C18: In the past [4 WEEKS/30 DAYS] did you or any household member go ◯ Yes to sleep at night hungry because there was not enough food? ◯ No ${C18}=1

C19: How often did this happen in the past [4 WEEKS/30 DAYS]? ◯ Rarely (1-2 times) ◯ Sometimes (3-10 times) Read options. ◯ Often (more than 10) ◯ Don't know ◯ Refused to answer

C20: In the past [4 WEEKS/30 DAYS] did you or any household member go ◯ Yes a whole day and night without eating anything at all because there was ◯ No not enough food? ${C20}=1

C21: How often did this happen in the past [4 WEEKS/30 DAYS]? ◯ Rarely (1-2 times) ◯ Sometimes (3-10 times) Read options. ◯ Often (more than 10) ◯ Don't know ◯ Refused to answer Now I am going to ask you about strategies that your household may have used to deal with difficulties accessing food in the past 30 days. I will read the strategy that you may have used to deal with problems accessing food and then ask you to tell me how many times you may have used the strategy during the past 30 days. ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C22: Skip entire days without eating? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C23: Limit portion size at mealtimes? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) C24: Reduce number of meals eaten per day? ◯ Sometimes (1-2 day per week) ◯ Often (3-6 days per week) ◯ Daily

38 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C25: Borrow food or rely on help from friends or relatives? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C26: Rely on less expensive or less preferred foods? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C27: Purchase/borrow food on credit? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C28: Harvest immature crops? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C29: Send household members to eat elsewhere? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C30: Send household members to beg? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C31: Reduce adult consumption so children can eat? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer

Annex K: Data Collection Instruments 39 IMPEL | Implementer-Led Evaluation and Learning

◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C32: Rely on casual labor for food? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C33: Use of savings? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C34: Consumed seed stock reserved for the next season? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ◯ Never ◯ Seldom (1-2 days per month) ◯ Sometimes (1-2 day per week) C35: Send children to work? ◯ Often (3-6 days per week) ◯ Daily ◯ Does not know ◯ Refused to answer ☐ Food ☐ Cash ☐ Crop inputs ☐ Livestock inputs C36: Did you receive any of the following types of assistance during the ☐ Kit d'urgence (lampe, ….) past 6 months? ☐ WASH inputs (aquatabs, jerrycans, etc. that Read each response and choose all that apply. are not included in Kit d'urgence) ☐ Other (Specify) ☐ No assistance received ☐ Don't know ☐ Refused selected(${C36},"7") C36_other: Please specify:

not(selected(${C36},"8"))

☐ Government C37: Who did you receive the assistance from? ☐ NGO NGO=Non-governmental Organization Read each response and choose all ☐ Community group that apply. ☐ Farmers COOP/Association ☐ Friend or family member ☐ Other (Specify)

40 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ Don't Know ☐ Refused selected(${C37},"6") C37_other: Please specify:

not(selected(${C36},"8"))

C38: Did you receive the assistance in response to a shock? ◯ Yes ◯ No ☐ Drought ☐ Flood/water logging ☐ Strong winds or storms ☐ Crop disease or crop pests ☐ Livestock disease or deaths ☐ Loss of job/non-payment ☐ Large fall in sale price of crops ☐ Large rise in prices of food C39: Did you experience any of the following shocks during the last 12 ☐ Death in household months? ☐ Break-up of the household Read each response and choose all that apply. ☐ Illness ☐ Theft ☐ House damaged due to fire ☐ End of regular assistance, aid or remittances from outside ☐ Other (Specify) ☐ There was no shock ☐ Don't Know ☐ Refused selected(${C39},"15") C39_other: Please specify:

${C02a}!=1 C40: Why was ${C01} unable to complete this part of the survey

Begin Module G. Agriculture Respondent for this module: All farmers ☐ ${hm1} ☐ ${hm2} ☐ ${hm3} G01_sel. Please select the names of the eligible farmers as indicated on ☐ ${hm4} the paper household roster ☐ ${hm5} Instructions to Respondent When the Farmer is Absent: Because the Head ☐ ${hm6} of HH is absent, are you willing to answer these questions about HIS/HER farming? ☐ ${hm7} Total number of eligible farmers from the roster list is ${farmers_count} ☐ ${hm8} ☐ ${hm9} ☐ ${hm10} ☐ ${hm11}

Annex K: Data Collection Instruments 41 IMPEL | Implementer-Led Evaluation and Learning

☐ ${hm12} ☐ ${hm13} ☐ ${hm14} ☐ ${hm15} ☐ ${hm16} ☐ ${hm17} ☐ ${hm18} ☐ ${hm19} ☐ ${hm20} ☐ ${hm21} ☐ ${hm22} ☐ ${hm23} ☐ ${hm24} ☐ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the G01a. Does ${G01} give consent to continue? survey ◯ Household Member was not available ${G01a}=1

G02. What is the farmer's sex? ◯ Male ◯ Female ${G01a}=1

G03. Have you regularly participated in agriculture related ◯ trainings/meetings, specifically the ASOTRY Project and/or Fararano Yes Project projects? ◯ No ◯ Don't know ◯ Refused to answer ${G01a}=1 G04. Does ${G01} have access to a plot of land (even if very small) over which you make decisions about what will be grown, OR how it will be grown, OR how to dispose of the harvest? ◯ Yes ◯ No Includes plots of land allocated to farmers for growing crops but not owned ◯ Don't know ◯ Refused to answer ${G01a}=1

G05. Does ${G01} have animals and/or aquaculture products over which ◯ Yes you make decisions about their management OR how to dispose of the production? ◯ No ◯ Don't know ◯ Refused to answer ☐ Agro-dealers ☐ Contract farming G07: Did you take any agricultural credit, in cash or in kind, in the [PAST 12 ☐ Village savings groups MONTHS] from any of the following? ☐ Farmers associations or cooperatives Read list. Select all that apply. MFI = Microfinance Institution ☐ MFI ☐ Middlemen

42 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ NGO ☐ Government institution ☐ Non-cash loans ☐ Input from buyers ☐ Other (Specify) ☐ Did not take any agricultural credit ☐ Don't Know ☐ Refused selected (${G07}, "11") G07_other: Please specify:

☐ Village savings and loan ☐ MFI ☐ Cooperative ☐ Post Office G08: Did you save any cash through any of the following institutions in the ☐ Commercial banks past 12 months? ☐ Mobile banking Read list. Select all that apply. ☐ Other (Specify) ☐ Did not save any cash ☐ Don't Know ☐ Refused selected (${G08}, "7") G08a: Please specify:

G09: Did you have agricultural insurance in the [PAST 12 MONTHS]? ◯ Yes Some people insure their agricultural production against negative ◯ No unexpected circumstances, such as drought, floods, and pests by paying for ◯ Don't know this service. ◯ Refused to answer Now I want to ask you about farming and livestock practices about which you make decisions. This includes practices about crops, animals and aquaculture products. ☐ Purchase inputs through agro-dealers and/or community associations ☐ Use of mobile financial services ☐ Use of financial services other than mobile ☐ Use of training and extension services ☐ Contract farming G10: Which of the following activities related to farming and animal ☐ Solar drying husbandry have you practiced or received services for during [PAST 12 ☐ MONTHS]? Storage (warehousing) ☐ Read each activity. Select all that apply. If none were practiced, then select Processing produce (culturing, shelling, the last option ("Did not practice any"). roasting, milling, etc.) ☐ Trading or marketing produce through agro- dealers and/or community associations ☐ Did not practice any of these activities in past 12 months ☐ Don't Know ☐ Refused

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◯ Yes G12: In the past 12 months, did you plant any crops in the plot(s) over ◯ No which you make decisions? ◯ Don't know ◯ Refused to answer selected (${G12}, "1")

☐ Maize ☐ Rice ☐ Cassava ☐ Groundnuts ☐ Soybean G13: What crops did you plant during the past 12 months in the plot(s) ☐ White sweet potato over which you make decisions? ☐ Orange sweet potato Select all crops named by the respondent. ☐ White potato ☐ Beans and pulses ☐ Vegetables ☐ Fruits ☐ Other(Specify) ☐ Other(Specify) ☐ Don't Know ☐ Refused selected (${G13}, "12") G13_other1: Please specify all other crops:

selected (${G12}, "1")

☐ Manure ☐ Compost ☐ Mulching ☐ Weed control ☐ Row planting ☐ Planting trees or shrubs around the plot ☐ Terracing ☐ Early planting or planting with first rains G14: For the crops (including vegetables) that you planted, did you use any ☐ Use of improved crop seeds of these practices in the [PAST 12 MONTHS]? ☐ Crop rotations Read each practice. Select those that were used. If none of these practices were used, then select the last option ("Did not use any"). ☐ Intercropping ☐ Use of natural pesticides (chili, beer, etc.) ☐ Use of chemical pesticides ☐ Use of guano fertilizer ☐ Irrigation management ☐ Conservation agriculture/farming ☐ Rice-fish farming ☐ Use of straw ☐ Inter-season planting ☐ Did not use any of these practices in past 12 months

44 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ Don't Know ☐ Refused ☐ Cattle ☐ Goats ☐ Sheep ☐ Chickens/poultry G15: What livestock did you raise/care for and make decisions about ☐ Fish during the [PAST 12 MONTHS]? ☐ Bees Select all animal species (including fish) named by the respondent. ☐ Pigs ☐ Other (Specify) ☐ Other (Specify) ☐ Don't Know ☐ Refused selected (${G15}, "8") G15_other1: Please specify all other animals:

☐ Improved animal shelters ☐ Vaccinations ☐ Deworming ☐ Homemade animal feeds made of locally available products ☐ Animal feed supplied by stockfeed manufacturer G16: Did you use any of the following practices when you cared for the ☐ Pen feeding livestock during the [PAST 12 MONTHS]? ☐ Fodder production Read each practice. Select those that were used. If none of these practices ☐ were used, then select the last option ("Did not practice any"). Used the services of community animal health workers/paravets ☐ Race selection ☐ Building and livestock machinery ☐ Did not practice any of these activities in past 12 months ☐ Don't know ☐ Refused ☐ Veterinarian ☐ Community animal health worker ☐ Agro-dealer G17: If you purchased drugs or medicines to give to livestock during the ☐ Other(Specify) past 12 months, where did you primarily purchase the drugs? ☐ Did not purchase drugs/medicines ☐ Don't Know ☐ Refused selected (${G17}, "4") G17_other: Please specify:

G18: Did you use any of the following natural resources management ☐ Management or protection of dams or water practices or techniques that were not related directly to your on-farm catchments production during the [PAST 12 MONTHS]? ☐ Agro-forestry Read each practice. Select those that were used. If none of these practices ☐ Reforestation were used, then select the last option ("Did not practice any"). ☐ Sustainable harvesting of forest products

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☐ Did not practice any of these activities in past 12 months ☐ Don't know ☐ Refused ◯ Yes G20: During the past 12 months did you store any crops from the plot(s) ◯ No over which you make decisions? ◯ Don't know ◯ Refused to answer ${G20}=1

☐ Improved granary ☐ Underground storage G21A: Did you use any of the following methods to store the crops? ☐ Warehousing Read each method. Select those that were used. If none of these methods ☐ Triple bag were used, then select the last option ("Did not use any"). ☐ Mini tank ☐ Did not use any of these methods ☐ Don't know ☐ Refused ${G20}=1

☐ Self-consumption G21B: Why did you store the crops? ☐ Sell at better price Read each reason. Select all that apply. ☐ Produce seeds ☐ Other (Specify) ☐ Don't know ☐ Refused selected (${G21B}, "4") G21B_other: Please specify:

◯ Yes G22: During the past 12 months did you sell any crops harvested from the ◯ No plot(s) over which you make decisions? ◯ Don't know ◯ Refused to answer G23: How much did you receive for sales of your crops? ${G22}=1 Ariary Enter -8 for Don't Know; -9 for Refused ☐ Training ☐ Oral/written education materials ☐ Agricultural inputs G24: In the [PAST 12 MONTHS] have you received any of the following ☐ Credit services agricultural or livestock services? ☐ Veterinary services Select all that apply. If none of these services were received, then select the ☐ last option only ("None received") Other (specify) ☐ None received ☐ Don't know ☐ Refused selected (${G24}, "6") G24_other: Please specify:

46 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

${G24}!=7

☐ Specific project ☐ Government technical G25: Whom did you receive the services from? ☐ NGO Select all that apply. Examples of specific projects: AROPA, FORMAPROD, ☐ Agro-dealers Prosper, PDSR, etc. ☐ Farmer coops ☐ Other (Specify) ☐ Don't know ☐ Refused selected (${G25}, "6") G25_other: Please specify:

${G01a}!=1 G27: Why was ${G01} unable to complete this part of the survey?

Begin Module D1: Children's Nutritional Status and Feeding Practices Respondent for this module: Primary Caregivers Repetitions: Once for each child under 5 years I would now like to ask you some questions about your children. Respondent for this module: Primary Caregivers Repetitions: " There are "${kid_countall}" children under the 5 years of age ☐ ${hm1} ☐ ${hm2} ☐ ${hm3} ☐ ${hm4} ☐ ${hm5} ☐ ${hm6} ☐ ${hm7} ☐ ${hm8} ☐ ${hm9} D04_sel : Please select that names of the children under 5 from the list: ☐ ${hm10} Please refer to the paper tool for the names of the primary caregivers who ☐ ${hm11} will answer the questions in this section and for the names of the children ☐ ${hm12} to be selected Total number eligible children under the age of five years (59 ☐ ${hm13} months or younger) is "${kid_countall}" ☐ ${hm14} ☐ ${hm15} ☐ ${hm16} ☐ ${hm17} ☐ ${hm18} ☐ ${hm19} ☐ ${hm20} ☐ ${hm21} ☐ ${hm22} ☐ ${hm23}

Annex K: Data Collection Instruments 47 IMPEL | Implementer-Led Evaluation and Learning

☐ ${hm24} ☐ ${hm25}

hm_category <= ${hm_count}

◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} ◯ ${hm7} ◯ ${hm8} ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} ◯ ${hm12} ◯ ${hm13} D03_sel: Please select the name of the primary caregiver for ${D04} ◯ ${hm14} Please refer to the paper tool for the name of the primary caregiver who ◯ ${hm15} will answer the questions in this section ◯ ${hm16} ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23} ◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the D03b: Does ${D03} give consent to continue? survey ◯ Household Member was not available ${D03b} =1

D05: Does ${D04} have a health/vaccination card or other documents with ◯ Yes the birth date recorded? ◯ No ◯ Don't know ◯ Refused to answer ${D03b} =1 and ${D05} =1 D05a: Please select the day, month and year of ${D04}'s birth as shown on their official document. Day: If a Document with the Birthdate is shown and the respondent confirms the information is correct, record the date as documented and use the birth Month: date conversion table to fill in the age in months in D07. Record age in completed months and years. Year:

48 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

${D03b} =1 and (${D05} =2 or ${D05} =-8 or ${D05}=-9 ) D05b: In what month and year was ${D04} born? Use the month and year of birth to calculate the child's age in completed Month: months and years for questions D06 and D07.

Year:

D06: How old was ${D04} on their last birthday? ${D03b} =1 Record age in completed years. D07: How many months old is ${D04}? ${D03b} =1 Record age in completed months. D07b: Check D05, D06, and D07 to verify consistency. A) Is the year recorded in D05 consistent with the age in years recorded in D06? B) Are year and month of birth recorded in D05 consistent with age in months ${D03b} =1 recorded in D07? Use birthdate conversion table to check. C) If age is not consistent with age in months, go back to previous screen and enter appropriate age. All children must be under the age of 5 years old (59 months or younger) If this is a mistake please select the back arrow and enter the correct age of ${D03b}=1 and ${D07}>59 ${D04} in question D07 ${D03b} =1

D08: Are you (or anyone in HH) receiving food rations as part of ASOTRY ◯ Project or Fararano Project activities? Or have you received food rations in Yes the past from the project? ◯ No ◯ Don't know ◯ Refused to answer ${D03b} =1 and ${D08} =1 D08a: Please specify from where? Enter -8 if they don’t know and -9 if they refuse to answer

${D03b} =1

D09: Are you (or anyone in HH) participating in nutrition training/meetings ◯ Yes organized as part of ASOTRY Project or Fararano Project activities? Or have you participated nutrition activities in the past? ◯ No ◯ Don't know ◯ Refused to answer Exclusive Breast Feeding and Minimum Acceptable Diet ◯ Yes ◯ No D16: Has ${D04} ever been breastfed? ◯ Don't know ◯ Refused to answer ${D16}=1

◯ D17: Was ${D04} breastfed yesterday during the day or night? Yes ◯ No ◯ Don't know ◯ Refused to answer

Sometimes babies are breastfed by another woman or given breast milk ${D17}=2 or ${D17}=-8 or ${D17}=-9 from another woman by spoon, cup, bottle, or some other way. This can

Annex K: Data Collection Instruments 49 IMPEL | Implementer-Led Evaluation and Learning

happen if a mother cannot breastfeed her own baby for various reasons, such as the mother is sick or away, has mastitis, etc. ${D17}=2 or ${D17}=-8 or ${D17}=-9

D18: Did ${D04} consume breast milk in any of these ways yesterday ◯ Yes during the day or at night? ◯ No ◯ Don't know ◯ Refused to answer

Now I would like to ask you about some medicines and vitamins that are sometimes given to infants. ◯ Yes D19: Was ${D04} given any vitamin drops or other medicines as drops ◯ No yesterday during the day or at night? ◯ Don't know ◯ Refused to answer ◯ Yes D20: Was ${D04} given oral rehydration solution yesterday during the day ◯ No or at night? ◯ Don't know ◯ Refused to answer

Next I would like to ask you about some liquids that ${D04} may have had yesterday during the night or at day. Did ${D04} have: ◯ Yes ◯ No D21: Plain Water? ◯ Don't know ◯ Refused to answer D22: Any kind of infant formula? ◯ Yes If the respondent is unsure of what is meant by "infant formula" then ◯ No probe with brand names such as Nani, SMA, Nestle, Enfamil, Isomil, ◯ Don't know Lactogen? ◯ Refused to answer D23: How many times yesterday during the day or at night did ${D04} ${D22}=1 consume any formula? ◯ Yes D24: Did ${D04} have any milk such as tinned, powdered or fresh animal ◯ No milk? ◯ Don't know ◯ Refused to answer D25: How many times yesterday during the day or at night did ${D04} ${D24}=1 consume any milk? ◯ Yes ◯ No D26: Did ${D04} have any jus naturels ou gazeux? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D27: Clear broth? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D28: Yogurt? ◯ Don't know ◯ Refused to answer

50 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

D29: How many times yesterday during the day or at night did ${D04} ${D28}=1 consume any yogurt? D30: Did ${D04} have any thin porridge? (PROBES: KobaAina, FARICAL, ◯ Yes Koba Soa) ◯ No Limit to porridge mixed very thin or thick drinks made from cereal. Thicker ◯ Don't know less liquid porridge is included under item D33. ◯ Refused to answer ◯ Yes D31: Any other liquids? ◯ No PROBES: Gripe water, glucose water, sugar water? ◯ Don't know ◯ Refused to answer Next I would like to ask you about (other) liquids or foods that ${D04} ate yesterday during the day or at night. I am interested in whether your child had the item even if it was combined with other foods. For example, if ${D04} ate a rice porridge made with a mixed vegetable sauce, you should reply yes to any food I ask about that was an ingredient in the porridge or sauce. Please do not include any food used in a small amount for seasoning or condiments (like chilies, spices, herbs, or fish powder). I will ask you about those foods separately. Yesterday, during the day and night, did ${D04} eat any of the following: (Ask questions D33-D49) ◯ Yes D33: Bread, biscuits (savory), pasta, noodles, rice, crackers, porridge or ◯ No other foods made from grains such as corn, wheat, millet, sorghum? ◯ Don't know ◯ Refused to answer ◯ Yes D34: Carotte, courge orange ou jaune, patate douce de chair orange, ou ◯ No tout aliment à chair jaune foncé ou orangée? ◯ Don't know ◯ Refused to answer ◯ Yes D35: White potatoes, white yams, cassava or any other foods made from ◯ No roots or tubers? ◯ Don't know ◯ Refused to answer ◯ Yes D36A: Any dark green leafy vegetables comme feuille de manioc, feuille de ◯ No haricot, épinard, feuille de patate ? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D36B: Any other vegetables, like fresh green beans, tomato, etc.? ◯ Don't know ◯ Refused to answer ◯ Yes D37A: Kaki, mangues et papayes mures, abricots, melons oranges ou tout ◯ No fruit à chair jaune foncé ou orangée? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D37B: Any other fruits like bananas, apples, avocado, etc.? ◯ Don't know ◯ Refused to answer

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◯ Yes D38A: Liver, kidney, heart, or other organ meats from domesticated ◯ No animals such as beef, pork, lamb, goat, chicken, or duck? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D38B: Any meat, such as beef, pork, lamb, rabbit, goat, chicken, or duck? ◯ Don't know ◯ Refused to answer ◯ Yes D39A: Any organs from wild animals, such as herissons, chats sauvages, ◯ No chauve-souris...? ◯ Don't know ◯ Refused to answer ◯ Yes D39B: Any flesh from wild animals, such as herissons, chats sauvages, ◯ No chauve-souris...? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D40: Eggs? (chicken, turkey, fowl, duck) ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D41: Fresh or dried fish, shellfish, crabs or seafood? ◯ Don't know ◯ Refused to answer ◯ Yes D42: Any foods made from beans, peas, lentils, groundnuts or other ◯ No legumes? ◯ Don't know ◯ Refused to answer ◯ Yes D43: Any foods made from nuts and seeds such as mahabibo, (sakoa dans ◯ No le Sud)? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D44: Milk, cheese, yogurt, lait caille or other milk products? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D45: Any oils, fats, butter, or foods made with any of these? ◯ Don't know ◯ Refused to answer ◯ Yes D46: Any sugary foods such as chocolates, sweets, candies, pastries, sweet ◯ No biscuits or cakes? ◯ Don't know ◯ Refused to answer ◯ Yes D47: Condiments for flavor, such as chilies, spices, persil, oregon, ◯ No laurier...? ◯ Don't know ◯ Refused to answer ◯ Yes D48: Vers, escargots, insectes (locusts, chenille…)? ◯ No

52 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Don't know ◯ Refused to answer ◯ Yes D49: Foods made with red palm oil, red palm nut, or red palm nut pulp ◯ No sauce? ◯ Don't know ◯ Refused to answer ${D33}= 2 and ${D34}= 2 and${D35}= 2 and Check Questions D33-D48 ${D36A}= 2 and ${D36B}= 2and ${D37A}= 2 and ${D37B}= 2 an …

${D33}= 2 and ${D34}= 2 and${D35}= 2 and ${D36A}= 2 and ${D36B}= 2and ${D37A}= 2 and D50: Now, I'd just like to verify. Did ${D04} eat any solid, semi-solid, or soft ${D37B}= 2 an … foods yesterday during the day or at night? PROBE: What kind of solid, semi-solid, or soft foods did ${D04} eat? If "YES" ◯ Yes survey will automatically repeat questions D33-D49 ` ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D33a: Bread, biscuits (savory), pasta, noodles, rice, crackers, porridge or ◯ Yes other foods made from grains such as corn, wheat, millet, sorghum? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D34a: Carotte, courge orange ou jaune, patate douce de chair orange, ou ◯ Yes tout aliment à chair jaune foncé ou orangée? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D35a: White potatoes, white yams, cassava or any other foods made from ◯ Yes roots or tubers? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D36Ab: Any dark green leafy vegetables comme feuille de manioc, feuille ◯ Yes de haricot, épinard, feuille de patate ? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D36Bb: Any other vegetables, like fresh green beans, tomato, etc.? Yes ◯ No ◯ Don't know ◯ Refused to answer D37Ab: Kaki, mangues et papayes mures, abricots, melons oranges ou tout ${D50}=1 fruit à chair jaune foncé ou orangée?

Annex K: Data Collection Instruments 53 IMPEL | Implementer-Led Evaluation and Learning

◯ Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D37Bb: Any other fruits like bananas, apples, avocado, etc.? Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D38Ab: Liver, kidney, heart, or other organ meats from domesticated ◯ Yes animals such as beef, pork, lamb, goat, chicken, or duck? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D38Bb: Any meat, such as beef, pork, lamb, rabbit, goat, chicken, or duck? Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D39Ab: Any organs from wild animals, such as herissons, chats sauvages, ◯ Yes chauve-souris...? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D39Bb: Any flesh from wild animals, such as herissons, chats sauvages, ◯ Yes chauve-souris...? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D40a: Eggs? (chicken, turkey, fowl, duck) Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D41a: Fresh or dried fish, shellfish, crabs or seafood? Yes ◯ No ◯ Don't know ◯ Refused to answer D42a: Any foods made from beans, peas, lentils, groundnuts or other ${D50}=1 legumes?

54 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D43a: Any foods made from nuts and seeds such as mahabibo, (sakoa dans ◯ Yes le Sud)? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D44a: Milk, cheese, yogurt, lait caille or other milk products? Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D45a: Any oils, fats, butter, or foods made with any of these? Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D46a: Any sugary foods such as chocolates, sweets, candies, pastries, ◯ Yes sweet biscuits or cakes? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D47a: Condiments for flavor, such as chilies, spices, persil, oregon, ◯ Yes laurier...? ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

◯ D48a: Vers, escargots, insectes (locusts, chenille…)? Yes ◯ No ◯ Don't know ◯ Refused to answer ${D50}=1

D49a: Foods made with red palm oil, red palm nut, or red palm nut pulp ◯ Yes sauce? ◯ No ◯ Don't know ◯ Refused to answer

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D51: How many times did ${D04} eat solid, semi-solid, or soft foods other ${D33}=1 or ${D34}=1 or ${D35}=1 or ${D36A}=1 than liquids yesterday during the day or at night? or ${D36B}= 1 or ${D37A}=1 or ${D37B}=1 or Enter -8 for Don't Know; -9 for Refused ${D38A}=1 … ◯ Yes D52: Did ${D04} drink anything from a bottle with a nipple yesterday ◯ No during the day or night? ◯ Don't know ◯ Refused to answer Begin Module D2. Children’s Diarrhea and Oral Rehydration Therapy Respondent for this module: Primary Caregivers Repetitions: Once for each child under 5 years The term(s) used for diarrhea should encompass the expressions used for all forms of diarrhea, including bloody stools (consistent with dysentery), watery stools, etc. ◯ Yes D54: Has ${D04} had diarrhea in the last 2 weeks? ◯ No Diarrhea is defined as 3 or more watery stools in a day. ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D55: Was there any blood in the stools? ◯ Don't know ◯ Refused to answer ◯ Much less D56: Now I would like to know how much ${D04} was given to drink during ◯ Somewhat less the period that ${D04} had diarrhea (including breastmilk). Was ${D04} ◯ About the same given less than usual to drink, about the same amount, or more than usual ◯ More to drink? ◯ Nothing to drink IF LESS, PROBE: Was he/she given much less than usual to drink or ◯ Don’t know somewhat less? ◯ Refused to answer ◯ Much less ◯ Somewhat less D57: When ${D04} had diarrhea, was he/she given less than usual to eat, ◯ About the same about the same amount, more than usual, or nothing to eat? ◯ More IF LESS, PROBE: Was he/she given much less than usual to eat or ◯ Stopped food somewhat less? ◯ Never gave food ◯ Don’t know ◯ Refused to answer ${D54}=1

D58: Did you seek advice or treatment for the diarrhea from any source? ◯ Yes ◯ No ${D58}=1

☐ Secteur publique : CHU D59: Where did you seek advice or treatment? ☐ Secteur publique : CH Régional de Reference Anywhere else? Probe to identify each type of source. If unable to ☐ Secteur publique : CH de District determine if public or private sector, write the name of the place in the last ☐ Secteur publique : Centre de Santé de Base I "Other" category. ☐ Secteur publique : Centre de Santé de Base II ☐ Secteur publique : Agent de Santé Communautaire ☐ Secteur publique : Autres (Specify)

56 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ Hôpital ou Dispensaire Religieux ☐ Secteur privé : Hôpital/clinique privé ☐ Secteur privé : Pharmacie ☐ Secteur privé : Médecin privé ☐ Secteur privé : Autre (Specify) ☐ Autre source : Shop ☐ Autre source : Traditional Practitioner ☐ Autre source : Market ☐ Autre source : (Specify) ☐ Autre: (Specify the name of the place) ☐ Don’t know ☐ Refused to answer selected (${D59}, "7") D59_public: Please specify:

selected (${D59}, "12") D59_private: Please specify:

selected (${D59}, "16") D59_other: Please specify:

selected (${D59}, "17") D59_name: Please specify name:

count-selected(${D59}) > 1

◯ Secteur publique : CHU ◯ Secteur publique : CH Régional de Reference ◯ Secteur publique : CH de District ◯ Secteur publique : Centre de Santé de Base I ◯ Secteur publique : Centre de Santé de Base II ◯ Secteur publique : Agent de Santé Communautaire ◯ Secteur publique : Autres (Specify) ◯ D61: Where did you seek advice or treatment FIRST? Hôpital ou Dispensaire Religieux ◯ Secteur privé : Hôpital/clinique privé ◯ Secteur privé : Pharmacie ◯ Secteur privé : Médecin privé ◯ Secteur privé : Autre (Specify) ◯ Autre source : Shop ◯ Autre source : Traditional Practitioner ◯ Autre source : Market ◯ Autre source : (Specify) ◯ Autre: (Specify the name of the place) ◯ Don’t know ◯ Refused to answer

D62: Was he/she given any of the following to drink at any time since he/she started having the diarrhea?

Annex K: Data Collection Instruments 57 IMPEL | Implementer-Led Evaluation and Learning

◯ Yes ◯ No D62_1: A fluid made from a special packet called an ORS sachet? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D62_2: A home-made sugar-salt water solution (SSS)? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No D62_3: Eau de coco ◯ Don't know ◯ Refused to answer ${D54}=1

◯ D63: Was anything (else) given to treat the diarrhea? Yes ◯ No ◯ Don't know ◯ Refused to answer ${D63}=1

☐ Pill or syrup - Antibiotic ☐ Pill or syrup - Antimotility ☐ Pill or syrup - Zinc ☐ Pill or syrup - Other (not antibiotic, antimotility, or zinc) ☐ Pill or syrup - Unknown pill or syrup D64: What (else) was given to treat the diarrhea? Anything else? ☐ Injection - Antibiotic ☐ Injection - Non-antibiotic ☐ Injection - Unknown injection ☐ Injection - (IV) Intravenous (drips) ☐ Home remedy/herbal medicine ☐ Other (Specify) ☐ Don’t know ☐ Refused to answer ${D64}=11 D64_other: Please specify:

All children must be under the age of 5 years old (59 months or younger) and part of the Household Roster If this is a mistake please select the back ${D03b}=1 and ${D07}>59 arrow and enter the correct age of ${D04} in question D07 All children must part of the Household Roster, please add additional count-selected(${D04}) = 0 eligible household rosters members by selecting "add group"

D66: Why was ${D03} unable to complete this part of the survey ${D03b}!=1 Consent from the primary caregiver of ${D04} is required for module D1 and D2 Begin Module E. Women's Nutrition, Breastfeeding and Antenatal Care Respondent for this module: Only to female respondent Repetitions: Once for each woman aged 15-49

58 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Beginning of Women's Module. Please refer to the paper tool for the names of the women aged 15-49 who will answer the questions in this section ☐ ${hm1} ☐ ${hm2} ☐ ${hm3} ☐ ${hm4} ☐ ${hm5} ☐ ${hm6} ☐ ${hm7} ☐ ${hm8} ☐ ${hm9} ☐ ${hm10} ☐ ${hm11} ☐ ${hm12} E01_sel. Please select the names of the eligible Female Respondents as ☐ ${hm13} indicated on the paper household roster ☐ ${hm14} Total number of eligible women between the age of 15 and 49 years of age ☐ ${hm15} from the roster is "${wom_age}" ☐ ${hm16} ☐ ${hm17} ☐ ${hm18} ☐ ${hm19} ☐ ${hm20} ☐ ${hm21} ☐ ${hm22} ☐ ${hm23} ☐ ${hm24} ☐ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey E02. Does ${E01} give consent to participate in the women's section of the ◯ No, I do not agree to participate in the household survey? survey Respondents must be between the age of 15-49 years of age ◯ Household Member was not available ${E02}=1

E03. In what month and year were you born? Month:

Year:

E04. Please tell me how old you are. What was your age at your last birthday? ${E02}=1 Enter -8 for Don't Know; -9 for Refused Now I would like to ask you about liquids or foods that you ate yesterday during the day or at night. I am interested in whether you had the item even if it was combined with other foods. For example, if you ate a rice porridge made with a mixed vegetable sauce, you should reply yes to any food I ask about that was an ingredient in the porridge or sauce. Please do not include any food used in a small amount for seasoning or condiments

Annex K: Data Collection Instruments 59 IMPEL | Implementer-Led Evaluation and Learning

(like chilies, spices, herbs, or fish powder), I will ask you about those foods separately. Yesterday during the day or night did you drink/eat any [ASK QUESTIONS E07 to E27]? ◯ Yes E07: Bread, biscuits (savory), pasta, noodles, rice, crackers, porridge or ◯ No other foods made from grains such as corn, wheat, millet, sorghum? ◯ Don't know ◯ Refused to answer ◯ Yes E08: Carotte, courge orange ou jaune, patate douce de chair orange, ou ◯ No tout aliment à chair jaune foncé ou orangée? ◯ Don't know ◯ Refused to answer ◯ Yes E09: White potatoes, white yams, cassava, or any other foods made from ◯ No roots or tubers? ◯ Don't know ◯ Refused to answer ◯ Yes E10: Any dark green leafy vegetables comme feuille de manioc, feuille de ◯ No haricot, épinard, feuille de patate ? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E11: Any other vegetables, like fresh green beans, tomato, etc.? ◯ Don't know ◯ Refused to answer ◯ Yes E12: Kaki, mangues et papayes mures, abricots, melons orange ou tout ◯ No fruit à chair jaune foncé ou orangée? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E13: Any other fruits like bananas, apples, avocados, etc.? ◯ Don't know ◯ Refused to answer ◯ Yes E14: Any liver, kidney, heart, or other organ meats from domesticated ◯ No animals such as beef, pork, lamb, goat, chicken, or duck? ◯ Don't know ◯ Refused to answer ◯ Yes E15: Any meat from domesticated animals, such as beef, pork, lamb, ◯ No rabbit, goat, chicken, or duck? ◯ Don't know ◯ Refused to answer ◯ Yes E16: Any organs from wild animals, such as herissons, chats sauvages, ◯ No chauve-souris...? ◯ Don't know ◯ Refused to answer ◯ Yes E17: Any flesh from wild animals, such as herissons, chats sauvages, ◯ No chauve-souris...? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E18: Eggs? (chicken, turkey, fowl, duck) ◯ Don't know ◯ Refused to answer

60 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Yes ◯ No E19: Fresh or dried fish, shellfish, crabs or seafood? ◯ Don't know ◯ Refused to answer ◯ Yes E20: Any foods made from beans, peas, lentils, groundnuts or other ◯ No legumes? ◯ Don't know ◯ Refused to answer ◯ Yes E21: Any foods made from nuts and seeds such as mahabibo, (sakoa dans ◯ No le Sud)? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E22: Milk, cheese, yogurt, or other milk products? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E23: Any oils, fats, butter, or foods made with any of these? ◯ Don't know ◯ Refused to answer ◯ Yes E24: Any sugary foods such as chocolates, sweets, candies, pastries, sweet ◯ No biscuits or cakes? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E25: Condiments for flavor, such as chilies, spices, persil, oregon, laurier...? ◯ Don't know ◯ Refused to answer ◯ Yes ◯ No E26: Vers, escargots, insectes (locusts, chenille…)? ◯ Don't know ◯ Refused to answer ◯ Yes E27: Foods made with red palm oil, red palm nut, or red palm nut pulp ◯ No sauce? ◯ Don't know ◯ Refused to answer

Now I would like to ask you about pregnancies and births you may have had. ◯ Yes ◯ No E28: Are you currently pregnant? ◯ Don't know ◯ Refused to answer ${E28}=2 or ${E28}=3 or ${E28}=4

◯ E29: Have you ever been pregnant? Yes ◯ No ◯ Don't know ◯ Refused to answer E30: Have you ever given birth? ${E29}=1

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◯ Yes ◯ No ${E30}=1 E31: When was the last time you gave birth to a boy or girl who was born alive? Day: If the respondent does not know the birthdate ask: do you have a health/vaccination card for that child with birthdate recorded? If the Month: health/vaccination card is shown, record the date of birth as documented on the card. Year:

${E30}=1 E31a: Check answer to Question 31: Did the respondent's last live birth occur within the past 5 years? That is, since June 2014? ◯ Yes ◯ No ◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} ◯ ${hm7} ◯ ${hm8} ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} ◯ ${hm12} ◯ ${hm13} E32_sel: What is the name of your child who was born last? ◯ ${hm14} All children must be part of the Household Roster If the child is deceased, ◯ ${hm15} this question can be skipped. ◯ ${hm16} ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23} ◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

◯ Male E33: Is ${E32} a male or female? ◯ Female ◯ Yes E34: Did you ever breastfeed ${E32}? ◯ No ${E34}=1

E35: How long after birth did you first put ${E32} to the breast? ◯ Immediately ◯ Hours afterwards ◯ Days afterwards

62 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Don’t know ◯ Refused to answer E35a: RECORD number of "HOURS" before breastfeeding ${E35}=2

E35b: RECORD number of "DAYS" before breastfeeding ${E35}=3

E36: In the first three days after delivery, was ${E32} given anything to ◯ Yes drink other than breast milk? ◯ No ${E36}=1

☐ Milk (other than breast milk) ☐ Plain water ☐ Sugar or glucose water ☐ Gripe water E37: What was ${E32} given to drink? ☐ Sugar-salt-water solution Anything else? ☐ Fruit juice Probe to identify each type of drink and select all mentioned. ☐ Infant formula ☐ Tea/infusion ☐ Coffee ☐ Honey ☐ Other (Specify) ☐ Don’t know ☐ Refused to answer selected (${E37}, "11") E37_other: Please specify:

◯ Yes E38: Did you see anyone for antenatal care during the pregnancy? ◯ No ${E38}=1

☐ Doctor E39: Whom did you see? ☐ Nurse/midwife Anyone else? Probe to identify each type of caregiver and select all ☐ Traditional birth attendant mentioned. Respondents may think a nurse is always a woman and a doctor a man. Probe to identify each appropriately. ☐ Village health worker ☐ Other (Specify) ☐ Don't Know ☐ Refused selected (${E39}, "5") E39_other: Please specify:

${E38}=1

☐ CHU E40: Where did you receive antenatal care for this pregnancy? ☐ CH Régional de Reference Anywhere else? Probe to identify each type of facility and select all ☐ CH de District mentioned. ☐ Centre de Santé de Base I ☐ Centre de Santé de Base II ☐ Private hospital

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☐ Private clinic ☐ Home of traditional birth attendant ☐ Your home ☐ Other (Specify) ☐ Don't Know ☐ Refused selected (${E40}, "10") E40a: Please specify:

E41: How many months pregnant were you when you first received ${E38}=1 antenatal care during this pregnancy? E42: How many times did you receive antenatal care during this ${E38}=1 pregnancy? ${E28}=2 E47: Are you or your partner currently doing something or using any method to delay or avoid getting pregnant? ◯ Yes ◯ No ${E47}=1

☐ Female sterilization ☐ Male sterilization ☐ IUD ☐ Injectables ☐ Implants ☐ Pill ☐ Condom E48: Which method are you using? ☐ Female condom Select all methods mentioned. ☐ Emergency contraception ☐ Standard days method ☐ Lactational amen method ☐ Rhythm method ☐ Withdrawal ☐ Other modern method ☐ Other traditional method ☐ Don't know ☐ Refused selected (${E02}, "2") or selected (${E02}, "3") or ${E03} = -10 E46: Why was ${E01} unable to complete this part of the survey?

Begin Module J. Gender - Cash Respondent for this module: Men and Women who Earned Cash Repetitions: Once for each adult who earned cash

J01_sel. Please select the names the household members who earned cash ☐ ${hm1} as indicated on the paper household roster ☐ ${hm2} All men and women who earned cash Total number of eligible cash earners ☐ ${hm3} is "${cash_count}" ☐ ${hm4}

64 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ ${hm5} ☐ ${hm6} ☐ ${hm7} ☐ ${hm8} ☐ ${hm9} ☐ ${hm10} ☐ ${hm11} ☐ ${hm12} ☐ ${hm13} ☐ ${hm14} ☐ ${hm15} ☐ ${hm16} ☐ ${hm17} ☐ ${hm18} ☐ ${hm19} ☐ ${hm20} ☐ ${hm21} ☐ ${hm22} ☐ ${hm23} ☐ ${hm24} ☐ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the J01a. Does ${J01} consent to continue? survey ◯ Household Member was not available J02: ${J01}: Do you work in exchange for cash or in-kind? This question applies to all who responded to question B12 positively -- ◯ Yes stating that they earned cash (option 1) or earned a combination of cash ◯ No and in-kind (option 2). ${J02}=1

◯ Married or living together J03: Marital status of the respondent ◯ Divorced/separated Check household roster question B15. ◯ Widowed ◯ Never married and never lived together ◯ Don't Know ◯ Refused J06: ${J01}: Have you done any work in the past 12 months? Read definition of work from Module B, which is re-stated here: Work includes jobs in the formal and/or informal sector, full time, part time, or seasonal work that is done within and/or outside the home. It includes, but is not limited to agricultural daily wage labor, off-farm daily wage labor, ◯ Yes income generation activities, sale of goods produced or processed outside ◯ No the home or at the home, homestead garden or farm (e.g., vegetables, eggs, fish, livestock, artisanal goods), or petty trading. For this indicator, work does not include participating in cash for work, food for work, or conditional transfers and/or productive safety net programs. It does not

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include either caring for own children, cooking, cleaning or doing other routine chores for own household (e.g., fetching water, collecting firewood) or being involved in agricultural production solely for household consumption. ${J06}=1

◯ Cash only J07: During the past 12 months, were you usually paid in cash or kind for ◯ Cash and in-kind this work or were you not paid at all? ◯ In-kind only ◯ Not paid ◯ Don't Know ◯ Refused selected (${J07},"2")or selected (${J07},"1") J08: When you were paid in cash for this work, was the payment usually made directly to you, to your spouse/partner or to someone else in your household? ◯ A: Respondent ◯ B: Spouse/partner If response is someone else in household or another person, then specify the relationship to the respondent. ◯ C: Someone else in HH (specify) ◯ D: Other (Specify) selected(${J08}, "3") J08_someone: Please specify:

selected(${J08}, "4") J08_other: Please specify:

J09A: Do you usually discuss with someone about how the cash you earn ◯ Yes will be used? ◯ No ${J09A}=1 J09B: With whom do you usually talk about how the cash you earn will be used? ☐ A: Spouse/partner Select all that apply. For responses B and C, specify the relationship to the respondent. ☐ B: Someone else in HH (specify relationship) ☐ C: Other (Specify) selected(${J09B}, "2") J09B_someone: Please specify:

selected(${J09B}, "3") J09B_other: Please specify:

◯ 1. Respondent ◯ 2. Spouse/partner J10: Who usually decides how the cash you earn will be used? ◯ 3. Yourself (respondent) and spouse/partner Read all responses and select only one. For responses 4 and 5, specify the jointly relationship to the respondent. ◯ 4. Yourself (respondent) and other jointly (specify) ◯ 5. Other (specify) selected(${J10}, "4") J10_someone: Please specify:

J10_other: Please specify: selected(${J10}, "5")

66 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ 1. Respondent ◯ 2. Spouse/partner J11: Who usually makes decisions about making major household ◯ 3. Yourself (respondent) and spouse/partner purchases? jointly Read all responses and select only one. For responses 4 and 5, specify the ◯ 4. Yourself (respondent) and other jointly relationship to the respondent. (specify) ◯ 5. Other (specify) selected(${J11}, "4") J11_someone: Please specify:

selected(${J11}, "5") J11_other: Please specify:

selected (${J01a}, "2") or selected (${J01a}, "3") and ${J02}=2 or selected (${J03}, "3") or selec … J13: Why was ${J01} unable to complete this part of the survey?

Module K. Gender - MCHN Respondent for this module: Men and Women with Child Under 2 Years Repetitions: Once for each adult with child under 2 years ☐ ${hm1} ☐ ${hm2} ☐ ${hm3} ☐ ${hm4} ☐ ${hm5} ☐ ${hm6} ☐ ${hm7} ☐ ${hm8} ☐ ${hm9} ☐ ${hm10} K01_sel: Please select the names the household members who have a ☐ ${hm11} child under 2 years ☐ ${hm12} All Men and Women with Child Under 2 Years Total number of eligible ☐ ${hm13} biological parents with a child under the age of 2 years living in the ☐ ${hm14} household is "${biopar_count}" Total number of children under the age of two years (23 months or younger) living in the household is ☐ ${hm15} "${kid_count2}" ☐ ${hm16} ☐ ${hm17} ☐ ${hm18} ☐ ${hm19} ☐ ${hm20} ☐ ${hm21} ☐ ${hm22} ☐ ${hm23} ☐ ${hm24} ☐ ${hm25}

Annex K: Data Collection Instruments 67 IMPEL | Implementer-Led Evaluation and Learning

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the K01a: Does ${K01} consent to continue? survey ◯ Household Member was not available ${K01a}=1 K01b: ${K01}: Do you have any children under 2 years age? This question applies to all men and women who responded to question ◯ B13 positively -- stating that they had a child under 2 years (option 1). Yes ◯ No ${K01b}=1

◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} ◯ ${hm7} ◯ ${hm8} ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} ◯ ${hm12} K01c_sel: ${K01}: What is the name of your child under 2 years of age? ◯ ${hm13} All children must be part of the Household roster ◯ ${hm14} ◯ ${hm15} ◯ ${hm16} ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23} ◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

◯ Male K02: Sex of the respondent ◯ Female ◯ Married or living together ◯ Divorced/separated ◯ Widowed K03: Marital status of the respondent ◯ Never married and never lived together ◯ Don't Know ◯ Refused K07: How many times should a pregnant woman go for antenatal check- ups during the pregnancy? Enter -8 for Don't Know; -9 for Refused

68 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ More K08: In your opinion, do you think pregnant women, overall, need to eat ◯ Less more, less or the same amount of food as they did before they got ◯ Same pregnant? ◯ Don't know ◯ Refused to answer ◯ Immediately ◯ Less than 1 hour after delivery ◯ Some hours later but less than 24 hours ◯ 1 day later K09: How long after birth should a mother first put her baby to the breast? ◯ More than 1 day later ◯ Baby should not be breastfed ◯ Don't know ◯ Refused to answer K10: At what age should a breast-fed child be introduced to semi-solid or solid foods? Age in months. Enter "-8" if the respondent doesn't know; -9 for Refused selected(${K02},"2") K12_f: IF FEMALE RESPONDENT ASK: ${K01}: Is there someone with whom you usually discuss your or your child’s health and nutrition? ◯ Yes ◯ No selected(${K02},"2") and selected (${K12_f},"1") K13_f: IF FEMALE RESPONDENT ASK: ${K01}: With whom do you usually discuss this? ◯ A: Spouse/partner Select all that apply. For responses B and C, specify the relationship to the respondent. ◯ B: Someone else in HH (specify relationship) ◯ C: Other (Specify) selected(${K13_f}, "2") K13_f_someone: Please specify

selected(${K13_f}, "3") K13_f_other: Please specify

selected(${K02},"1") K12_m: IF MALE RESPONDENT ASK: ${K01}: Is there someone with whom you usually discuss your spouse/partner’s or your child’s health and nutrition? ◯ Yes ◯ No selected(${K02},"1") and selected K13_m: IF MALE RESPONDENT ASK: ${K01}: With whom do you usually (${K12_m},"1") discuss this? Select all that apply. For responses B and C, specify the relationship to the ◯ A: Spouse/partner respondent. ◯ B: Someone else in HH (specify relationship) ◯ C: Other (Specify) selected(${K13_m}, "2") K13_m_someone: Please specify

selected(${K13_m}, "3") K13_m_other: Please specify

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selected(${K02},"2")

◯ 1. Respondent K14_f: IF FEMALE RESPONDENT ASK: Who usually makes decisions about your health and nutrition? ◯ 2. Spouse/partner ◯ 3. Yourself (respondent) and spouse/partner Read all responses and select only one. For responses 4 and 5, specify the relationship to the respondent. jointly ◯ 4. Yourself (respondent) and other jointly (specify) ◯ 5. Other (specify) selected(${K14_f}, "4") K14_f_someone: Please specify

selected(${K14_f}, "5") K14_f_other: Please specify

selected(${K02},"1")

◯ 1. Respondent K14_m: IF MALE RESPONDENT ASK: Who usually makes decisions about your spouse/partner's health and nutrition ◯ 2. Spouse/partner ◯ 3. Yourself (respondent) and spouse/partner Read all responses and select only one. For responses 4 and 5, specify the relationship to the respondent. jointly ◯ 4. Yourself (respondent) and other jointly (specify) ◯ 5. Other (specify) selected(${K14_m}, "4") K14_m_someone: Please specify

selected(${K14_m}, "5") K14_m_other: Please specify

◯ 1. Respondent ◯ 2. Spouse/partner K15: Who usually makes decisions about your child’s health and nutrition? ◯ 3. Yourself (respondent) and spouse/partner Read all responses and select only one. For responses 4 and 5, specify the jointly relationship to the respondent. ◯ 4. Yourself (respondent) and other jointly (specify) ◯ 5. Other (specify) selected(${K15}, "4") K15_someone: Please specify

selected(${K15}, "5") K15_other: Please specify

◯ 1. Respondent ◯ 2. Spouse/partner K16: Who usually makes decisions about making major household ◯ 3. Yourself (respondent) and spouse/partner purchases? jointly Read all responses and select only one. For responses 4 and 5, specify the ◯ 4. Yourself (respondent) and other jointly relationship to the respondent. (specify) ◯ 5. Other (specify)

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selected(${K16}, "4") K16_someone: Please specify

selected(${K16}, "5") K16_other: Please specify

${K01a}!=1 K18: Why was ${K01} unable to complete this part of the survey?

MODULE H1. FOOD CONSUMPTION OVER PAST 7 DAYS Instructions: Ask these questions about all household members. For module H1, ask whoever is most knowledgeable about the food the household members have eaten in the past week. For modules H2 through H7, ask the person who is most knowledgeable about other household expenditures, including non-food items that household members have bought. Read to respondent: "Now I would like to ask you about the kinds of foods that you and other members of your household have eaten over the past week. I’d also like to ask you about items that you or members of your household may have bought in the past week. Please include foods in meals that are shared with other members of the household, as well as foods that individual members of the household may have consumed independently of other family members. First, we will ask about foods that were eaten at your home, or at the home of friends or other family. Later we will ask about foods that were purchased already prepared from a restaurant or a vendor." ◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} ◯ ${hm7} ◯ ${hm8} ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} ◯ ${hm12} ◯ ${hm13} H01_sel: Please select the name of the person in charge of food ◯ ${hm14} preparation in last 7 days (same person as Module C) ◯ ${hm15} ◯ ${hm16} ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23} ◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

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◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the H02: Does ${H01} give consent to continue? survey ◯ Household Member was not available ☐ Rice ☐ Rice flour Maize grain ☐ Maize (Mangahazo) ☐ Maize grain ☐ Green maize ☐ Sorghum ☐ Wheat flour ☐ Bread ☐ Buns, scones H1_1_1: Over the past 7 days, did you or others in your household ☐ Biscuits consume any of the following items? ☐ Spaghetti, macaroni, pasta ☐ Breakfast cereal ☐ Infant feeding cereals ☐ Other cereals 1 (specify) ☐ Other cereals 2 (specify) ☐ Other cereals 3 (specify) ☐ Did not have any of this category ☐ Don't know ☐ Refused selected(${H1_1_1}, "14") H1_1_1_other1: Please specify

selected(${H1_1_1}, "15") H1_1_1_other2: Please specify

selected(${H1_1_1}, "16") H1_1_1_other3: Please specify

H1_1_2: How much ${H1_1_food_asset1} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram H1_1_2a: Indicate in what unit the respondent gave their answer ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag ◯ Boite MADCO

72 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_1_2a}, "25") H1_1_2a_other: Please specify

H1_1_3: How much of the ${H1_1_food_asset1} consumed by your household in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_1_4: How much did you spend on the ${H1_1_food_asset1} consumed by your household in the past 7 days? Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_1_5: How much of the ${H1_1_food_asset1} consumed by your household in the past 7 days came from your household's own production? Enter -8 for Don't Know; -9 for Refused H1_1_5c: Please tell me how much it would have cost to buy that much ${H1_1_food_asset1} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_1_6: How much of the ${H1_1_food_asset1} consumed by your household in the past 7 days came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_1_6c: Please tell me how much it would have cost to buy that much ${H1_1_food_asset1} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Cassava tubers ☐ Cassava flour ☐ Sweet potato ☐ Yam ☐ Breadfruit H1_2_1: Over the past 7 days, did you or others in your household ☐ Potato consume any of the following items? ☐ Plantain, cooking banana ☐ Taro (Saonjo) ☐ Other roots, tubers, or plantains 1 (specify) ☐ Other roots, tubers, or plantains 2 (specify) ☐ Other roots, tubers, or plantains 3 (specify) ☐ Did not have any of this category

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☐ Don't Know ☐ Refused selected(${H1_2_1}, "9") H1_2_1_other1: Please specify

selected(${H1_2_1}, "10") H1_2_1_other2: Please specify

selected(${H1_2_1}, "11") H1_2_1_other3: Please specify

H1_2_2: How much ${H1_2_food_asset2} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H1_2_2a: Indicate in what unit the respondent gave their answer ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_2_2a}, "25") H1_2_2a_other: Please specify

H1_2_3: How much ${H1_2_food_asset2} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused

H1_2_4: How much did you spend on the ${H1_2_food_asset2} consumed in the Past 7 days? In dollars

74 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_2_5: How much ${H1_2_food_asset2} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_2_5c: How much it would have cost to buy that much ${H1_2_food_asset2} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_2_6: How much ${H1_2_food_asset2} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_2_6c: How much it would have cost to buy that much ${H1_2_food_asset2} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Bean, white ☐ Bean, brown ☐ Pigeon pea ☐ Groundnut ☐ Groundnut flour ☐ Soybean flour ☐ Voanemba ☐ Cowpea (Niebe) ☐ Kabaro H1_3_1: Over the past 7 days, did you or others in your household consume any of the following items? ☐ Voanjobory ☐ Other nuts or pulses (Specify: Tsiasisa, Lojy, Antake, Antsoroky…) ☐ Other nuts or pulses (Specify: Tsiasisa, Lojy, Antake, Antsoroky…) ☐ Other nuts or pulses (Specify: Tsiasisa, Lojy, Antake, Antsoroky…) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_3_1}, "11") H1_3_1_other1: Please specify

selected(${H1_3_1}, "12") H1_3_1_other2: Please specify

selected(${H1_3_1}, "13") H1_3_1_other3: Please specify

H1_3_2: How much ${H1_3_food_asset3} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) H1_3_2a: Indicate in what unit the respondent gave their answer ◯ Tin

Annex K: Data Collection Instruments 75 IMPEL | Implementer-Led Evaluation and Learning

◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_3_2a}, "25") H1_3_2a_other: Please specify

H1_3_3: How much ${H1_3_food_asset3} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_3_4: How much did you spend on the ${H1_3_food_asset3} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_3_5: How much ${H1_3_food_asset3} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_3_5c: How much it would have cost to buy that much ${H1_3_food_asset3} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_3_6: How much ${H1_3_food_asset3} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_3_6c: How much it would have cost to buy that much ${H1_3_food_asset3} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_4_1: Over the past 7 days, did you or others in your household ☐ Onion, fresh or processed consume any of the following items? ☐ Cabbage, fresh or processed

76 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ Carrot ☐ Zucchini ☐ Cauliflower ☐ Other cultivated green leafy vegetables, fresh or processed ☐ Gathered wild green leaves (Ananambo, Anamadinika, …) ☐ Tomato, fresh or processed ☐ Cucumber, fresh or processed ☐ Pumpkin, fresh or processed ☐ Green beans ☐ Pepper (green, red or yellow) ☐ Eggplant ☐ Sakay fantsin'akoholahy ☐ Mushroom, fresh or processed ☐ Other vegetables, fresh or processed 1 (specify) ☐ Other vegetables, fresh or processed 2 (specify) ☐ Other vegetables, fresh or processed 3 (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_4_1}, "16") H1_4_1_other1: Please specify

selected(${H1_4_1}, "17") H1_4_1_other2: Please specify

selected(${H1_4_1}, "18") H1_4_1_other3: Please specify

H1_4_2: How much ${H1_4_food_asset4} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion H1_4_2a: Indicate in what unit the respondent gave their answer ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag

Annex K: Data Collection Instruments 77 IMPEL | Implementer-Led Evaluation and Learning

◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_4_2a}, "25") H1_4_2a_other: Please specify

H1_4_3: How much ${H1_4_food_asset4} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_4_4: How much did you spend on the ${H1_4_food_asset4} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_4_5: How much ${H1_4_food_asset4} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_4_5c: How much it would have cost to buy that much ${H1_4_food_asset4} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_4_6: How much ${H1_4_food_asset4} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_4_6c: How much it would have cost to buy that much ${H1_4_food_asset4} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Eggs ☐ Dried fish ☐ Fresh fish ☐ Shellfish ☐ Beef H1_5_1: Over the past 7 days, did you or others in your household ☐ Goat consume any of the following items? ☐ Pork ☐ Mutton ☐ Chicken ☐ Other poultry - guinea fowl, doves, etc. ☐ Small animal – rabbit, etc. ☐ Wild animals

78 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ Termites, other insects, for example Ngumbi (caterpillar) ☐ Tinned meat or fish ☐ Smoked fish ☐ Fish Soup/Sauce ☐ Other meat 1 (specify) ☐ Other meat 2 (specify) ☐ Other meat 3 (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_5_1}, "17") H1_5_1_other1: Please specify

selected(${H1_5_1}, "18") H1_5_1_other2: Please specify

selected(${H1_5_1}, "19") H1_5_1_other3: Please specify

H1_5_2: How much ${H1_5_food_asset5} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H1_5_2a: Indicate in what unit the respondent gave their answer ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused

Annex K: Data Collection Instruments 79 IMPEL | Implementer-Led Evaluation and Learning

selected(${H1_5_2a}, "25") H1_5_2a_other: Please specify

H1_5_3: How much ${H1_5_food_asset5} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_5_4: How much did you spend on the ${H1_5_food_asset5} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_5_5: How much ${H1_5_food_asset5} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_5_5c: How much it would have cost to buy that much ${H1_5_food_asset5} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_5_6: How much ${H1_5_food_asset5} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_5_6c: How much it would have cost to buy that much ${H1_5_food_asset5} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Mango ☐ Banana ☐ Citrus – orange, etc. ☐ Pineapple ☐ Papaya ☐ Guava, Chinese guava ☐ Avocado ☐ Wild fruit (Cactus, Baobab, soursop…) H1_6_1: Over the past 7 days, did you or others in your household ☐ Lychee consume any of the following items? ☐ Baobab ☐ Coconut ☐ Apple ☐ Other fruits 1 (specify) ☐ Other fruits 2 (specify) ☐ Other fruits 3 (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_6_1}, "13") H1_6_1_other1: Please specify

selected(${H1_6_1}, "14") H1_6_1_other2: Please specify

80 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

selected(${H1_6_1}, "15") H1_6_1_other3: Please specify

H1_6_2: How much ${H1_6_food_asset6} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H1_6_2a: Indicate in what unit the respondent gave their answer ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_6_2a}, "25") H1_6_2a_other: Please specify

H1_6_3: How much ${H1_6_food_asset6} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_6_4: How much did you spend on the ${H1_6_food_asset6} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_6_5: How much ${H1_6_food_asset6} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_6_5c: How much it would have cost to buy that much ${H1_6_food_asset6} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused

Annex K: Data Collection Instruments 81 IMPEL | Implementer-Led Evaluation and Learning

H1_6_6: How much ${H1_6_food_asset6} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_6_6c: How much it would have cost to buy that much ${H1_6_food_asset6} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Fresh milk ☐ Powdered milk ☐ Margarine - Blue band ☐ Butter ☐ Soured milk (Abobo) ☐ Yoghurt H1_7_1: Over the past 7 days, did you or others in your household ☐ Cheese consume any of the following items? ☐ Infant feeding formula (for bottle) ☐ Other milk 1 (specify) ☐ Other milk 2 (specify) ☐ Other milk 3 (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_7_1}, "9") H1_7_1_other1: Please specify

selected(${H1_7_1}, "10") H1_7_1_other2: Please specify

selected(${H1_7_1}, "11") H1_7_1_other3: Please specify

H1_7_2: How much ${H1_7_food_asset7} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube H1_7_2a: Indicate in what unit the respondent gave their answer ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large)

82 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_7_2a}, "25") H1_7_2a_other: Please specify

H1_7_3: How much ${H1_7_food_asset7} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_7_4: How much did you spend on the ${H1_7_food_asset7} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_7_5: How much ${H1_7_food_asset7} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_7_5c: How much it would have cost to buy that much ${H1_7_food_asset7} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_7_6: How much ${H1_7_food_asset7} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_7_6c: How much it would have cost to buy that much ${H1_7_food_asset7} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Sugar ☐ Sugar Cane ☐ Cooking oil ☐ Coco butter H1_8_1: Over the past 7 days, did you or others in your household ☐ Other sugars, fats, or oils (specify) consume any of the following items? ☐ Other sugars, fats, or oils (specify) ☐ Other sugars, fats, or oils (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_8_1}, "5") H1_8_1_other1: Please specify

H1_8_1_other2: Please specify selected(${H1_8_1}, "6")

Annex K: Data Collection Instruments 83 IMPEL | Implementer-Led Evaluation and Learning

selected(${H1_8_1}, "7") H1_8_1_other3: Please specify

H1_8_2: How much ${H1_8_food_asset8} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H1_8_2a: Indicate in what unit the respondent gave their answer ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_8_2a}, "25") H1_8_2a_other: Please specify

H1_8_3: How much ${H1_8_food_asset8} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_8_4: How much did you spend on the ${H1_8_food_asset8} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_8_5: How much ${H1_8_food_asset8} came from your own production? Enter -8 for Don't Know; -9 for Refused

84 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

H1_8_5c: How much it would have cost to buy that much ${H1_8_food_asset8} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_8_6: How much ${H1_8_food_asset8} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_8_6c: How much it would have cost to buy that much ${H1_8_food_asset8} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Tea ☐ Coffee ☐ Cocoa, Milo ☐ Foster clark ☐ Fruit juice ☐ Soft drinks (Coca-Cola, Fanta, Sprite, etc.) ☐ Toaka gasy, galeoka, betsabetsa (commercial traditional-style beer) H1_9_1: Over the past 7 days, did you or others in your household ☐ Bottled water consume any of the following items? ☐ Bottled / canned beer (Carlsberg, etc.) ☐ Mangidy ☐ Wine or commercial liquor ☐ Other beverages 1 (specify) ☐ Other beverages 2 (specify) ☐ Other beverages 3 (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_9_1}, "12") H1_9_1_other1: Please specify

selected(${H1_9_1}, "13") H1_9_1_other2: Please specify

selected(${H1_9_1}, "14") H1_9_1_other3: Please specify

H1_9_2: How much ${H1_9_food_asset9} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup H1_9_2a: Indicate in what unit the respondent gave their answer ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate

Annex K: Data Collection Instruments 85 IMPEL | Implementer-Led Evaluation and Learning

◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_9_2a}, "25") H1_9_2a_other: Please specify

H1_9_3: How much ${H1_9_food_asset9} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_9_4: How much did you spend on the ${H1_9_food_asset9} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_9_5: How much ${H1_9_food_asset9} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_9_5c: How much it would have cost to buy that much ${H1_9_food_asset9} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_9_6: How much ${H1_9_food_asset9} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_9_6c: How much it would have cost to buy that much ${H1_9_food_asset9} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Salt ☐ Spices (Curry, black pepper, clove, cinnamon) ☐ Yeast, baking powder, bicarbonate of soda H1_10_1: Over the past 7 days, did you or others in your household ☐ Tomato sauce (bottle) consume any of the following items? ☐ Hot sauce (Sakay, etc.) ☐ Jam, jelly ☐ Sweets, candy, chocolates ☐ Honey

86 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

☐ Other spices, condiments, etc. (specify) ☐ Other spices, condiments, etc. (specify) ☐ Other spices, condiments, etc. (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_10_1}, "9") H1_10_1_other1: Please specify

selected(${H1_10_1}, "10") H1_10_1_other2: Please specify

selected(${H1_10_1}, "11") H1_10_1_other3: Please specify

H1_10_2: How much ${H1_10_food_asset10} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H1_10_2a: Indicate in what unit the respondent gave their answer ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_10_2a}, "25") H1_10_2a_other: Please specify

H1_10_3: How much ${H1_10_food_asset10} in total did your household consume in the past 7 days came from purchases?

Annex K: Data Collection Instruments 87 IMPEL | Implementer-Led Evaluation and Learning

Enter -8 for Don't Know; -9 for Refused H1_10_4: How much did you spend on the ${H1_10_food_asset10} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused H1_10_5: How much ${H1_10_food_asset10} came from your own production? Enter -8 for Don't Know; -9 for Refused H1_10_5c: How much it would have cost to buy that much ${H1_10_food_asset10} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused H1_10_6: How much ${H1_10_food_asset10} came from gifts or other sources? Enter -8 for Don't Know; -9 for Refused H1_10_6c: How much it would have cost to buy that much ${H1_10_food_asset10} if you had to purchase it in the market today? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Maize - boiled or roasted (vendor) ☐ Chips (vendor) ☐ Cassava - boiled (vendor) ☐ Eggs - boiled (vendor) ☐ Chicken (vendor) ☐ Meat, skewers (vendor) ☐ Mofo gasy, Menakely, Ramanonaka, Mofo akondro ☐ Fish (vendor) ☐ Bageda H1_11_1: Over the past 7 days, did you or others in your household ☐ Samosa, nems (vendor) consume any of the following items? ☐ Meal eaten at restaurant (Compose…) ☐ Koba ☐ Soup ☐ Achard ☐ Other cooked foods from vendors (specify) ☐ Other cooked foods from vendors (specify) ☐ Other cooked foods from vendors (specify) ☐ Did not have any of this category ☐ Don't Know ☐ Refused selected(${H1_11_1}, "15") H1_11_1_other1: Please specify

selected(${H1_11_1}, "16") H1_11_1_other2: Please specify

H1_11_1_other3: Please specify selected(${H1_11_1}, "17")

88 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

H1_11_2: How much ${H1_11_food_asset11} in total did your household consume in the past 7 days? Enter -8 for Don't Know; -9 for Refused ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H1_11_2a: Indicate in what unit the respondent gave their answer ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused selected(${H1_11_2a}, "25") H1_11_2a_other: Please specify

H1_11_3: How much ${H1_11_food_asset11} in total did your household consume in the past 7 days came from purchases? Enter -8 for Don't Know; -9 for Refused H1_11_4: How much did you spend on the ${H1_11_food_asset11} consumed in the Past 7 days? In dollars Indicate in MALAGASY AR. If your family ate part but not all of something you purchased, estimate what you spent only on the part that was consumed. Enter -8 for Don't Know; -9 for Refused ◯ Yes H1s_08: Over the past one week (7 days), did any people who are not ◯ No members of your household eat any meals in your household? ◯ Don't know ◯ Refused to answer H1s_09: Over the past one week (7 days), how many people who are not members of your household ate meals in your household? ${H1s_08}=1 Enter -8 for Don't Know; -9 for Refused

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H1s_10: Over the past one week (7 days), what was the total number of days in which any meal was shared with people who are not members of ${H1s_08}=1 your household? Enter -8 for Don't Know; -9 for Refused H1s_11: Over the past one week (7 days), what was the total number of meals that were shared with people who are not members of your ${H1s_08}=1 household? Enter -8 for Don't Know; -9 for Refused ◯ Yes H1s_12: Over the past one week (7 days), did your household purchase pet ◯ No food for family pets like a cat or a dog? ◯ Don't know ◯ Refused to answer H1s_13: How much did you spend on pet food last week? ${H1s_12}=1 Ariary Enter -8 for Don't Know; -9 for Refused ◯ Yes H1s_14: Over the past one week (7 days), were there any other ◯ No expenditures on pets? ◯ Don't know ◯ Refused to answer H1s_15: How much did you spend on other purchases for pets last week? ${H1s_14}=1 Ariary Enter -8 for Don't Know; -9 for Refused selected (${H01}, "2") or selected (${H01}, "3") H1_1_16: Why was ${H01} unable to complete this part of the survey?

MODULE H2. NON-FOOD EXPENDITURES OVER PAST 7 DAYS) Respondent for this module: Head of Household or Responsible Adult ◯ ${hm1} ◯ ${hm2} ◯ ${hm3} ◯ ${hm4} ◯ ${hm5} ◯ ${hm6} ◯ ${hm7} ◯ ${hm8} ◯ ${hm9} ◯ ${hm10} ◯ ${hm11} H21_sel: Please select the name of the Head of Household or Responsible ◯ ${hm12} Adult ◯ ${hm13} ◯ ${hm14} ◯ ${hm15} ◯ ${hm16} ◯ ${hm17} ◯ ${hm18} ◯ ${hm19} ◯ ${hm20} ◯ ${hm21} ◯ ${hm22} ◯ ${hm23}

90 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ ${hm24} ◯ ${hm25}

hm_category <= ${hm_count}

◯ Yes, I agree to participate in the survey ◯ No, I do not agree to participate in the H22: Does ${H21} give consent to continue? survey ◯ Household Member was not available ☐ Charcoal, Kitay ☐ Petrol ☐ Cigarettes or other tobacco ☐ Candles ☐ Rickshaw (Pousse-pousse) ☐ Pirogue (lakana) ☐ Matches ☐ Newspapers or magazines ☐ Public transport - Bicycle Taxi (include any used for school under education costs; include any used for obtaining health care under health expenditures) H2_1_1: Over the past one week (7 days), did your household purchase or ☐ Public transport - Bus/Minibus (include any pay for any of the following items? used for school under education costs; include any used for obtaining health care under health expenditures) ☐ Public transport - Other (truck, oxcart, etc.) (include any used for school under education costs; include any used for obtaining health care under health expenditures) ☐ Other1 (specify) ☐ Other2 (specify) ☐ Other3 (specify) ☐ None of these options ☐ Don't Know ☐ Refused selected(${H2_1_1}, "12") H2_1_1_other1: Please specify:

selected(${H2_1_1}, "13") H2_1_1_other2: Please specify:

selected(${H2_1_1}, "14") H2_1_1_other3: Please specify:

H2_1_2: How much did you pay for ${H2_1_one_week_recall}? Ariary Enter -8 for Don't Know; -9 for Refused

MODULE H3: NON-FOOD EXPENDITURES OVER PAST ONE MONTH Head of Household or Responsible Adult

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☐ Milling fees for grains (not including cost of grain itself), grain ☐ Bar soap (body soap or clothes soap) ☐ Clothes soap (powder, paste) ☐ Toothpaste, toothbrush ☐ Toilet paper ☐ Glycerin, Vaseline, skin creams, coconut oil, green clay ☐ Other personal products (shampoo, razor blades, cosmetics, hair products, etc.) ☐ Light bulbs ☐ Postage stamps or other postal fees (Frais d'envoi pour le taxi - brousse ou DHL) ☐ Donations - to church, charity, beggar, etc. ☐ Petrol or diesel ☐ Motor vehicle service, repair, or parts ☐ Bicycle service, repair, or parts ☐ Wages paid to servants ☐ Repairs to household and personal items (radios, watches, etc., excluding battery purchases) ☐ Utilities: Natural gas H3_1_1: Over the past 30 DAYS (one month), did your household use or ☐ Utilities: Electricity buy any of the following items? ☐ Utilities: Water ☐ Batteries ☐ Recharging of batteries, cell phones, etc. ☐ Air time for cell phones ☐ Anything related to illnesses and injuries, including for medicine, tests, consultation, & in- patient fees ☐ Medical care not related to an illness - preventative health care, pre-natal visits, check- ups, etc. ☐ Non-prescription medicines, for example, Panadol, Fansidar, cough syrup, etc. ☐ Transportation used to access health-related services or care that did not require an overnight stay in a health facility or at a traditional healer’s dwelling ☐ Traditional/natural medicine ☐ Other health expenditures 1: Specify ☐ Other health expenditures 2: Specify ☐ Other health expenditures 3: Specify ☐ None of these options ☐ Don't Know ☐ Refused selected(${H3_1_1}, "27") H3_1_1_other1: Please specify:

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selected(${H3_1_1}, "28") H3_1_1_other2: Please specify:

selected(${H3_1_1}, "29") H3_1_1_other3: Please specify:

H3_1_2: How much did you pay for ${H3_1_one_month_recall}? Ariary Enter -8 for Don't Know; -9 for Refused

MODULE H4: NON-FOOD EXPENDITURES OVER PAST THREE MONTHS Head of Household or Responsible Adult ☐ Infant clothing ☐ Baby nappies/diapers ☐ Boy’s clothing (trousers, shirts, jackets…) ☐ Boy’s undergarments ☐ Men’s clothing (trousers, shirt, jackets…) ☐ Men's undergarments ☐ Girl's clothing (blouse/shirt, dress/skirt…) ☐ Girl's undergarments ☐ Women’s clothing (blouse/shirt, dress/skirt…) ☐ Women’s undergarments ☐ Lambahoany ☐ Boys shoes ☐ Men’s shoes ☐ Girl’s shoes ☐ Women’s shoes ☐ Cloth, thread, other sewing material ☐ Laundry, dry cleaning, tailoring fees ☐ Bowls, glassware, plates, silverware, etc. H4_1_1: Over the past 3 months, did your household purchase or pay for ☐ any of the following items? Cooking utensils (cookpots, stirring spoons and whisks, etc.) ☐ Cleaning utensils (brooms, brushes, etc.) ☐ Torch / flashlight ☐ Umbrella ☐ Petrol lamp ☐ Stationery items (excluding school related) ☐ Books (excluding school related) ☐ Music or video cassette or CD/DVD ☐ Tickets for sports / entertainment events ☐ House decorations ☐ Night's lodging in rest house or hotel (excluding school or health related) ☐ Other: Specify ☐ Other: Specify ☐ Other: Specify ☐ None of these options ☐ Don't Know ☐ Refused

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selected(${H4_1_1}, "30") H4_1_1_other1: Please specify:

selected(${H4_1_1}, "31") H4_1_1_other2: Please specify:

selected(${H4_1_1}, "32") H4_1_1_other3: Please specify:

H4_1_2: How much did you pay for ${H4_1_three_month_recall}? Ariary Enter -8 for Don't Know; -9 for Refused

MODULE H5. NON-FOOD EXPENDITURES OVER PAST 12 MONTHS Head of Household or Responsible Adult ☐ Carpet, rugs, drapes, curtains, tsihy ☐ Linen - towels, sheets, blankets ☐ Mat - sleeping or for drying maize flour ☐ Mosquito net ☐ Mattress ☐ Sports & hobby equipment, musical instruments, toys ☐ Film, film processing, camera ☐ Cement ☐ Bricks ☐ Construction timber ☐ Purchase of land for non-farming purposes ☐ Adidy ☐ Insurance - health (MASM, etc.), auto, home, life ☐ Fines or legal fees H5_1_1: Over the past one year (twelve months), did your household ☐ Lobola (bridewealth) costs purchase or pay for any of the following items? ☐ Marriage ceremony costs ☐ Funeral costs, exhumation, circumcision, household members ☐ Funeral costs, exhumation, circumcision, non-household members (relatives, neighbors/friends) ☐ Hospitalizations or overnight stay in any hospital – total cost for treatment ☐ Travel to and from the medical facility for any overnight stay(s) or hospitalization ☐ Food costs during overnight stay(s) at the medical facility or hospitalization (if not already included above) ☐ Over-night(s) stay at a traditional healer's or faith healer's dwelling – total costs for treatment ☐ Travel costs to the traditional healer's or faith healer's dwelling for overnight stay(s)

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☐ Food costs during overnight stay(s) at the traditional healer's or faith healer's dwelling ☐ Tuition, including extra tuition fees ☐ Expenditures on after school programs and tutoring ☐ School books and stationery ☐ School uniform ☐ Boarding fees (including VAT) ☐ Contribution to school building maintenance ☐ Transport to and from school ☐ Parent/Teacher Association and other related fees ☐ Other 1: Specify ☐ Other 2: Specify ☐ Other 3: Specify ☐ None of these options ☐ Don't Know ☐ Refused selected(${H5_1_1}, "33") H5_1_1_other1: Please specify:

selected(${H5_1_1}, "34") H5_1_1_other2: Please specify:

selected(${H5_1_1}, "35") H5_1_1_other3: Please specify:

H5_1_2: How much did you pay for ${H5_1_one_year_recall}? Ariary Enter -8 for Don't Know; -9 for Refused ☐ Wood poles, bamboo ☐ Material for the roof ☐ Grass for thatching roof or other use ☐ Other: Specify H5_1_5: Over the past one year (twelve months), did your household ☐ Other: Specify gather, purchase or pay for any of the following items? ☐ Other: Specify ☐ None of these options ☐ Don't Know ☐ Refused selected(${H5_1_5}, "4") H5_1_5_other1: Please specify:

selected(${H5_1_5}, "5") H5_1_5_other2: Please specify:

selected(${H5_1_5}, "6") H5_1_5_other3: Please specify:

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H5_1_6: What was the estimated total quantity of ${H5_1_one_year_recall1} used? ◯ Kilogramme(s) ◯ Tin ◯ Litre ◯ Cup ◯ Millilitre ◯ Piece / slice / portion ◯ Gram ◯ Sachet/tube ◯ No. 10 plate ◯ No. 12 plate ◯ Heap ◯ 50 Kg. bag ◯ 90 Kg. bag H5_1_6a: Indicate in what unit the respondent gave ◯ Boite MADCO ◯ Bunch ◯ Pail (small) ◯ Pail (large) ◯ Teaspoon ◯ Tablespoon ◯ Basket (Dengu) (Shelled) ◯ Basket (Dengu) (Unshelled) ◯ Bale ◯ Ox-cart (Unshelled) ◯ Basin ◯ Other (specify) ◯ Don't know ◯ Refused ☐ Gathered H5_1_7: Did your household gather the ${H5_1_one_year_recall1}, or did ☐ Purchased your household purchase or pay for the ${H5_1_one_year_recall1}? ☐ Don't Know ☐ Refused H5_1_7a: What was the total estimated value of ${H5_1_one_year_recall1} that you gathered? selected(${H5_1_7},"1") Indicate in MALAGASY AR H5_1_7b: What was the total estimated value of ${H5_1_one_year_recall1} that you purchased? selected(${H5_1_7},"2") Indicate in MALAGASY AR

MODULE H6. HOUSING EXPENDITURES Head of Household or Responsible Adult ◯ Own ◯ Being purchased ◯ Employer provides H6_01: Do you own or are purchasing this house, is it provided to you by ◯ Free an employer, do you use it for free, or do you rent this house? ◯ Rented ◯ Don't Know ◯ Refused H6_02: If you sold this dwelling today, how much would you receive for it ${H6_01}=1 or ${H6_01}=2 in MALAGASY AR?

96 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Ariary Enter -8 for Don't Know; -9 for Refused H6_03: How old is this house, in years? ${H6_01}=1 or ${H6_01}=2 Use ‘000’ if house is less than one year. H6_04: If you rented this dwelling out today, how much rent would you receive in MALAGASY AR? Ariary Enter -8 for Don't Know; -9 for Refused ◯ Day ◯ Week ◯ Month H6_04a: Indicate in what unit the respondent would rent ◯ Year ◯ Don't Know ◯ Refused

H6_05: How much do you pay to rent this dwelling in MALAGASY AR? Ariary Enter -8 for Don't Know; -9 for Refused ◯ Day ◯ Week ◯ Month H6_05a: Indicate in what unit the respondent would rent ◯ Year ◯ Don't Know ◯ Refused ${H6_01}=1 or ${H6_01}=2 H6_06: Do you pay a mortgage on this house, that is, a regular payment towards purchasing the house? ◯ Yes ◯ No ${H6_06}=1

◯ Once a month ◯ Once every 3 months H6_07: How often do you make mortgage payments? ◯ Once every 6 months ◯ Once a year ◯ Other (Specify) ◯ Don't Know ◯ Refused ${H6_07}=5 H6_07_other: Please specify:

H6_08: How much do you pay each time you make a payment on your mortgage in MALAGASY AR? ${H6_06}=1 Ariary Enter -8 for Don't Know; -9 for Refused H6_09: In the past one month, how much did you spend on repairs & maintenance to this house in MALAGASY AR? Ariary Enter -8 for Don't Know; -9 for Refused

MODULE H7. DURABLE GOODS EXPENDITURES Head of Household or Responsible Adult ☐ Bed/table/chair H7_1_1: Does your household own any of the following items? ☐ Fan ☐ Radio

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☐ Tape or CD/DVD player/VCR ☐ Television ☐ Sewing machine ☐ Kerosene/paraffin stove ☐ Electric stove; hot plate ☐ Gas stove ☐ Refrigerator ☐ Bicycle ☐ Boat ☐ Motorcycle/scooter ☐ Car ☐ Mini-bus ☐ Lorry ☐ Beer-brewing drum (Toaka, Betsabetsa) ☐ Sofa ☐ Cupboard, drawers, bureau ☐ Lantern (paraffin) ☐ Desk ☐ Clock ☐ Iron (for pressing clothes) ☐ Computer equipment & accessories ☐ Satellite dish ☐ Solar panel ☐ Generator ☐ None of these options ☐ Don't Know ☐ Refused H7_1_2: How many ${H7_1_assets} do you own?

H7_1_3: What is the age of ${H7_1_assets}/s? Age in years. If more than one item, average age H7_1_4: If you wanted to sell these ${H7_1_assets}/s today, how much would you receive? Indicate in MALAGASY AR If more than one item, average value H7_1_5: Did you purchase or pay for any of these ${H7_1_assets}/s in the ◯ Yes last 12 months? ◯ No H7_1_6: How much did you pay for all these ${H7_1_assets}/s all together (total) in the last 12 months? Ariary Enter -8 for Don't Know; -9 for Refused selected (${H22}, "2") or selected (${H22}, "3") H8_1_2: Why was ${H21} unable to complete this part of the survey?

End of Survey THANK YOU Interviewer's Observations

Comments about respondent:

98 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Comments on specific questions:

Any other comments:

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Anthropometric survey

Madagascar Endline-Pilot

Begin Module A: Household ID and Informed Consent Head of HH and/or Responsible Adult ◯ AMORON I MANIA ◯ ATSIMO ANDREFANA A01. Region ◯ ATSINANANA ◯ HAUTE MATSIATRA ◯ VATOVAVY FITOVINANY ◯ AMBATOFINANDRAHANA ◯ AMBOSITRA ◯ FANDRIANA ◯ MANANDRIANA ◯ AMPANIHY OUEST ◯ BETIOKY ATSIMO ◯ MOROMBE ◯ SAKARAHA ◯ TOLIARY-II ◯ BRICKAVILLE A02. District ◯ TOAMASINA II ◯ AMBALAVAO ◯ AMBOHIMAHASOA ◯ LALANGINA ◯ VOHIBATO ◯ IFANADIANA ◯ MANANJARY

p_cat=${A01}

◯ AMBONDROMISOTRA ◯ SOAVINA ◯ TSARASAOTRA ◯ ALAKAMISY AMBOHIMAHAZO ◯ MAHAZOARIVO ◯ AMBOHIMAHAZO ◯ ANKILIMIVORY ◯ BELAFIKE HAUT ◯ BEROY SUD ◯ GOGOGOGO ◯ VOHITANY A03. Commune ◯ ANKAZOMANGA OUEST ◯ LAZARIVO ◯ MAROARIVO ANKAZOMANGA ◯ MAROSAVOA ◯ AMBAHIKILY ◯ ANTANIMIEVA ◯ BASIBASY ◯ BEFANDRIANA SUD ◯ TANANDAVA STATION ◯ MIKOBOKA ◯ MITSINJO

100 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ ANDRANOVORY ◯ BEHOMPY ◯ BELALANDA ◯ MAROMIANDRA ◯ MIARY ◯ MITSINJO BETANIMENA ◯ TSIANISIHA ◯ AMBALARONDRA ◯ AMPASIMBE ◯ ANDOVORANTO ◯ ANIVORANO EST ◯ ANTSAPANANA ◯ BRICKAVILLE ◯ RANOMAFANA EST ◯ VOHIPENO RAZANAKA ◯ VOHITRANIVONA ◯ AMBODITANDROROHO ◯ FANANDRANA ◯ AMBINANINDOVOKA ◯ AMBOHIMANDROSO ◯ ANJOMA ◯ MAHAZOMY ◯ AMPITANA ◯ ANKAFINA TSARAFIDY ◯ SAHAVE ◯ VOHIPOSA ◯ AMBALAKELY ◯ IVOAMBA ◯ MAHATSINJONY ◯ SAHAMBAVY ◯ MAHASOABE ◯ VOHITRAFENO ◯ AMBIABE ◯ ANDRORANGAVOLA ◯ IFANADIANA ◯ KELILALINA ◯ AMBOHIMIARINA II ◯ ANDONABE ◯ ANKATAFANA ◯ ANOSIMPARIHY ◯ ANTSENAVOLO ◯ KIANJAVATO ◯ MAHATSARA SUD ◯ TSARAVARY ◯ TSIATOSIKA

dis_cat=${A02}

◯ EA-22307011 ◯ EA-22308001 A04. Enumeration area (EA) code ◯ EA-22308009 (Remplacement) ◯ EA-22308016 ◯ EA-22308031

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◯ EA-22106001 ◯ EA-22106010 (Remplacement) ◯ EA-22106023 ◯ EA-22215004 ◯ EA-22212003 ◯ EA-22212011 (Remplacement) ◯ EA-22407006 ◯ EA-22407007 (Remplacement) ◯ EA-51912013 ◯ EA-51908009 ◯ EA-51902004 ◯ EA-51902022 ◯ EA-51907004 (Remplacement) ◯ EA-51907011 ◯ EA-51907029 ◯ EA-51905016 ◯ EA-51819003 ◯ EA-51829009 ◯ EA-51820006 ◯ EA-51820013 (Remplacement) ◯ EA-51827005 ◯ EA-51305022 ◯ EA-51305043 ◯ EA-51305061 ◯ EA-51309013 ◯ EA-51303005 ◯ EA-51303027 ◯ EA-51308010 ◯ EA-51308034 ◯ EA-51306011 ◯ EA-51306014 (Remplacement) ◯ EA-51511012 (Remplacement) ◯ EA-51512005 ◯ EA-51614018 ◯ EA-51613006 (Remplacement) ◯ EA-51613008 ◯ EA-51611010 ◯ EA-51612010 ◯ EA-51601001 ◯ EA-51616005 ◯ EA-51616019 ◯ EA-51609010 ◯ EA-31303012 ◯ EA-31314008 ◯ EA-31317002 ◯ EA-31308002 ◯ EA-31318008 ◯ EA-31301015 ◯ EA-31315012 ◯ EA-31310007 (Remplacement) ◯ EA-31309011 ◯ EA-31216004 (Remplacement) ◯ EA-31215003

102 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ EA-31215026 ◯ EA-21703008 ◯ EA-21708005 ◯ EA-21704013 ◯ EA-21704022 (Remplacement) ◯ EA-21706002 ◯ EA-21202006 ◯ EA-21206012 ◯ EA-21207004 (Remplacement) ◯ EA-21207013 ◯ EA-21210012 ◯ EA-21501007 ◯ EA-21505007 ◯ EA-21507005 (Remplacement) ◯ EA-21507013 ◯ EA-21508013 ◯ EA-21602004 ◯ EA-21602023 ◯ EA-21609012 (Remplacement) ◯ EA-23415002 (Remplacement) ◯ EA-23412016 ◯ EA-23401001 ◯ EA-23411009 ◯ EA-23321001 (Remplacement) ◯ EA-23326004 ◯ EA-23323013 ◯ EA-23325008 (Remplacement) ◯ EA-23322013 ◯ EA-23320009 ◯ EA-23314007 ◯ EA-23329002 ◯ EA-23315017

w_cat=${A03}

A05. Unique Household ID (hh) Household Listing ID: This is the HH number from the listing map (sketch map) A05b. Unique Household ID (hh) Question A05b is an intentional duplicate question. Enumerator must correctly enter the "Unique HH ID" twice to be able to continue with the survey. ◯ 1 ◯ 2 ◯ 3 ◯ 4 A06. Supervisor Code ◯ 5 ◯ 6 ◯ 7 ◯ 8 ◯ 9

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◯ 1 ◯ 2 ◯ 3 ◯ 4 ◯ 5 ◯ 6 ◯ 7 A07. Anthropometrist Code ◯ 8 ◯ 9 ◯ 10 ◯ 11 ◯ 12 ◯ 13 ◯ 14 ◯ 15 Anthropometry Children Section (children under 5 years of age) ant_1. Please enter the name of the child If there are no eligible children with their primary caregivers, please enter - 8 to skip to move on to the Women's section of Anthropometry Module ${ant_1}!=-8 ant_2. Please enter the name of the primary caregiver

All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, ${ant_1}!=-8 just let me know and I will go on to the next question or you can stop the interview at any time. Another member of my team will come and take height and weight measurements of the eligible children in the HH. Please read aloud to any new person giving consent ${ant_1}!=-8

◯ Yes, I agree to participate in the survey and ant_3. Do you give consent to participate in the survey and allow your child to be weighed and measured? allow my child to be weighed and measured ◯ No, I do not agree to participate in the survey and allow my child to be weighed and measured ${ant_3}= 1 and ${ant_1}!=-8

◯ Birth Certificate ◯ Baptismal/Church Record ant_4. Does ${ant_2} have any documents with the birth date of ${ant_1} ◯ Health Registration Card recorded? ◯ Home Record ◯ Parent Statement ◯ Specify Other: ◯ Does Not Know ◯ Refused selected (${ant_4}, "6") ant_4a. Specify Other:

104 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

Instructions for Birth conversion Table: 1. Use the child's birth year given in question D05a, to covert child's age into months 2. To use Birth conversion Table go to the appropriate table as labeled on the side of each table “Birth Date”. Example: If the child is born in 2017, use the table with “Birth Date – 2017” on the side. 3. Using the current month, select the appropriate "Study Date" column. Example: If it is April 2019, use the middle column labeled Apr.. 4. Check the child's birth month and cross the appropriate "Study Date" month column with the row of the child's birth month. Example: Today is April 11, 2019 and the child is born on September 27, 2017. Cross the middle column “Apr.” with the row “Sept.” in the table “Birth Date – 2017”. 5. The digit in the cell where the column of the study month and the birth month of the child meet is the child’s age in months. For the example above, the child is 19 months old. 6. Enter this number for question D07. Double check for consistency ant_5. Record the month and year of birthdate of ${ant_1} from the Day: documents given by ${ant_2} If the child does not have records present, please record birthday given or Month: by asking the primary caregiver "what month and year was your child born?" Note: This will be equivalent to the "parent statement" Year:

ant_5a. What is the age of ${ant_1} (in months)? Children need to be 59 months or younger, if older you will be prompted to ${ant_3}= 1 add any other eligible children. ◯ Male ant_6. Sex of ${ant_1} ◯ Female ant_8. Height of ${ant_1} in Centimeters (laying down) For children from 0 to 23 months of age For height measurements, be sure ${ant_5a} <=23 or ${ant_5a}=-8 or ${ant_5a}=-9 to include ONE digit after the decimal point (e.g., XX.X) If ${ant_1} was unable to be measured please enter "-8" for measurement ant_9. Height of ${ant_1} in Centimeters (standing up) For children 24 months of age and over For height measurements, be sure ${ant_5a} >=24 or ${ant_5a}=-8 or ${ant_5a}=-9 to include ONE digit after the decimal point (e.g., XX.X) If ${ant_1} was unable to be measured please enter "-8" for measurement ant_7. Weight of ${ant_1} in Kilograms For weight measurements, be sure to include TWO digits after the decimal point (eg. XX.XX) If ${ant_1} was unable to be measured please enter "-8" for measurement ◯ Measured ant_10. Results of Measurement Process for ${ant_1} ◯ Unable to be Measured ◯ Specify other: selected (${ant_10}, "3") ant_10a. Specify Other:

selected (${ant_10}, "2") ant_11. Comments on measurement procedure Please explain if ${ant_1} was unable to be measured.

◯ Yes ant_12. Does ${ant_1} have EDEMA? ◯ No ant_12a. Does the supervisor confirm that ${ant_1} has edema? ${ant_12}=1

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Please mark "yes" to "EDEMA" question on the "Control Sheet" for this child. If the Supervisor is not present, then leave this blank and they will ◯ Yes return at the end of the day and confirm the presence of Edema. ◯ No

Results for: ${ant_1} Age: ${ant_5a} months Height: ${ant_8} ${ant_9} cm Weight: ${ant_7} kgs All Children must be under the age of 5 years old (59 months or younger). If there is more than one child under 5 years, with their primary caregiver, please add additional respondents as needed.

Anthropometry Women's Section: Selected Women's (15-49 years of age) Information. SW_1. Please enter the name of a NON-PREGNANT woman between the age 15-49 years of age Omit women who are pregnant and omit women who are within 2 weeks of postpartum. If there are no eligible women available, please enter -8 to skip to move on to the end of the Anthropometry Section. All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, ${SW_1}!=-8 just let me know and I will go on to the next question or you can stop the interview at any time. Another member of my team will come and take height and weight measurements of the eligible children in the HH. Please read aloud to any new person giving consent ${SW_1}!=-8

◯ Yes, I agree to participate in the survey and SW_2. ${SW_1}: Do you give consent to participate in the survey and allow yourself to be weighted and measured? allow myself to be weighed and measured ◯ No, I do not agree to participate in the survey and allow myself to be weighed and measured ${SW_2}= 1

SW_3. ${SW_1}: Are you currently pregnant? ◯ Yes, I am pregnant All women must be NON-PREGNANT ◯ No, I am NOT pregnant ◯ Does not know ◯ Refused to answer SW_4. Age of ${SW_1} (in YEARS) Eligible women need to be between 15 and 49 years of age, if older or ${SW_3}!=1 and ${SW_2}= 1 younger you will be prompted to add any other eligible woman. SW_7. Height of in Centimeters of ${SW_1} For height measurements, be sure to include ONE number after the decimal point (e.g., XX.X) If ${SW_1} was unable to be measured please enter "-8" for measurement SW_6. Weight in Kilograms of ${SW_1} For weight measurements, be sure to include two numbers after the decimal point (e.g., XX.XX) If ${SW_1} was unable to be measured please enter "-8" for measurement

106 Annex K: Data Collection Instruments Final Performance Evaluation of the ASOTRY DFSA in Madagascar

◯ Measured SW_8. Results of Measurement Process for ${SW_1} ◯ Unable to be Measured ◯ Specify other: selected (${SW_8}, "3") SW_8a. Specify Other

selected (${SW_8}, "2") SW_9. Comments on measurement procedure Please explain if ${SW_1} was unable to be measured.

Results for: ${SW_1} Age: ${SW_4} years Height: ${SW_7} cm Weight: ${SW_6} kgs All women must be NON-PREGNANT and between the ages of 15 and 49 years old. Please inquire if there is an eligible NON-PREGNANT woman for measurement and select "add group". If there are no eligible women, please select "do not add" and complete the survey. End of Survey! THANK YOU! Interviewer's Observations int_comment. Comments about respondent: To be done after Interview int_specific. Comments on specific questions: To be done after Interview int_other. Any other comments: To be done after Interview

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ANNEX L: DISCLOSURE OF CONFLICTS OF INTEREST

All core evaluation team members completed and signed the form below. No conflicts of interest were noted. The completed forms are available from TANGO upon request.

Name

Title

Organization

Evaluation Position? __ Team Leader __ Team member

Evaluation Award Number (contract or other instrument)

USAID Project(s) Evaluated (Include project name(s), implementer name(s) and award number(s), if applicable)

I have real or potential conflicts of __ Yes __ No interest to disclose.

If yes answered above, I disclose the following facts:

Real or potential conflicts of interest may include, but are not limited to:

1. Close family member who is an employee of the USAID operating unit managing the project(s) being evaluated or the

implementing organization(s) whose project(s) are being evaluated. 2. Financial interest that is direct, or is significant though indirect, in the implementing organization(s) whose projects are being evaluated or in the outcome of the evaluation. 3. Current or previous direct or significant though indirect experience with the project(s) being evaluated, including involvement in the project design

108 Annex L: Disclosure of Conflicts of Interest Final Performance Evaluation of the ASOTRY DFSA in Madagascar

or previous iterations of the project. 4. Current or previous work experience or seeking employment with the USAID operating unit managing the evaluation or the implementing organization(s) whose project(s) are being evaluated. 5. Current or previous work experience with an organization that may be seen as an industry competitor with the implementing organization(s) whose project(s) are being evaluated. 6. Preconceived ideas toward individuals, groups, organizations, or objectives of the particular projects and organizations being evaluated that could bias the evaluation.

I certify (1) that I have completed this disclosure form fully and to the best of my ability and (2) that I will update this disclosure form promptly if relevant circumstances change. If I gain access to proprietary information of other companies, then I agree to protect their information from unauthorized use or disclosure for as long as it remains proprietary and refrain from using the information for any purpose other than that for which it was furnished.

Signature

Date

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