PMA2020 1

Uganda Round 6 - Household Questionnaire

select_one yes_no_list your_name_check 001a. Your name: Yes yes Is this your name? No no name_typed text 001b. Enter your name below. Please record your name

date_group dateTime

Jour: system_date Mois: 002a. Current date and time. Année:

select_one yes_no_list

system_date_check Yes yes Is this date and time correct? No no

dateTime manual_date 002b. Record the correct date and time. Jour: The date must be between 2018-03-01 and 2019-03-01. Mois: Année:

select_one_external level1_list

Karamoja karamoja North north West-Nile west_nile level1 Eastern eastern 003a. Region East-Central east_central Central2 central2 Central1 central1 Western western South-West south_west kampala select_one_external level2 level2_list

Uganda – Round 6 PMA2020 2

003b. District Abim abim Kaabong kaabong Kotido kotido Nakapiripirit nakapiripirit Napak napak Agago agago Alebtong alebtong Amuru amuru Apac apac Gulu gulu Kitgum kitgum Lamwo lamwo Lira lira Otuke otuke Oyam oyam Pader pader Arua arua Koboko koboko Nebbi nebbi Yumbe yumbe Zombo zombo Budaka budaka Bududa bududa Bukedea bukedea Kibuku kibuku Kumi kumi Manafwa manafwa Mbale mbale Serere serere Sironko sironko Soroti soroti Tororo tororo Bugiri bugiri Busia busia Buyende buyende Iganga iganga Jinja jinja Kaliro kaliro Kamuli kamuli Luuka luuka Mayuge mayuge Namayingo namayingo Buikwe buikwe Kakumiro kakumiro Kyankwanzi kyankwanzi Luwero luwero Mityana mityana Mubende mubende Mukono mukono

Uganda – Round 6 PMA2020 3

Nakaseke nakaseke Nakasongola nakasongola Bukomansimbi bukomansimbi lwengo Lyantonde lyantonde Mpigi mpigi Ssembabule ssembabule Wakiso wakiso Hoima hoima Kabarole kabarole Kamwenge kamwenge Kasese kasese Kiryandongo kiryandongo Masindi masindi Ntoroko ntoroko Ibanda ibanda Isingiro isingiro Kabale kabale Kiruhura kiruhura Kisoro kisoro mbarara Mitooma mitooma Ntungamo ntungamo Rukungiri rukungiri Sheema sheema Kampala kampala select_one_external level3_list

Alerek alerek Kapedo kapedo Sidok sidok Kaabong Tc kaabong_tc Panyangara panyangara Loregae loregae Matany matany Paimol paimol level3 Omoro omoro Amuru Tc amuru_tc 003c. Sub-county Lamogi lamogi Akokoro akokoro Unyama unyama Mucwini mucwini Agoro agoro Barr barr Alango alango Aber aber Minakulu minakulu Pader pader Manibe manibe

Uganda – Round 6 PMA2020 4

Omugo omugo Lobule lobule Koboko Tc koboko_tc Pakwach pakwach Kei kei Kango kango Kaderuna kaderuna Bududa Town Council. bududa_town_council Malera malera Bulangira bulangira Kanyum kanyum Bumwoni bumwoni Lwasso lwasso Pingire pingire Bukyambi bukyambi Asuret asuret Nabuyoga nabuyoga Kapyanga kapyanga Dabani dabani Bugaya bugaya Namalemba namalemba Namungalwe namungalwe Busedde busedde Buyengo buyengo Nawaikoke nawaikoke Kaliro Tc kaliro_tc Namwendwa namwendwa Bukooma bukooma Bukatube bukatube Malongo malongo Mutumba mutumba Njeru Town Council njeru_town_council Kasambya kasambya Kyankwanzi kyankwanzi Zirobwe zirobwe Banda banda Kibalinga kibalinga Mpatta mpatta Central Division mukono_central_division Wakyato wakyato Kalungi kalungi Butenga butenga Kyazanga kyazanga Lyantonde Tc lyantonde_tc Kituntu kituntu Lwemiyaga lwemiyaga Nsangi nsangi Makidye -ssabagabo

Uganda – Round 6 PMA2020 5

makidye_ssabagabo Division A division_a Buhimba buhimba Karambi karambi Western Division western_division Nyabbani nyabbani Bugoye bugoye Kigumba kigumba Bweyale Tc bweyale_tc Bwijanga bwijanga Karugutu karugutu Kicuzi kicuzi Kabingo kabingo Ikumba ikumba Buhara buhara Kanyaryeru kanyaryeru Sanga Tc sanga_tc Muramba muramba Kamukuzi kamukuzi Rubindi rubindi Katenga katenga Rubaare rubaare Kibatsi kibatsi Nyakagyeme nyakagyeme Kitagata kitagata Central Division kampala_central_division Kawempe Division kawempe_division Lubaga Division lubaga_division Makindye Division makindye_division Nakawa Division nakawa_division

select_one_external EA_list EA ['A list of EAs.'] 004. Enumeration area structure integer 005. Structure number Please record the structure number from the household listing form. household integer 006. Household number Please record the household number from the household listing form. select_one yes_no_list hh_duplicate_check 007. CHECK: Have you already sent a form for this structure and Yes yes household? No no

Uganda – Round 6 PMA2020 6

DO NOT DUPLICATE ANY FORM UNLESS YOU ARE CORRECTING A MISTAKE IN AN EARLIER FORM. duplicate_warning note WARNING: Contact your supervisor before sending this form again. select_multiple resubmit_reasons_list

There are new household members on this form new_members I am correcting a mistake made on a resubmit_reasons previous form correction 008. CHECK: Why are you resending this form? The previous form disappeared from Choose all that apply. my phone without being sent dissappeared I submitted the previous form and my supervisor told me that it was not received not_received Other reason(s) other duplicate_warning_hhmember note WARNING: Each household should have ONLY ONE household roster with all household members listed on the same form. Please contact your supervisor before sending this form. select_one yes_no_list available 009a. Is a member of the household and competent respondent Yes yes present and available to be interviewed today? No no select_one yes_no_dnk_nr_list

previous_survey Yes yes 009b. Did this household participate in a previous PMA2020 No no survey? Do not know -88 No response -99 consent_start note INFORMED CONSENT Find a competent member of the household. Read the greeting on the following screen.

note consent Hello. My name is ______and I ['Biraha ibaara lyange ninyowe am working for the Makerere University, School of Public in ______ninkorra collaboration with Ministry of Health, and Uganda Bureau of Statistics. We are conducting a local survey about various health Makerere University, School of Public issues. We would very much appreciate your participation in this hamu n’ekitongole

Uganda – Round 6 PMA2020 7 survey. This information will help us inform the government to ky’ebyobwomezi,hamu n’ekitongole better plan health services. Whatever information you provide ky’ebyomutindo. Tuli hamusomo gwo will be kept strictly confidential and will not be shown to anyone ebyokuhabuza ebirukukwata other than members of our survey team. Participation in this habw’ebyomwezi. Twakugondeze survey is voluntary, and if we should come to any question you kwenyigira mukuseruliliza kunu. 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. However, we Ebyoratugamba nibija kuyamba hope that you will participate in this survey since your views are ihanga mu kutegekera kurungi important. empereza y’ebyobwomezi.Byona I am going to ask you questions about your family and other ebyoratugambira nibija kuba household members. We would then like to ask a different set of by’ensita, kandi tibirikwija kwolekwa questions to female members of this household who are omuntu wena kwihaho abo bonka between the ages of 15 and 49 years. abali hamusomo gunu At this time, do you want to ask me anything about the survey? ogwokuseruliliza. Kwetaba mumusomo gunu kwokwegondeza,obworahika hakihabuzo kyona otarugonza kukigarukamu, mmanyisa ngende hakikaguzo ekindi, rundi tusobora kukangira aho, obwire bwoona.Baitu ntunihira, okwija kwenyigira mukuseruliliza kunu , habwokuba ebitekerezo byawe by’omugaso .Nkugenda kukuhabuza ebirukukwata ha maka gawe, n’abantu b’omumaka gawe. Hanyuma nitwija kukuhabuza ebikaguzo ebyembaganiza, habakazi b’omumaka ganu abali hagati y’emyaka15 na 49. Ha saaha enu noyenda kunkaguza ekintu kyona hakuseruliliza kunu?'] select_one yes_no_list

begin_interview ['010a. Provide a paper copy of the 010a. Provide a paper copy of the Consent Form to the Consent Form to the respondent and respondent and explain it. Then, ask: May I begin the interview now? explain it. Then, ask: May I begin the interview now?']

select_one blank_list witness_auto

010c. Interviewer's name: 1 Mark your name as a witness to the consent process. witness_manual 010c. Interviewer's name text Please record your name as a witness to the consent process. You previously entered [Name] That is not what you entered for your name earlier in this survey. respondent_firstname_raw text 011. Respondent's first name

Uganda – Round 6 PMA2020 8

Please record the first name of the respondent.

Section 1 – Household Roster I am now going to ask a series of questions about each usual member of the household or anyone who slept in the house last night.

hh_rpt Household member

nm_grp

firstname_raw text 101. Name of household member / visitor Start with the head of the household. select_multiple respondent_match blank_list 101a. Is this person the respondent? 1

mb_grp select_one relationship_list

Head head Wife/Husband spouse Son/Daughter child Son/Daughter-in-law relationship child_in_law 102. What is [Name]'s relationship to the head of Grandchild grandchild household? Parent parent Parent in law parent_in_law Brother/Sister sibling House help help Other other Do not know -88 No response -99 select_one gender_list

gender Male male 103. Is [Name] male or female? Female female

age integer 104. How old was [Name] at their last birthday?

Uganda – Round 6 PMA2020 9

If less than one year old, record 0 Age must be less than 130 and greater than zero.

ms_grp select_one marital_status_list

marital_status Married currently_married 105. What is [Name]'s current marital status? Living with a partner If not married, probe to determine if they have ever been currently_living_with_partner married and, if so, if they are divorced/separated, or widowed. Divorced / separated divorced Widow / widower widow Never married never_married No response -99 select_one yes_no_nr_list

usually_live Yes yes 106. Does [Name] usually live here? No no No response -99 select_one yes_no_nr_list

last_night Yes yes 107. Did [Name] stay here last night? No no No response -99

not_usual_warn ERROR: Members on household roster must usually live note here or must have stayed here last night. Go back and remove this household member.

eligibility_screen_no note This person IS NOT eligible for the female respondent questionnaire.

eligibility_screen_yes note This person IS eligible for the female respondent questionnaire. select_one yes_no_list more_hh_members 108. Are there any other usual members of your household Yes yes or persons who slept in the house last night? No no

note more_hh_members_add

Uganda – Round 6 PMA2020 10

There are other members of the household. Move forward and select "Add Group"

more_hh_members_donotadd note There are no other members of the household. Move forward and select "Do Not Add"

error_noheads ERROR: There is no household head. note Go back, select a head. For each member, check that the relationship to the household head is accurate. error_extraheads ERROR: There are [>1] household heads selected: note Go back, select only one head. For each member, check that the relationship to the household head is accurate. respondent_in_roster The respondent must be in the roster. Only one person in the note roster can be marked as the respondent. Go back and make ( sure that only one person is selected as the respondent. You entered the following household members: roster_complete select_one yes_no_list 109. READ THIS CHECK OUT LOUD: There are [number] household members who are named [name]. Is this a complete Yes list of the household members? yes Remember to include all children in the household. No no Go back and update the roster.

Section 2 – Household Characteristics Now I would like to ask you a few questions about the characteristics of your household.

assets_grp

select_multiple assets_list assets 201. Please tell me about items that your household owns. Electricity? electricity Does your household have: A radio? radio Read out all types and select all that apply. Scroll to bottom to see all A cassette player? cassette choices. A television? tv If an item is reported broken but said to be out of use only temporarily, A mobile phone? mobile select the item. Otherwise, do not select the item. A fixed telephone? landline Cannot select 'no response' or 'none of the above' with other options. A refrigerator? refrigerator

Uganda – Round 6 PMA2020 11

A table? table A chair? chair A sofa set? sofa_set A bed? bed A cupboard? cabinet A clock? clock A watch? watch A bicycle? bicycle A motorcycle or motor scooter? motorcycle An animal drawn cart? cart_animal A car or truck? car A boat with a motor? boatmotor A boat without a motor? boatnomotor None of the above -77 No response -99

select_one blank_list assets_check 1 Check here to acknowledge you considered all options.

select_one yes_no_nr_list livestock_owned_ask 202a. Does this household own any livestock, herds, other farm Yes yes animals, or poultry? No no These livestock can be kept anywhere, not necessarily on the homestead. No response -99

livestock_owned_grp

livestock_owned_prompt 202b.How many of the following animals does this household own? note The household can keep the livestock anywhere, but must own the livestock recorded here. Zero is a possible answer.

local_cattle_owned integer Local Cattle: Enter -88 for do not know. Enter -99 for no response.

exotic_cattle_owned integer Exotic/Cross cattle: Enter -88 for do not know. Enter -99 for no response.

integer horses_owned

Uganda – Round 6 PMA2020 12

Horses, donkeys, or mules: Enter -88 for do not know. Enter -99 for no response.

goats_owned integer Goats: Enter -88 for do not know. Enter -99 for no response.

sheep_owned integer Sheep: Enter -88 for do not know. Enter -99 for no response.

pigs_owned integer Pigs: Enter -88 for do not know. Enter -99 for no response.

chickens_owned integer Chickens: Enter -88 for do not know. Enter -99 for no response.

Section 3 – Household Observation Please observe the floors, roof and exterior walls. select_one floor_list

Earth/Sand earth Earth and Dung dung Parquet or polished wood floor parquet Mosaic or Tiles mosaic 301. Main material of the floor Bricks bricks Observe. Cement cement Stones stones Other other No response -99 select_one roof_list

Thatched thatched Mud mud roof Wood/Planks wood 302. Main material of the roof Iron sheets iron_sheets Observe. Asbestos asbestos Tiles tiles Tin tin Cement cement

Uganda – Round 6 PMA2020 13

Other other No response -99 select_one walls_list

Thatched/Straw thatched Mud and Poles mud Un-burnt Bricks unburnt_brick Un-burnt Bricks with Plaster unburnt_brick_plaster walls Burnt bricks with mud 303. Main material of the exterior walls burnt_brick_mud Observe. Cement blocks cement Stone stone Timber timber Burnt Bricks with Cement burnt_brick_cement Other other No response -99

Section 4 – Water Sanitation and Hygiene Now I would like to ask you a few questions about water, sanitation and hygiene. select_one handwash_list

Observed, fixed place observed_fixed handwashing_place_rw Observed, mobile observed_mobile Not observed, not in dwelling/yard/plot 401a. We would like to learn about the places that households not_here use to wash their hands. Can you please show me where members of your household most often wash their hands? Not observed, no permission to see no_permission Not observed, other reason not_observed_other No response -99 select_multiple soap_list

Soap is present handwashing_place_observations soap Stored water is present 401b. At the place where the household washes their hands, stored_water observe if: Running water is present tap_water Check all that apply. Handwashing area is near a Cannot select 'none of the above' with other options. sanitation facility near_sanitation None of the above -77

select_multiple water_sources_all water_source_list 402. Which of the following water sources does your household use on a regular basis for any part of the year for any purpose?

Uganda – Round 6 PMA2020 14

Read out all types and check all that are used. Scroll to bottom to see Piped Water: Piped into all choices. dwelling/indoor piped_indoor Piped Water: Pipe to yard/plot piped_yard Piped Water: Public tap/standpipe piped_public Tube well or borehole tubewell Dug Well: Protected Well protected_dug_well Dug Well: Unprotected Well unprotected_dug_well Water from Spring: Protected Spring protected_spring Water from Spring: Unprotected Spring unprotected_spring Rainwater rainwater Tanker Truck tanker Cart with Small Tank cart Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel) surface_water Bottled Water bottled Sachet Water sachet No response -99

select_one blank_list water_sources_all_check 1 Check here to acknowledge you considered all options.

select_one water_source_list

Piped Water: Piped into dwelling/indoor piped_indoor Piped Water: Pipe to yard/plot piped_yard Piped Water: Public tap/standpipe piped_public

Tube well or borehole tubewell water_main_drinking_select Dug Well: Protected Well 403. What is the main source of drinking water for members of protected_dug_well your household? Dug Well: Unprotected Well Selections from 402: unprotected_dug_well Read out 402 selections only. Water from Spring: Protected Spring protected_spring Water from Spring: Unprotected Spring unprotected_spring Rainwater rainwater Tanker Truck tanker Cart with Small Tank cart Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation

Uganda – Round 6 PMA2020 15

Channel) surface_water Bottled Water bottled Sachet Water sachet No response -99 select_one water_source_list

Piped Water: Piped into dwelling/indoor piped_indoor Piped Water: Pipe to yard/plot piped_yard Piped Water: Public tap/standpipe piped_public Tube well or borehole tubewell Dug Well: Protected Well protected_dug_well water_main_other Dug Well: Unprotected Well 404. What is the main source of water used by your household unprotected_dug_well for other purposes such as cooking and hand washing? Water from Spring: Protected Spring

Selections from 402: protected_spring Read out 402 selections only. Water from Spring: Unprotected Spring unprotected_spring Rainwater rainwater Tanker Truck tanker Cart with Small Tank cart Surface water (River / Dam / Lake / Pond / Stream / Canal / Irrigation Channel) surface_water Bottled Water bottled Sachet Water sachet No response -99 select_multiple water_uses_list

Drinking drinking water_uses Cooking cooking 405. You mentioned that you used [main water source]. At any Livestock livestock time of the year, does your household use water from this source for: Gardening / agriculture gardening Business venture business Washing washing No response -99 water_months_avail 406. How many months out of the year is [main water source] integer usually available: Zero is a possible answer. Please record the number of completed months. Enter -88 for Do Not Know, -99 for No Response select_one continuity_list water_reliability

Uganda – Round 6 PMA2020 16

407. At a time of year when you expect to have [main water Yes, always always source], is it usually available? No, intermittent and predictable predictable No, intermittent and unpredictable unpredictable No response -99 water_collection 408. How long does it take to go to the [main water source], and integer come back? 0 is a possible answer. Convert answer to minutes. Includes waiting time in line. Enter -88 for do not know, -99 for no response.

select_multiple sanitation_list

Flush/pour flush toilets connected to: Piped sewer system flush_sewer Flush/pour flush toilets connected to: Septic tank flush_septic Flush/pour flush toilets connected to: Pit Latrine flushpit Flush/pour flush toilets connected to: sanitation_all Elsewhere flush_elsewhere 409. Do members of your household use any of the following Flush/pour flush toilets connected to: toilet facilities? Unknown / Not sure / Do not know Read out all types. Check all that are used. Scroll to bottom to see all flush_unknown choices. Ventilated improved pit latrine vip Cannot select 'no response' with other options. Pit latrine with slab pit_with_slab Pit latrine without slab / open pit pit_no_slab Composting toilet composting Bucket bucket Hanging toilet /Hanging latrine hanging Other other No facility / bush / field bush No response -99

select_one blank_list sanitation_all_check 1 Check here to acknowledge you considered all options.

select_one sanitation_list

sanitation_main Flush/pour flush toilets connected to: 410. What is the main toilet facility used by members of your household? Piped sewer system flush_sewer Selections from 409: Flush/pour flush toilets connected to: The main facility must be selected in 409. Septic tank flush_septic Flush/pour flush toilets connected to:

Uganda – Round 6 PMA2020 17

Pit Latrine flushpit Flush/pour flush toilets connected to: Elsewhere flush_elsewhere Flush/pour flush toilets connected to: Unknown / Not sure / Do not know flush_unknown Ventilated improved pit latrine vip Pit latrine with slab pit_with_slab Pit latrine without slab / open pit pit_no_slab Composting toilet composting Bucket bucket Hanging toilet /Hanging latrine hanging Other other No facility / bush / field bush No response -99 select_one sanitation_empty_list sanitation_empty_units SN_411.ii. When was the last time your [toilet facility] was X months ago months emptied? X years ago years Probe: How many months or years ago? Never emptied -77 If less than one month, select months. Do not know -88 No response -99 sanitation_empty_value integer Enter [number]: If less than one month, enter 0 months. select_one sanitation_empty_who_list sanitation_empty_who SN_411.iii. The last time your [toilet facility] was emptied, who By household members or neighbors emptied it? neighbors Probe: Was it emptied by household members or by neighbors By a service provider provider or by a service provider? Other other Do not know -88 No response -99 select_one sanitation_empty_where_list

To a covered and sealed hole (buried) sanitation_empty_where covered_hole To an open drain or to a water body SN_411.iv. The last time your [toilet facility] was emptied, where open_water were the contents emptied to? To an open hole (not buried), open ground, bush, beach or to agricultural land open_ground Taken away by the service provider to

Uganda – Round 6 PMA2020 18

a treatment facility taken_facility Taken away by the service provider to do not know where taken_dnk Other other Do not know -88 No response -99 select_one sanitation_where_list sanitation_where In own dwelling dwelling SN_411.v. Where is your toilet facility located? In own yard / plot yard Elsewhere -77 No response -99 select_one frequency_of_use2_list

sanitation_frequency_cc Always always 411. How often does your household typically use: Most of the time mostly Regular practices at the household only. Occasionally occasionally No response -99 select_one shared_san_list

Not shared not_shared Shared with less than ten households shared_san shared_under_ten_HH 412a. Do you share this toilet facility with other households or Shared with ten or more households the public? shared_above_ten_HH Shared with the public shared_public No response -99 shared_san_hh 412b. Enter the number of households that share this facility (including your own). integer Must be between 2 and 9. If 10 or greater, move back to 412a and choose "Shared with ten or more households." Enter -99 for no response. bush_use 413. How many people within your household regularly use the integer bush / field at home or at work? There are ${num_HH_members} people in this household. Enter -88 for do not know, -99 for no response. Must be between zero and the number of household members.

note open_defecation_warning

Uganda – Round 6 PMA2020 19

WARNING: The respondent entered zero for the previous question, 413, but listed open defecation as a household sanitation facility in 409. select_multiple kids_feces_list

Children use a latrine / toilet latrine_used Leave waste where it is leave child_feces Bury waste in field / yard bury Dispose of waste in latrine / toilet 414. For all children under age five: what methods, if any, does latrine_disposal your household use to dispose of children's waste? Dispose of waste with rubbish / PROBE: Other methods? garbage garbage Do not read the possible responses out loud. Dispose of waste with waste water waste_water Use it as manure manure Burn it burn Do not know -88 No response -99 thankyou Thank the respondent for his/her time. note The respondent is finished, but there is still more for you to complete outside the home.

Location and Questionnaire result location 096. Location geopoint Take a GPS point near the entrance to the household. Record location when the accuracy is smaller than 6 m. select_one visits_list times_visited 1st time 1 097. How many times have you visited this household? 2nd time 2 3rd time 3 select_one language_list

English english Ateso ateso survey_language Luganda luganda 098. In what language was this interview conducted? Lugbara lugbara Lusoga lusoga Luo luo Runyankole-Rukiga runyankole_rukiga

Uganda – Round 6 PMA2020 20

Runyoro-Rutoro runyoro_rutoro Ngakaramojong ngakaramojong Other other select_one hhr_result_list

Completed completed No household member at home or no competent respondent at home at time of visit not_at_home Postponed HHQ_result postponed Refused refused 099. Questionnaire Result Partly completed partly_completed Record the result of the questionnaire. Dwelling vacant or address not a dwelling vacant Dwelling destroyed destroyed Dwelling not found not_found Entire household absent for extended period absent_extended_period

Uganda – Round 6