DDI_IRL_2003_WHS_v01_M 2012-01-24 NADA Version 01 (January 2012) World Health Survey 2003 WHS 2003 IRL_2003_WHS_v01_M World Health Organization (WHO) NADA World Health Organization Multi-Country Studies, Measurement and Health Information Systems World Health Survey [hh/whs] WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes. The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities. The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report. World Health Survey (WHS) Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers. The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters. The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules. The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary. Ireland The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample. There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis. Households and individuals The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population. If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her. The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household. Sample survey data [ssd] SAMPLING GUIDELINES FOR WHS Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling. The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame. The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins. All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO STRATIFICATION Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified. Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum). Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance. MULTI-STAGE CLUSTER SELECTION A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous. In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller. In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained. It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which increases sample variance and effectively reduces our estimating power. WHO requires an absolute maximum of 50 respondents per PSU, and ideally would suggest 20-30. This means that for a sample size of 5000 respondents, 100- 200 PSU clusters should be taken into the sample. Calculating that, roughly, one fifth of the total number of PSU clusters in a country will be randomly selected into the survey sample, the sampling frame should consist of 500-1000 PSU clusters. PROBABILITY SAMPLING Probability sampling means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. Non-probability methods of sampling such as quota or convenience sampling and random walk, may introduce bias into the survey, will throw survey findings into question, and are not accepted by WHO. The probability of selection into the survey sample for each cluster will be proportional to its relative size. Systematic Sampling Systematic sampling is the ordered sampling at fixed intervals from a list, starting from a randomly chosen point. Typically, systematic sampling is not used at the first stage of sampling (selection of PSUs) because it renders the estimation of sampling error difficult. Systematic sampling is recommended at the SSU, TSU, and household selection stages of sampling. Systematic sampling may be linear or circular. SELECTION OF HOUSEHOLDS The Household is a device used to get at the individual. The household is the sampling unit while the individual is the observational unit. While it would be preferable to randomly select from a list of all eligible persons in a country, such lists, with a few exceptions, are not available, so we must employ a final cluster, the household, to get at our observational units. Households will be selected from lists of dwelling units. Non-probabilistic methods of household selection such as the random walk are not acceptable. Such lists are typically available from population registries, household listings, voter lists and census list. As it is essential to include all households in the sampling frame, an assessment of the methodology employed to select households must be made: - How much has the population changed since these lists were made? - Completeness of coverage. Are there unregistered populations (e.g. slums) - Population shifts - Changes in Registry QUALITY Almost all lists will suffer from routine problems. WHO recommends that survey institutions manually enumerate all the households in the sampling units randomly selected into the survey sample. If existing lists or registries will be used, then a detailed analysis of their quality must be made and they must be updated to ensure that there is no exclusion of households from the survey sampling frame. SELECTION OF INDIVIDUALS FROM HOUSEHOLD ROSTER All members of each household selected into the survey sample will be enumerated on the household roster. A member of the household is defined as someone who usually stays in the household, sleeps and shares meals, who has that address as primary place of residence, or who spends more than 6 months a year living there. Country-specific variations in this standard definition are allowed in consultation with WHO. KISH TABLES The respondent for the survey will be selected among all eligible members of the household using Kish tables. Kish tables provide a method by which each eligible person in a household has an equal probability of selection into the survey sample. It is extremely important for the representativeness of the survey sample and the integrity of the survey that the Kish tables are properly implemented. All interviews where the Kish selection method is not properly implemented will be rejected. The Kish technique allows adequate representation for all the persons in the household. Face-to-face [f2f] Participation in the survey is voluntary and the respondent can refuse to be interviewed. The interviewer is responsible for explaining what the survey is about, providing all the necessary information, and making sure the respondent understands the implications of his / her participation before giving his / her consent. The information given should be simple and clear and adapted to the respondent's level of understanding. Consents must be documented by asking the respondents to sign an Informed Consent Forms ( Household Informant Consent Form; Individual Consent Form) before doing the interview. These forms must mention who will be doing the study, the types of questions that will be asked, why the study is being done, and who will have access to the information provided. The interviewer must check that the respondent has read and understood the form before signing, and should offer to go over it with him /her emphasizing the different items mentioned. If the respondent is illiterate or unable to read for himself / herself (e.g. due to a visual impairment), the form will be read and explained to him / her. In cases where it is not appropriate for the respondent to sign the form, the interviewer alone will sign the form. In cases where the respondent is being dissuaded from, or coerced into, participating in the study by a third party such as a spouse, relative or any other member in the community, the interviewer should make it clear that it is the respondent alone who must decide whether or not s/he wishes to be interviewed. FIELD SUPERVISION The role of the supervisor is to monitor the progress and quality of the data collection, and ensure that interviewers are performing work. This includes handling the logistics of the survey, coordinating with other staff, recruiting and training additional interviewers, and supervision. Supervision must be given to interviewers before, during, and after the interview. Supervisors must not only check that contact procedures are followed correctly but that interviews are conducted appropriately. They should be present for 10 interviews and ensure that standardized interviewing techniques are observed when asking questions, clarifying, probing and giving feedback in a non-directive manner. After the interview has been conducted, they must also check that data is coded and entered correctly. Supervisors must give feedback and debrief on a regular basis, in order to update the organization responsible for the study on the progress of the survey and any problems that have arisen. Countries has provided WHO with the population sizes, probabilities of selection and sampling weights of all sampling units for each stage of the sampling process Since clusters are often of unequal size, sampling weights are necessary to be able to reconstruct population estimates from our sample estimates. The weights essentially describe the number of persons in the sampling frame represented by each person in the cluster (i.e. each person in County 1 represents 12.5 people, each person in County 2 represents 9.1 persons etc.). Weights for SSUs, TSUs, etc. are calculated in the same way. The probability of selection of the elementary unit, the household, is not proportional to the number of people in the household. Rather, the household level weights will be generated at the time of respondent selection within the household. The number of households selected within each chosen sampling unit will be proportional to the total number of households in that sampling unit. All households in each unit will have equal probability of selection. The proper and complete enumeration and description of the entire household is a critical component of the survey process. The household roster must be completed for all households selected randomly into the survey sample, whether they agreed to participate in the survey or not. It is only in this way that we can collect the basic information required to estimate the non-response bias in the survey. The requirement of augmenting the survey sample size to adjust for estimated non-response is necessary to ensure that we have adequate persons in the sample to have the power to make precise estimates. This does not, however, account for the bias that is created by non-response, since non-responders are often different from responders with respect to key variables that are linked to the domains under study in the survey. All effort, therefore, must be made to minimise non-response, and to interview as many people in the survey sample as possible. A detailed discussion of refusal conversion methods, survey awareness raising, and call-backs is found in the WHS Survey Manual. There are two possible scenarios of non-response: 1) The interviewer completes the household roster and the randomly chosen respondent refuses to participate. 2) The interviewer is refused access to the household and is unable to fill in the household roster. In second scenario, sites must ensure that, at least, pages 00.1 and 00.3 of the Coversheet are completed for the household. In addition, if available from census information, the number of adult (18 years of age or older) males and females in the household, and their respective ages should be provided. It is important to note that the completion of the household roster serves a purpose above and beyond providing a list from which a respondent will be selected. The demographic and other information collected in the household roster and requested from sites serves to calculate the denominators for statistical analysis of the survey data; without the information in the household roster, we would not be able to determine the health-related outcome rates in your country. World Health Organization (WHO) Citation requirement is the way that the dataset should be referenced when cited in any publication. This will guarantee that the data producer gets proper credit, and that analytical results can be linked to the proper version of the dataset. The citation should include at least the primary investigator, the name and abbreviation of the dataset, the reference year, and the version number (and website address and date of download when the dataset was obtained on-line). The user of the data undertakes to carry out work on the data of the WHO surveys, in accordance with the following conditions: (1) He/she undertakes to keep confidential any information concerning individual persons or households. (2) He/she undertakes not to distribute the data to any other user. (3) He/she undertakes to use the data for scientific research only. The undersigned will provide a reference of all publications based on the data to the WHO co-ordination team and will include the following acknowledgement: "This paper uses data from the WHO World Health Surveys / Multi-Country Survey Study (as appropriate)." See also the citation requirement. The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. Ireland-ID 1014 8 WHS-Ireland_F2 1014 61 WHS-Ireland_F3 3101 16 Identification Identification Identification Identification Identification 1014 13000004 13001440 13000710.306 419.475 country code country code country code country code country code 1014 IRL Household probability weight Household probability weight Household probability weight Household probability weight Household probability weight 1014 562.8 2549.4 1100.27 215.602 Probability weight Probability weight Probability weight Probability weight Probability weight 1014 562.8 8611.507 2487.458 1308.693 1014 1 2 3 4 5 6 7 8 9 11 12 13 14 15 17 1014 1 100 50.609 28.708 Post-stratified probablity weight Post-stratified probablity weight Post-stratified probablity weight Post-stratified probablity weight Post-stratified probablity weight 1013 1 762.6 21294.861 4579.292 2500.078 Post stratified household weight Post stratified household weight Post stratified household weight Post stratified household weight Post stratified household weight 1014 861.684 4133.62 1732.573 340.494 Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 1014 13000004 13001440 13000710.306 419.475 If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days between initial and retest The retest must be done within 1-7 days after the initial interviews have been conducted. 1014 Sysmiss Rotation Code Rotation Code Rotation Code Rotation Code Rotation Code Record here the form that was used for the individual questionnaire: A, B, C or D. 1014 A B C D interviewer ID interviewer ID interviewer ID interviewer ID interviewer ID 1014 15 992 433.242 281.654 name of interviewer name of interviewer name of interviewer name of interviewer name of interviewer Total calls Total calls Total calls Total calls Total calls This is the number of contact calls that were attempted to contact the respondent. A maximum of 10 attempts should ideally be made. However, 3 or 4 calls may be more realistic in some countries. Each country will decide on the optimum number of calls and communicate this to WHO. Phone calls, which are not answered or messages left on answering machines, will not be counted as contact calls. 1014 1 4 1.495 0.698 date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) 1014 01/04/2003 01/05/2003 02/04/2003 02/05/2003 03/04/2003 03/05/2003 04/03/2003 04/04/2003 04/05/2003 05/04/2003 05/05/2003 06/04/2003 06/05/2003 07/03/2003 07/04/2003 07/05/2003 08/03/2003 08/04/2003 08/05/2003 09/04/2003 09/05/2003 10/03/2003 10/04/2003 10/05/2003 11/05/2003 12/04/2003 12/05/2003 13/04/2003 13/05/2003 14/03/2003 14/04/2003 14/05/2003 15/03/2003 15/05/2003 16/04/2003 16/05/2003 17/03/2003 17/04/2003 17/05/2003 18/03/2003 18/04/2003 18/05/2003 18/06/2003 19/03/2003 19/04/2003 19/05/2003 20/03/2003 20/04/2003 20/05/2003 21/03/2003 21/04/2003 21/05/2003 22/03/2003 22/04/2003 22/05/2003 23/04/2003 23/05/2003 24/03/2003 24/04/2003 24/05/2003 25/03/2003 25/04/2003 25/05/2003 26/03/2003 26/04/2003 26/05/2003 27/03/2003 27/04/2003 27/05/2003 28/03/2003 28/04/2003 28/05/2003 29/03/2003 29/04/2003 29/05/2003 30/03/2003 30/04/2003 31/03/2003 Final result code Final result code Final result code Final result code Final result code The result code corresponds to the result of the contact calls, whether or not the respondent accepted to do the interview and the reasons for non-interviews. No substitutions will be done if the respondent cannot do the interview. Another respondent will be drawn from the sample. Interviewers should fill in the Call Records Forms provided in the questionnaire specifying the reasons for non-interviews, as well as other contact information. Date when the final result code was given after having made all the contact calls. One of the following codes should be used to document the final result: RESULT CODES FOR CONTACT CALLS a. Initial Contact 01. Answering machine or answering service 02. Unable to contact (busy signal, dead tone, number has changed) 03. Respondent contacted – initial refusal 04. Respondent contacted – uncertain about interview 05. Resistance/refusal by household member b. Final contact • Completed interview 06. Completed Interview (interview is accepted and conducted) 07. Partial Interview (interview is partially completed and person will not be contacted anymore) because of illness or other reasons. • Non-interview 08. Final Refusal by respondent 09. Final Refusal by household member 10. Unable to locate respondent 11. No interview because respondent is not eligible: less than 18, mentally unfit or too ill. 12. Language barrier 13. House is vacant or household occupants are elsewhere (e.g. seasonal vacancy, other residence) 14. Unsafe or dangerous area or no access to respondent 15. Deceased respondent 16. Respondent in institution: jail, hospital and not accessible 1014 6 date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) 1014 03/06/2003 06/06/2003 10/06/2003 22/05/2003 26/05/2003 30/05/2003 Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) 1014 03/06/2003 04/06/2003 05/06/2003 06/06/2003 09/06/2003 16/06/2003 17/06/2003 18/06/2003 26/05/2003 27/05/2003 28/05/2003 29/05/2003 Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) 1014 05/06/2003 06/06/2003 09/06/2003 19/06/2003 20/06/2003 30/05/2003 psu psu psu psu psu Sampling Information Primary Sampling Unit (PSU) Name/Code List PSUs and codes. For example if the PSU is ‘county’ and the respondent’s household is in ‘Riordan’ county, you write ‘Riordan’ for question 0101. 1014 1 93 30.77 27.859 ssu ssu ssu ssu ssu Sampling Information Secondary Sampling Unit (SSU) Name/Code Name of the secondary sampling unit level that the respondent belongs to. 1014 1 100 50.609 28.708 tsu tsu tsu tsu tsu Sampling Information Tertiary Sampling Unit (TSU) Name/Code Name of the tertiary sampling unit level that the respondent belongs to. 1014 qsu qsu qsu qsu qsu Sampling Information Quarternary Sampling Unit (QSU) Name/Code Name of the quaternary sampling unit level that the respondent belongs to. 1014 settings settings settings settings settings Sampling information: Additional information Setting 1014 1 Urban 2 Peri-urban/Semi-urban 3 rural 4 Other Specify Specify Specify Specify Specify 1014 9 latitude N/S latitude N/S latitude N/S latitude N/S latitude N/S The Geocoding information is recorded for the cluster that the respondent belongs to, in the smallest sampling unit above the household level. Latitude Specify North or South of the equator. Specify position in degrees complete to five decimal points. 1014 N latitude (degree) latitude (degree) latitude (degree) latitude (degree) latitude (degree) The Geocoding information is recorded for the cluster that the respondent belongs to, in the smallest sampling unit above the household level. Latitude 1014 Sysmiss latitude (decimal degree) latitude (decimal degree) latitude (decimal degree) latitude (decimal degree) latitude (decimal degree) The Geocoding information is recorded for the cluster that the respondent belongs to, in the smallest sampling unit above the household level. Latitude 1014 longitude (E/W) longitude (E/W) longitude (E/W) longitude (E/W) longitude (E/W) Longitude Specify East or West of the Greenwich meridian (Greenwich, England). Specify position in degrees complete to five decimal points. 1014 W longitude (degree) longitude (degree) longitude (degree) longitude (degree) longitude (degree) Longitude 1014 Sysmiss longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) Longitude 1014 waypoint waypoint waypoint waypoint waypoint Waypoint 1014 1 center of gravity of the cluster 2 In front of the household 3 Nearby location Time begin section 0400 - Household roster Time begin section 0400 - Household roster Time begin section 0400 - Household roster Time begin section 0400 - Household roster Time begin section 0400 - Household roster Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. You have said there are (REPEAT LISTING); does that include everyone living here at the present time or who is in an institution because of their health? IF NO, CORRECT LISTING Now, I will use a selection procedure - I am going to number the persons in household to determine whom we need to interview - (it will take a second) 523 06:30 07:15 09:00 09:12 09:30 09:40 10:00 10:05 10:10 10:12 10:15 10:20 10:25 10:30 10:31 10:35 10:45 10:50 10:55 11:00 11:01 11:05 11:07 11:10 11:15 11:19 11:20 11:25 11:26 11:29 11:30 11:35 11:40 11:54 11:55 12:00 12:05 12:10 12:15 12:18 12:20 12:21 12:25 12:30 12:33 12:35 12:40 12:41 12:45 12:55 12:56 13:00 13:02 13:05 13:06 13:10 13:12 13:15 13:20 13:29 13:30 13:35 13:40 13:45 13:50 13:53 14:00 14:02 14:05 14:06 14:07 14:10 14:15 14:18 14:20 14:24 14:25 14:27 14:30 14:35 14:38 14:40 14:42 14:45 15:00 15:02 15:05 15:10 15:11 15:15 15:25 15:30 15:35 15:40 15:42 15:45 15:50 15:56 15:58 15:59 16:00 16:01 16:05 16:06 16:10 16:14 16:15 16:20 16:25 16:30 16:35 16:45 16:50 16:55 17:00 17:01 17:02 17:05 17:10 17:13 17:15 17:16 17:20 17:25 17:30 17:40 17:45 17:50 18:00 18:01 18:02 18:05 18:06 18:10 18:15 18:20 18:25 18:30 18:31 18:35 18:40 18:43 18:45 18:50 18:55 19:00 19:05 19:10 19:15 19:20 19:23 19:25 19:30 19:35 19:42 19:45 19:52 19:59 20:00 20:08 20:10 20:12 20:25 20:30 20:35 20:42 20:45 20:50 21:00 21:14 22:10 22:15 Kish table code Kish table code Kish table code Kish table code Kish table code INSTRUCTIONS FOR SELECTING RESPONDENT FOR INDIVIDUAL QUESTIONNAIRE a) Enter a check mark (\/) in column G for each person eligible for selection. Eligible persons are presently age 18 or older. If the age in column C below 18+ years, DO NOT enter a check mark in column G. b) In column H assign a sequential number of each eligible person checked in column G. First number eligible MALES from eldest to youngest and continue the numbering with eligible FEMALES, from eldest to youngest. c) Use the appropriate selection table (see example below) to select a respondent. In the first column circle the total number of eligible persons (highest number assigned in col. H). The corresponding number in the second column of the selection table denotes the person selected to be interviewed. Enter "R" in column I for this person. Note that the appropriate selection table indicated in the Respondent Allocation Table must be used from the appendices. d) IF NO ONE AGE 18 OR OLDER IN HOUSEHOLD ROSTER, THEN NO ELIGIBLE RESPONDENT USE APPROPRIATE KISH TABLE AS PER THE ROTATION CODE ASSIGNED TO THIS RESPONDENT Enter Kish Table Code (A,B1,B2,C,D,E1,E2 or F) head of household head of household head of household head of household head of household To be asked to all households Who is the person who provides the main economic support for the household? The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Record Line Number from Household Roster 1009 5 400 410 402.655 3.394 Household informant Household informant Household informant Household informant Household informant To be asked to all households The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Determine who is the ‘Household Informant’. Record their Line Number from the Household Roster. The interviewer will have to determine the person in the household most knowledgeable about the household’s health status, employment, financial condition, expenditures and health insurance. Several persons in the household may have to be spoken to an order to determine this. The person identified here may be different from the person coded on Q0500. If multiple people provide information on the household questionnaire, the person providing most of the information will be coded here. 1014 Sysmiss Anyone in institution due to health conditions Anyone in institution due to health conditions Anyone in institution due to health conditions Anyone in institution due to health conditions Anyone in institution due to health conditions Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? If that person is picked randomly as the respondent they will be interviewed in the institution (if the condition is chronic and return to home in the near future is unlikely) or upon return to home (if the condition is acute and return to home is likely in the next 2 weeks). Additional pages are attached. Please feel free to add other additional pages as necessary. 999 15 1 Yes 5 No Sysmiss household member 1 in institution household member 1 in institution household member 1 in institution household member 1 in institution household member 1 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? RECORD LINE NUMBERS from Household Roster of all household members currently in an institution due to their health condition 1014 Sysmiss household member 2 in institution household member 2 in institution household member 2 in institution household member 2 in institution household member 2 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? RECORD LINE NUMBERS from Household Roster of all household members currently in an institution due to their health condition 1014 Sysmiss household member 3 in institution household member 3 in institution household member 3 in institution household member 3 in institution household member 3 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? RECORD LINE NUMBERS from Household Roster of all household members currently in an institution due to their health condition 1014 Sysmiss household member 4 in institution household member 4 in institution household member 4 in institution household member 4 in institution household member 4 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? RECORD LINE NUMBERS from Household Roster of all household members currently in an institution due to their health condition 1014 Sysmiss household member 5 in institution household member 5 in institution household member 5 in institution household member 5 in institution household member 5 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? RECORD LINE NUMBERS from Household Roster of all household members currently in an institution due to their health condition 1014 Sysmiss Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Can you please tell me how many rooms there are in your home? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Can you please tell me how many rooms there are in your home? 969 45 16 6.421 2.145 How many cars are there in your household? How many cars are there in your household? How many cars are there in your household? How many cars are there in your household? How many cars are there in your household? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many cars are there in your household? If none enter "0" 957 57 5 1.143 0.839 How many televisions are there in your household? How many televisions are there in your household? How many televisions are there in your household? How many televisions are there in your household? How many televisions are there in your household? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many televisions are there in your household? If none enter "0" 969 45 11 1.928 1.061 Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Does anyone in your household have a bicycle? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a bicycle? If none enter "0" 981 33 1 5 1 Yes 5 No Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Does anyone in your household have a video cassette recorder? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a video cassette recorder? 992 22 1 Yes 5 No Sysmiss Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Does anyone in your household have a stereo system? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a stereo system? 988 26 1 Yes 5 No Sysmiss Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Does anyone in your household have a DVD player? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a DVD player? 981 33 1 Yes 5 No Sysmiss Does anyone in your household have a video camera? Does anyone in your household have a video camera? Does anyone in your household have a video camera? Does anyone in your household have a video camera? Does anyone in your household have a video camera? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a video camera? 972 42 1 Yes 5 No Sysmiss Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Does anyone in your household have a washing machine for clothes? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a washing machine for clothes? 995 19 1 Yes 5 No Sysmiss Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Does anyone in your household have a washing machine for dishes? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a washing machine for dishes? 985 29 1 Yes 5 No Sysmiss Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Does anyone in your household have a vacuum cleaner? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a vacuum cleaner? 992 22 1 Yes 5 No Sysmiss Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Does anyone in your household have a refrigerator? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a refrigerator? 996 18 1 Yes 5 No Sysmiss Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Does anyone in your household have a fixed line telephone? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a fixed line telephone? 987 27 1 Yes 5 No Sysmiss Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Does anyone in your household have a mobile / cellular telephone? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a mobile/cellular telephone? 992 22 1 Yes 5 No Sysmiss Does anyone in your household have a computer? Does anyone in your household have a computer? Does anyone in your household have a computer? Does anyone in your household have a computer? Does anyone in your household have a computer? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a computer? 980 34 1 Yes 5 No Sysmiss Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Does anyone in your household have Access to the internet/World Wide Web from your home? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have access to the internet/World Wide Web from your home? 977 37 1 Yes 5 No Sysmiss Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Does anyone in your household have any subscriptions to magazines and/or newspapers? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have any subscriptions to magazines and/or newspapers? 973 41 1 Yes 5 No Sysmiss Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a security system in your home (alarm, reinforced doors, guards etc.)? 991 23 1 Yes 5 No Sysmiss Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Do you employ anybody in your house who is not a member of your family (gardener, cook, cleaning lady, driver etc.)? 984 30 1 Yes 5 No Sysmiss Do you have a second home? Do you have a second home? Do you have a second home? Do you have a second home? Do you have a second home? Permanent Income Indicators (Higher Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Do you have a second home? 979 35 1 Yes 5 No Sysmiss total household expenditure total household expenditure total household expenditure total household expenditure total household expenditure Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend in total? Total spending should include the value of all goods and services consumed or used by the household. This would include things produced by the household for its own consumption (e.g. eggs from backyard chickens). It would exclude things purchased for use in a home business. 1014 888888 462667.334 433117.452 Amount spend on food Amount spend on food Amount spend on food Amount spend on food Amount spend on food Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on food, including such things as [rice], meat, fruits, vegetables, and cooking oils? Include the value of any food that was produced and consumed by the household, and exclude alcohol, tobacco and restaurant meals. Food expenditures include all food prepared and consumed by the household, along with food purchased and consumed outside the household (e.g. snacks, bag lunches). However, should exclude meals at sit-down restaurants, and expenditures on alcohol and tobacco. These excluded items should be included in Q0806 ("All other goods and services"). 1014 888888 297266.917 410814.873 Health care costs Health care costs Health care costs Health care costs Health care costs Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on health care costs, excluding any insurance reimbursements? 1014 888888 432302.766 436046.442 Insurance Premiums Insurance Premiums Insurance Premiums Insurance Premiums Insurance Premiums Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on voluntary insurance premiums or prepaid health plans? 1014 888888 439434.812 436274.822 overnight stay in hospital overnight stay in hospital overnight stay in hospital overnight stay in hospital overnight stay in hospital Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, how many times did members of your household go to a hospital and stay overnight? The answer should represent the total number of events for which any member of the household went to a hospital and stayed overnight. If household members had stayed overnight in hospitals for a natural birth, treatment of trauma from a traffic accident, and an appendectomy, the answer would be “3” regardless of whether these three events happened to the same person or different persons in the household. ENTER NUMBER OF TIMES FOR ALL HOUSEHOLD MEMBERS IN TOTAL. IF NONE, ENTER "0" If None: Go to Q0817 1014 99 21.066 35.581 Household costs associated with overnight stay Household costs associated with overnight stay Household costs associated with overnight stay Household costs associated with overnight stay Household costs associated with overnight stay Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, how much did the household pay for all costs associated with overnight stays in a hospital? Please exclude any expenses in the last 4 weeks that you have already told me about, and exclude any reimbursement from insurance. This question should include the total expenses associated with all of the hospital stays referred to in Q0804. Therefore it excludes hospital expenses from the most recent 4 week period which was asked in Q0807. 1014 999999 413653.98 437936.812 Time end section 0800 Time end section 0800 Time end section 0800 Time end section 0800 Time end section 0800 523 07:08 07:55 09:55 09:57 10:20 10:36 10:37 10:41 10:42 10:45 10:49 10:54 10:58 10:59 11:03 11:05 11:06 11:15 11:18 11:19 11:20 11:25 11:30 11:34 11:35 11:39 11:40 11:42 11:43 11:45 11:46 11:49 11:50 11:55 11:58 12:00 12:04 12:05 12:06 12:07 12:09 12:10 12:11 12:12 12:20 12:22 12:25 12:26 12:30 12:32 12:33 12:36 12:37 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:50 12:52 12:53 12:55 12:56 12:57 13:00 13:04 13:05 13:07 13:12 13:15 13:16 13:20 13:22 13:25 13:30 13:32 13:35 13:39 13:40 13:42 13:45 13:48 13:50 13:51 13:52 13:55 13:59 14:00 14:05 14:07 14:10 14:20 14:21 14:24 14:25 14:30 14:32 14:34 14:35 14:37 14:40 14:42 14:45 14:46 14:48 14:49 14:50 14:54 14:55 14:57 14:58 15:00 15:02 15:03 15:04 15:05 15:08 15:10 15:14 15:15 15:17 15:18 15:20 15:25 15:27 15:30 15:33 15:34 15:35 15:40 15:42 15:44 15:45 15:47 15:48 15:50 15:51 15:52 15:55 15:56 15:58 16:00 16:01 16:04 16:05 16:10 16:13 16:14 16:15 16:16 16:20 16:24 16:25 16:29 16:30 16:31 16:34 16:40 16:41 16:42 16:46 16:47 16:49 16:50 16:52 16:55 17:00 17:02 17:03 17:04 17:05 17:06 17:08 17:11 17:14 17:15 17:20 17:21 17:22 17:25 17:26 17:27 17:30 17:35 17:36 17:38 17:40 17:43 17:44 17:45 17:48 17:49 17:50 17:51 17:53 17:55 17:57 18:00 18:05 18:09 18:10 18:12 18:16 18:18 18:20 18:25 18:27 18:30 18:35 18:36 18:40 18:45 18:47 18:50 18:52 18:55 18:56 18:57 18:58 19:00 19:05 19:06 19:10 19:15 19:20 19:22 19:23 19:24 19:25 19:28 19:30 19:34 19:35 19:37 19:40 19:47 19:49 19:50 19:55 19:57 19:59 20:05 20:09 20:10 20:14 20:15 20:18 20:20 20:22 20:25 20:27 20:28 20:30 20:34 20:36 20:38 20:40 20:42 20:45 20:46 20:52 20:57 21:00 21:03 21:05 21:10 21:15 21:17 21:20 21:22 21:27 21:32 21:39 21:45 21:50 21:59 22:50 23:42 23:45 Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 3101 13000004 13001440 13000715.302 415.958 gender gender gender gender gender 3101 1 Female 2 Male 3101 1 2 3 4 5 6 7 8 9 10 11 12 relationship relationship relationship relationship relationship Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. Household member's relationship to informant 3101 1 himself / herself 2 wife or husband 3 son or daughter 4 son or daughter in law 5 grand child 6 parent 7 parent in law 8 brother or sister 9 co-wife 10 grand parent 11 other relative 12 not related 13 don't know age age age age age Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. Age 3074 27 92 33.403 20.439 education education education education education Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. Education 2985 116 1 No formal schooling 2 less than primary school 3 primary school completed 4 secondary school completed 5 high school (or equivalent) completed 6 college / pre-university / university completed 7 post graduate deegree completed Sysmiss marital status marital status marital status marital status marital status Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. Marital status 3101 1 Never married 2 Currently married 3 Separated 4 Divorced 5 Widowed 6 Chohabiting Sysmiss Ever worked or trained in health field Ever worked or trained in health field Ever worked or trained in health field Ever worked or trained in health field Ever worked or trained in health field Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. Ever worked or trained in a health-related field This column identifies any adult members of the household who have ever worked or been trained in a health-related field. Each household member who has ever worked/trained in a health-related field should be marked as “yes” in this column. The interviewer should prompt by giving examples of health workers: “This could be someone who has received a medical degree, or who worked in a hospital or health clinic (either caring for patients or doing anything else), or who dispenses medicines to people suffering from a health problem”. The short questionnaire on Health Occupations (section 0900) should then be asked directly to each individual so identified, using additional copies of the questionnaire if more than one person has been identified here. 3101 1 Yes 5 No Sysmiss Eligible person Eligible person Eligible person Eligible person Eligible person Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. Eligible person 3101 not eligible 1 eligible Whs respondent Whs respondent Whs respondent Whs respondent Whs respondent 3101 R covered by health insurance covered by health insurance covered by health insurance covered by health insurance covered by health insurance I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an organization that pays for health care costs if he or she gets sick or injured. Is this person covered by any kind of health insurance plan? ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER [USE CATEGORIES APPROPRIATE TO EACH COUNTRY] 5 = NO If No: Go to next person 3101 1 Yes 5 No Sysmiss covered by mandatory health insurance covered by mandatory health insurance covered by mandatory health insurance covered by mandatory health insurance covered by mandatory health insurance I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an organization that pays for health care costs if he or she gets sick or injured. Is this person covered by any mandatory health insurance plans? ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER [USE CATEGORIES APPROPRIATE TO EACH COUNTRY] ENTER code (See below) CODES FOR B NONE=0 SIGNIFICANT MANDATORY INSURANCE PLANS OTHER MANDATORY INSURANCE 3101 Sysmiss covered by voluntary health insurance covered by voluntary health insurance covered by voluntary health insurance covered by voluntary health insurance covered by voluntary health insurance I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an organization that pays for health care costs if he or she gets sick or injured. Is this person covered by any voluntary health insurance plans? ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER [USE CATEGORIES APPROPRIATE TO EACH COUNTRY] ENTER code (See below) CODES FOR C NONE=0 SIGNIFICANT VOLUNTARY INSURANCE PLANS OTHER VOLUNTARY INSURANCE If None:Go to E 3101 Sysmiss How much for voluntary insurance How much for voluntary insurance How much for voluntary insurance How much for voluntary insurance How much for voluntary insurance I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an organization that pays for health care costs if he or she gets sick or injured. How much does your household pay for this person’s voluntary health insurance each year? ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER [USE CATEGORIES APPROPRIATE TO EACH COUNTRY] 3101 Covered because of relationship to someone Covered because of relationship to someone Covered because of relationship to someone Covered because of relationship to someone Covered because of relationship to someone I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an organization that pays for health care costs if he or she gets sick or injured. Is this person covered by insurance only because of his/her relationship to someone else who has health insurance? ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER [USE CATEGORIES APPROPRIATE TO EACH COUNTRY] 1 = YES 5 = NO If No: Go to Next person 3101 Sysmiss who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an organization that pays for health care costs if he or she gets sick or injured. Who is enrolled in the insurance plan that gives this person health insurance? ASK THE QUESTIONS FOR EACH HOUSEHOLD MEMBER IN THE SAME ORDER AS THE HOUSEHOLD ROSTER, WITH ONE ROW PER HOUSEHOLD MEMBER [USE CATEGORIES APPROPRIATE TO EACH COUNTRY] INDICATE Line Number from Household Roster of Person if he/she is in the Household If Person not in Household ENTER “999" 3101