DDI_IDN_2004_SUSENAS-JUL_v01_M_WB
World Bank Indonesia, Poverty Team
2014-02-12
NADA
Version 1 (December 22, 2012): Initial version of DDI documentation.
Version 2 (February 12, 2014): Revision of DDI documentation.
National Socio-Economic Survey 2004
July
SUSENAS-JUL 2004
Survei Sosial Ekonomi Nasional 2004
IDN_2004_SUSENAS-JUL_v01_M
Central Bureau of Statistics (BPS) of Indonesia
Copyright © 2012, Central Board of Statistics (BPS) of Indonesia. All rights reserved.
NADA
Socio-Economic/Monitoring Survey [hh/sems]
Since 1992, BPS through Susenas collecting core data and the module data every year. Susenas modules is divided into three major groups, that is module socio-cultural and educational, modules housing and health, module household consumption and household expenditure, implementation of each module is every three years.
v01: basic raw data. Obtained from BPS
Birth control
Children
Child health
Consumption (Economics)
Income
Education
Employment
Family
Fertility
Health
Heatlh services
Housing
Information technology
Indonesia
Literacy
Living standards
Mass media
Breast milk
Occupations
Internet
Married
Recreation
Energy
Poverty
Assets
Social conditions
Insurance
Transport
Victims of Crime
Water supply
Susenas is a survey designed to collect socio-demographic data in large area. The data collected were related to the fields of education, health / nutrition, housing / environmental, socio-cultural activities, consumption and household income, trips, and public opinion about the welfare of household. In 1992, Susenas data collection system has been updated, the information used to develop indicators of welfare (Welfare) contained in the module (information collected once every three years) drawn into the core (group information is collected each year).
The questions are included in the core is intended to obtain the information and to monitor the things that may change each year. It is also useful for short-term planning, as well as questions that can be associated with a question module, such as expenditures. Questions in the modules required to analyze problems that do not need to be monitored every year or analyze issues like government intervention, such as poverty and malnutrition.
Core module combined data can generate analysis to answer questions such as, whether the poor can get benefit from the appropriate educational program launched by the government (e.g., 9-year compulsory education program), who are able to take advantage of government subsidies in education, is there any kind -certain types of birth control that is more widely used by poor people than others, whether there is a link between working hours and fertility, then whether there is a link between sanitation and health status.
Since 1993 the core Susenas sample size is enlarged to generate simple statistics for the district / city level. This new development gives a new dimension to the Susenas data analyst and in that time, several counties have started to develop the indicators / statistics on the welfare of each.
Indonesia
National coverage, representative to the district level
Household Members (Individual) and Household
Implementation of the 2004 Susenas includes 249.376 sample households spread across all geographic regions of Indonesia, with details of 67.072 sample household core-module and 182.304 households sample core (without module). Data from the sample core can presented at the national, provincial, and district / city. Data from sample core-module, can be presented at national and provincial levels. While the sample Consumption Module (Panel) of 10,200 households in the sample that is repetition Susenas 2003.
Sample survey data [ssd]
1. Data Collected by corer questionnaire (VSEN2004.K) include:
a. General Information of household members (art) i.e. name, relationship to head of household, sex, age, marital status;
b. Information about mother deaths during pregnancy, childbirth and the postpartum period.
c. Information races household heads (krt).
d. Information about the state of health includes the health of the population, the costs incurred for the purposes of health household.
e. Information household member education 5 years and above.
f. Information of economic activity and employment household member 10 years and above.
g. Fertility information for women never married and how to prevent pregnancy for married women.
h. Housing information include the mastery of residence, the physical condition of residential buildings, residential buildings and facilities.
i. Information of the average household consumption and the main source of household income.
j. Household socio-economic information.
k. Information rice field business
2 Data Collected by the Housing and Health Questionnaire Module (VSEN2004.MPK)
a. More detailed information about the mastery of residence, the physical condition of buildings, facilities and equipment of residential buildings, and environmental conditions.
b. More detailed information about the cost of healthcare, the youngest toddler and his biological mother, status / health conditions, risk behaviors, outpatient and inpatient care, as well as the health experience of respondents.
- Sample Core 2004 susenas designed to estimate until the district / city level. The design of samples core Susenas 2004 was sample designs phased two for block census that are not formed sub-block census and sample design phased three for block census formed sub block census , both for urban and rural areas. Sample selection for urban and rural areas is done separately.
Block census was not formed sub block census
1. The first phase, from the sample frame census blocks selected a number of census block by Probability Proportional to Size (PPS) - systemic linear sampling whereas size is the number of households from P4B census result.
2. The second phase, from a number of households of listing results in each census block selected and selected 16 household by systematic linear sampling
Block census was formed sub block census
1. The first phase, from the sample frame of census blocks selected a number of census blocks in PPS method - systemic linear systematic whereas size is the number of household of listing results from P4B census result.
2. The second phase, from each selected census block was formed segment group (kelseg), then selected one segment group in PPS Sampling whereas size is the number of household of listing results from P4B census result in each sub block census.
3. The third phase, from number of households of listing results in each selected enumeration areas selected 16 households by systemic linear sampling
Sample size module Housing and Health are designed for the presentation at the provincial level. This sample module is a subsample from the selected sample to estimate data at the district / city level, urban and rural areas. The subsample selected by systematic linear sampling from the list of selected block census in each district / city for urban and rural areas. Further selected block census (subsample) is the block census core-module, because in addition enumerated using the module questionnaire, also enumerated using core questionnaire. In other words, the block census which will be used to estimate at the provincial level (block census core-module)selected by systematic linear sampling from a list of selected census blocks in each district / city (block census core). Selected census blocks that are not core-module 2004 susenas is the core block census .
Face-to-face
Sub Directorate Services and Promotion Statistics
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download
Example:
Statistic Indonesia (BPS), National Socio-Economic Survey 2004, ref. IDN_2004_SUSENAS-JUL_v01_M. Data downloaded from www.microdatalib.worldbank.org in December 20, 2012
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.
susenas04jul_ki
Data contained in this file are questions from the National Social Economic Survey of 2004 - Main Information on Household and Household Members [VSEN2004.K] section Core Household Member (Individual):
IV.A. Household Member Information
IV.B. Death since January 2001
V.A. Health Information (all ages)
V.B. Toddler Health (child age 0-59 months)
V.C. Educational Information (for Household Member age five years up)
V.D. Employment (for Household Member age 10 years up)
V.E. Fertility and Family Planning (for women age 10 years and up with a status of married, divorced, divorce due to death of spouse)
1030250
111
susenas04jul_kr
Data contained in this file are questions from the National Social Economic Survey of 2004 - Main Information on Household and Household Members [VSEN2004.K] section Core Household:
VI. Housing
VII.A. Household Expenditure - Expenditure for Food in the past one week [from Purchase, Self-Production and Present]
VII.B. Household Expenditure - Non-Food Expenditure [from Purchase, Self-Production and Present]
VIII. Household Socio-Economic Information
IX. Rice Plant Business Information in 2003
252913
138
susenas04jul_blok4
Data contained in this file are questions from the National Social Economic Survey of 2004 - Information on Housing and Settlement and Health [VSEN2004.MPK]:
IV. Household Member Information
267549
133
susenas04jul_blok8
Data contained in this file are questions from the National Social Economic Survey of 2004 - Information on Housing and Settlement and Health [VSEN2004.MPK]:
VIII.A. Information from Selected Respondent - Health Status
VIII.B. Information from Selected Respondent - Risky Behavior
VIII.C. Information from Selected Respondent - Health Services
VIII.D. Information from Selected Respondent - Medical History
66644
205
susenas04jul_blok56
Data contained in this file are questions from the National Social Economic Survey of 2004 - Information on Housing and Settlement and Health [VSEN2004.MPK]:
V.A. Housing and Settlement - Residential Control
V.B. Housing and Settlement - Building Physical Condition
V.C. Housing and Settlement - Facility And Equipment
V.D. Housing and Settlement - Surrounding Condition
VI. Household Medical Cost
66755
253
susenas04jul_blok7
Data contained in this file are questions from the National Social Economic Survey of 2004 - Information on Housing and Settlement and Health [VSEN2004.MPK]:
VII. The Youngest Toddler
21932
33
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
1030250
11
94
40.652
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
North Maluku
91
West Irian Jaya
94
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
1030250
1
79
23.592
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
1030250
4
740
64.645
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
1030250
1
123
8.769
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
1030250
1
2
1.597
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number into the box provided.
1030250
1001
2582
1951.03
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Write down the household sample sequential number into the box provided.
1030250
1
16
8.508
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
1030250
1
24
4.839
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
24
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
1030250
1
24
2.919
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided.
1030250
1
9
2.589
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Household helpers, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Write down the gender of each household member in the provided box, code 1 for “Male” and code 2 for “Female”. Do not guess people’s gender based on their names. To make sure, please ask if the person in question is a male or a female.
1030250
1
2
1.498
1
Male
2
Female
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent's age and enter the answer into the box. Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
1030250
98
27.453
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Marital status
Marital status
Marital status
Marital status
Marital status
Marital status
Ask marital status of the respondent and enter the code into the box provided.
1030250
1
4
1.601
1
Not married
2
Married
3
Divorce
4
Divorce due to death
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
2
1.891
1
Yes
2
No
“Tour” trip: trip to commercial tourist destinations, or stay in commercial accommodation, or trip distance = 100 Km (return).
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Fill in the travel frequency (times) for each household members who travel in the past 3 calendar months. Write down “00” if the related household member do not travel.
111888
918362
1
48
1.566
One time travel/journey is calculated since leaving home and return back to the initial place. Travel/journey that has not been completed (the person has not returned to the initial place), is not considered as traveling.
Travelling household member: trip to commercial tourist destinations, or stay in commercial accommodation, and or trip distance = 100 Km (return), excluding commuter, school and work.
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Write down the appropriate code for family members aged 0-6 regarding their participation in pre-school education.
Household member age 0-6 years
86839
943411
4
3.456
1
Yes, kindergarten/RA/RB
2
Yes, playgroup
3
Yes, daycare
4
No
Sysmiss
Yes, once , if they have attended pre-school education and at the moment has finished/completed/not active anymore.
Yes, currently on, if at the moment the respondent is still actively attending a pre-school education.
No, if the respondent never attended a pre-school education.
Attended preschool education means enrolled in and actively attending education in kindergarten (TK)/Bustanul Athfal (BA), Raudatul Athfal (RA), play group, day-care center, Early Age Children Education (PAUD) and other institution.
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
1030250
24
2.919
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother number, ask whether the biological mother of this household member lives with him; if “Yes”, enter the number of the biological mother in accordance with the serial number in Column (1) BlockIV. If the answer is “No”, enter code 00.
1030249
1
15
0.989
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Sysmiss
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
1030250
1
2
1.305
1
Yes
2
No
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Any health complaint in the past one month? (read from a to h) a. fever
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030250
1
2
1.893
1
Yes
2
No
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Fever is a condition which symptom is the increasing body temperature above 37.5 degrees Celcius, or if touched (especially with the back of the hand) it feels hot.
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Any health complaint in the past one month? (read from a to h) b. cough
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030249
1
1
2
1.872
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Coughing is a sound produced by the sudden opening of vocal cords followed by the fast release of air, in order to let out the object that stimulates the central or lower part of respiratory tract; short or long; dry, phlegm or bloody expectoration; lasting for days, weeks, months or years.
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Any health complaint in the past one month? (read from a to h) c. cold
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030250
1
2
1.876
1
Yes
2
No
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Colds is a condition with the following symptoms: mucus, nasal congestion, and might be followed by sneezing, or other symptoms.
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Any health complaint in the past one month? (read from a to h) d. asthma/breathlessnes
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030250
1
2
1.986
1
Yes
2
No
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Asthma is an illness during which attack the patient suffers difficulty in breathing due to constriction in the lower respiratoty track, causing the breathing to make a shound while letting air out; local community calls the illness bengek or mengi.
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Any health complaint in the past one month? (read from a to h) e. diarrhea
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030249
1
1
2
1.986
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Diarrhea is an illness which symptomsare: runny or liquid faeces, sometimes mixed with blood or mucus; generally happens 3 times or more within 24 hours. Diarrhea might be accompanied with a throwing up, or decrement of consciousness. Local people call this illness as mencret or bocor.
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Any health complaint in the past one month? (read from a to h) f. migraine
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030250
1
2
1.956
1
Yes
2
No
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Migraine/Recurring headache is the feeling of pain, throbbing pain, jabbing pain, like being tied up, drilled or stabbed in the head, or other uncomfortable feelings in part or of the whole head. It lasts from a few hours to a few days, recurring for several times within 1 year (at least 2 times), with similar symptoms. Headache during fewer is not considered a recurring headache.
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Any health complaint in the past one month? (read from a to h) g. toothache
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030249
1
1
2
1.982
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Toothache is the feeling of pain in the teeth or gums, sometimes accompanied by swelling, but does not include sprue.
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Any health complaint in the past one month? (read from a to h) h. other
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
1030250
1
2
1.938
1
Yes
2
No
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Other problems are health problems such as measles, perforated tympanic membrane /CSOM, hepatitis/liver disease, seizures, paralyzed, senility, including other health problems caused by accidents/tragic events, natural disaster, lost of appetite, difficulty in defecating, headache caused by fever, non-recurring headache, problems with joints, problems in hearing, cataract, gastritis, stomachache, catching colds, unable to urinate, ulcer, sore eyes, and physical problems caused due to menstruation or pregnancy.
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If the answer is coded 2, skip to b5r5a
Circle the appropriate code and fill in the provided box.
268390
761860
1
2
1.371
1
Yes
2
No
Sysmiss
Complaint of activities means that the respondent cannot do the normal activity (work, study, daily activities) as usual.
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption:(days)
Write down how long (days) the household members who have health problems are interrupted from their daily activities in the last one month.The duration of interruption shall not exceed 30 days because the time reference used is the last one month, although the actual health problems last for more than 30 days.
168903
861347
1
30
5.45
Period of disruption does not refer to the worst health problem, but also covers the total duration of all the health problems suffered by the household members in the last one month. If a person has more than one health problem, the length of interruption time caused by the illnesses should not be combined.
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Circle one of codes and record in the box available. Circles code 1 if householder "still has health disruption until the enumeration day" and circle code 2 if "No".
168903
861347
1
2
1.776
1
Yes
2
No
Sysmiss
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
If the answer is coded 2, skip to b5r6
Circle the appropriate code and fill in the provided box.
268390
761860
1
2
1.277
1
Yes
2
No
Sysmiss
Self medication is an effort to have a medication by deciding the kind of medicines by oneself (without any /prescription from a medical doctor/traditional medication/batra).
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Type of medicine/treatment method used: 1. traditional medicine
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
193978
836272
1
2
1.648
1
Yes
2
No
Sysmiss
Traditional Medicine is medicine concoction made of herbs/plants, animal, mineral, etc. which is generaly has already been used for generation whether to cure an illness ir to be taken as health supplement in a form of powder, finely chops, liquid, tablet, capsule, medical embrocation, liniment lotion, etc.
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Type of medicine/treatment method used: 2. modern medicine
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
193978
836272
1
2
1.138
1
Yes
2
No
Sysmiss
Modern medicine is medicine used in a medical system, it can be in the form of tablet, caplet, capsule, syrup, powder, ointment, suppository (i.e. hemorrhoids medicine), inhaler (i.e. asthmatic medicine to be sprayed inside the mouth or to be inhaled); usually is ready made from pharmaceutical factories, with packaging and registration code number in the Ministry of Health starting with 1-3 letters followed by numbers.
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Type of medicine/treatment method used: 3. other
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
193978
836272
1
2
1.896
1
Yes
2
No
Sysmiss
Others, such as food supplement/natural supplement (i.e: sunchlorella, squalen, omega 3, nuskin, imedeen, collagen, etc); tonic drinks (i.e: Kratingdaeng, Kaki Tiga, M-150, Adem Sari, Lasegar, etc) with registration code beginning with MD (local products) or ML (imported products); skin scrapping; massage.
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
If the answer is coded 2, skip to b5r8
Circle the appropriate code and fill in the provided box.
268390
761860
1
2
1.624
1
Yes
2
No
Sysmiss
The followings are not included in medical treatment:consultation,medical check-up,health check (such as for Driver Liscense,new employee acceptance,promotion),screening (medical check-up to find illness,such as:Pap Smear Test for cervix cancer,mantoux tes for toddler to find TBC),normal pregnancy check-up,and immunization,because all are prevention efforts.
Outpatient is an effort by household members who have health problems to check their health and get medication by going to modern or traditional health services without hospitalization,including housecall.
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
How many times became outpatient in the past one month? a. state hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100932
929318
30
0.119
1
2
3
4
5
6
7
8
10
11
12
14
15
20
21
22
24
25
30
Sysmiss
State Hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
How many times became outpatient in the past one month? b. private hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100933
929317
25
0.046
1
2
3
4
5
6
7
8
9
10
11
12
13
14
20
25
Sysmiss
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
How many times became outpatient in the past one month? c. doctor
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100932
929318
30
0.355
1
2
3
4
5
6
7
8
9
10
11
12
13
20
28
30
Sysmiss
Doctor is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN.
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
How many times became outpatient in the past one month? d. health clinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100932
929318
30
0.71
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
20
21
22
30
Sysmiss
Health clinic(Community Health Center) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
How many times became outpatient in the past one month? e. polyclinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100932
929318
30
0.056
1
2
3
4
5
6
7
9
10
11
12
20
30
Sysmiss
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
How many times became outpatient in the past one month? f. medical worker practice
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100932
929318
30
0.262
1
2
3
4
5
6
7
8
9
10
11
12
15
16
20
22
30
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
How many times became outpatient in the past one month? g. traditional treatment
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100933
929317
30
0.0303
1
2
3
4
5
6
7
8
9
10
11
12
15
20
30
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
How many times became outpatient in the past one month? h. other
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
100932
929318
30
0.0895
1
2
3
4
5
6
7
8
9
10
11
12
14
15
20
21
22
23
25
30
Sysmiss
Others, such as Polindes (Village Maternity Ward), Posyandu, or if a woman gave birth without any medical
support.
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
If the answer is no, skip to b5r10.
Circle one of the codes and enter the number into the box provided.
1030250
1
2
1.99
1
Yes
2
No
Inpatient is an effort to treat a disease by spending a night or more in a modern or traditional health service unit,including inpatient in maternity ward.
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period (in days) - a. state hospital
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
9963
1020287
360
3.812
State Hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period (in days) - b. private hospital
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
9963
1020287
222
1.935
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period (in days) - c. health clinic
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
9963
1020287
311
0.714
Health clinic(Community Health Center) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period (in days): d. medical worker practice
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
9963
1020287
222
0.277
1
2
3
4
5
6
7
8
10
15
16
17
20
30
90
100
200
222
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period (in days): e. traditional treatment
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
9963
1020287
222
0.139
1
2
3
4
5
6
7
8
10
12
15
20
30
34
48
50
60
110
222
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period (in days): f. other
Fill in the duration of inpatient that is already finished in the last one year, in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
9963
1020287
222
0.237
1
2
3
4
5
6
7
8
9
10
11
14
15
16
20
22
30
32
36
45
53
70
90
98
118
120
140
188
211
222
Sysmiss
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Is there any health insurance/financing for outpatient/inpatient needs as follows: a. Askes
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.934
1
Yes
2
No
Health Insurance for Civil Servant/Veteran/Pensioneris healthcare insurance for Civil Servant,Veteran and Pensioner,proven by membership card that is managed by PT Askes (Persero).
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Is there any health insurance/financing for outpatient/inpatient needs as follows: b. Askes/Jamsostek
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.979
1
Yes
2
No
Jamsostek is healthcare insurance for employee of private company in formal sector,proven by membership card that is managed by PT Jamsostek.
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Is there any health insurance/financing for outpatient/inpatient needs as follows: c. Office/company
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.983
1
Yes
2
No
Private health insurance is commercial medical insurance to replace the expenses of health services spent by the policy holders. The membership is proven by medical insurance card.
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Is there any health insurance/financing for outpatient/inpatient needs as follows: d. JPKM (Public Health Service Assurance)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.992
1
Yes
2
No
Benefit/reimbursement by company is healthcare benefit that is proven by identity card as an employee of the company that will provide health benefit/reimbursement of the medical expenses.
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Is there any health insurance/financing for outpatient/inpatient needs as follows: e. Commercial health insurance
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.996
1
Yes
2
No
Health insurance/health card/poor insurance/poor card is a health security for poor people that is proven by a membership card of JPK-MM,health card,poor card,JPK Gakin card or SKTM (Letter of Poverty) or Jamkesmas card.
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Is there any health insurance/financing for outpatient/inpatient needs as follows: f. Dana sehat (health fund)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.899
1
Yes
2
No
Health fund is membership of healthcare for a group/community that is proven by the membership card of health fund.
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Is there any health insurance/financing for outpatient/inpatient needs as follows: g. Kartu sehat (health/poor card)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
1030250
1
2
1.982
1
Yes
2
No
Other health insurance are other healthcare and medical securities that can be proven by ownership of membership cards for the above healthcare services.
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
If the toddler is 1 month old or more (b5r11a not equal to 00), continue to b5r12.
Fill in the toddler's age in months, if the age is >= 1 month in the space provided and directly move it to the box provided
Child age 0-59 months
99126
931124
59
29.825
Age of child : (days)
Age of child : (days)
Age of child : (days)
Age of child : (days)
Age of child : (days)
If b5r11a = 00
Age of child : (days)
Fill in the toddler's age in days, if the toddler is < 1 month old in the space provided and directly move it to the box provided.
Child age 0-59 months
998
1029252
30
15.466
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
If the answer is coded 1 or 2, skip to b5r14.
Fill in the answer code to the box.
Child age 0-59 months
99126
931124
1
9
2.463
1
Yes, can be shown
2
No, cannot be shown
3
Do not have
9
Do not know
Sysmiss
Birth certificate is a letter of birth proof issued by Civil Registry Office, either in the country or overseas.
1. Yes, it can be shown if the birth certificate can be shown to the officer
2. Yes, but it can't be shown if the birth certificate can't be shown to the officer
3. Do not have - self explanatory
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
If do not have/do not know (b5r12 = 3 or 9)
If do not have/do not know (R.12 = 3 or 9), why?
Do not read out the answer. Circle one of the codes and enter the number into the box provided.
Child age 0-59 months
62691
967559
1
99
23.026
1
Expensive/no fund
2
Far traveling distance
3
Expensive and Far traveling distance
4
Do not know about birth certificate recording
5
Expensive and Do not know about birth certificate recording
6
Far traveling distance and Do not know about birth certificate recording
7
Expensive, Far traveling distance and Do not know about birth certificate recording
8
Do not know the processing procedure
9
Expensive and Do not know the processing procedure
10
Far traveling distance and Do not know the processing procedure
11
Expensive, Far traveling distance and Do not know the processing procedure
12
Do not know about birth certificate recording and Do not know the processing procedure
13
Expensive, Do not know about birth certificate recording and Do not know the processing procedure
14
Far traveling distance, Do not know about birth certificate recording and Do not know the processing procedure
15
Expensive, Far traveling distance, Do not know about birth certificate recording and Do not know the processing procedure
16
Do not see the need
17
Expensive and Do not see the need
18
Far traveling distance and Do not see the need
19
Expensive, Far traveling distance and Do not see the need
20
Do not know about birth certificate recording and Do not see the need
21
Expensive, Do not know about birth certificate recording and Do not see the need
22
Far traveling distance, Do not know about birth certificate recording and Do not see the need
23
Expensive, Far traveling distance, Do not know about birth certificate recording and Do not see the need
24
Do not know the processing procedure and Do not see the need
25
Expensive, Do not know the processing procedure and Do not see the need
26
Far traveling distance, Do not know the processing procedure and Do not see the need
27
Expensive, Far traveling distance, Do not know the processing procedure and Do not see the need
28
Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
29
Expensive, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
30
Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
31
Expensive, Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
32
Other
33
Expensive and Other
34
Far traveling distance and Other
35
Expensive, Far traveling distance and Other
36
Do not know about birth certificate recording and Other
37
Expensive, Do not know about birth certificate recording and Other
38
Far traveling distance, Do not know about birth certificate recording and Other
39
Expensive, Far traveling distance, Do not know about birth certificate recording and Other
40
Do not know the processing procedure and Other
41
Expensive, Do not know the processing procedure and Other
42
Far traveling distance, Do not know the processing procedure and Other
43
Expensive, Far traveling distance, Do not know the processing procedure and Other
44
Do not know about birth certificate recording, Do not know the processing procedure and Other
45
Expensive, Do not know about birth certificate recording, Do not know the processing procedure and Other
46
Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Other
47
Expensive, Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Other
48
Do not see the need and Other
49
Expensive, Do not see the need and Other
50
Far traveling distance, Do not see the need and Other
51
Expensive, Far traveling distance, Do not see the need and Other
99
Do not know
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Fill in the box a for the helper for the first born .
Child age 0-59 months
99126
931124
1
9
2.737
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
9
Sysmiss
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Fill in box b for the helper for the last born .
Child age 0-59 months
99126
931124
1
9
2.549
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
9
Sysmiss
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
How many times the child received immunization? a. BCG
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
99126
931124
9
1.007
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. BCG (Bacillus Calmette Guerin) is a vaccination to prevent Tuberculosis/TBC, given to a new born baby or a toddler by injection on the base of the upper arm. BCG injection is given one time.
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
How many times the child received immunization? b. DPT
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
99126
931124
9
1.782
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. DPT (Diphteria ,Pertussis, Tetanus) is given to a baby aged 3 months or older, by injecting it on the thigh and should be repeated after 1 month and then again after 2 months. Thus, a complete DPT Immunization on toddlers are done 3 times (sometimes time lapse between injections can be more than one month).
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
How many times the child received immunization? c. Polio
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
99126
931124
9
1.93
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Polio is a vaccine to prevent polio virus, given to a baby at the age 3 months or older by giving 3 drops of liquid vaccine in a pink or white color directly into the baby's mouth; usually given together with DPT vaccination. A complete Polio immunization is given 3 times. In National Immunization Week (PIN), polio immunization are given specifically for all toddlers in Indonesia at the same week (in certain regions are at the same month or day) in accordance to the given schedule.
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
How many times the child received immunization? d. Measles
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
99126
931124
9
0.871
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Measles/morbilli is a vaccine to prevent measles/morbilli; (please state the symptoms and epidemic area of measles if the mother seems not understand), that is usually given one time to a baby aged between 9 to 12 months, by injecting on the thigh.
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
How many times the child received immunization? e. Hepatitis B
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
99126
931124
9
1.393
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Hepatitis B is an intramuscular injection (injection to the mucsle), usually on the thigh, given to baby to prevent Hepatitis B. This injection is given 3 times. The first injection given when the baby is 0 month old, the second is given at the age of 1 month, and the third is at the age of 6 months.
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
If the entry is coded 2, skip to question other household member.
Circle code 1 for “Yes” and code 2 for “No” and write down in the provided box.
Child age 0-59 months
99126
931124
1
2
1.038
1
Yes
2
No
Sysmiss
Breastfeeding is if a mother’s nipple sucked by a baby secreting milk that is drunk by the baby,although only a little. A breastfeeding mother is not only the biological mother of the baby but she could be another woman.
Breast milk(ASI) is the best natural food for baby,which composition meets the full requirement of a baby up to 6 months old.ASI contains elements that provides protection against various diseases and also enzyme that help baby’s digestive system. Breastfeeding with affection can also strengthen the bond between a mother and her baby.
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
If “yes” [b5r16a = 1]
Period of provided with breast milk:
Record the answer of duration in the box available in month by completing below.
Child age 0-59 months
95329
934921
59
16.03
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
If “yes” [b5r16a = 1]
Period - Breast milk exclusive:
Fill in days if age < 1 month and in months if age is >= 1 month
Child age 0-59 months
95329
934921
57
3.753
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
Child age 0-59 months
7324
1022926
1
2
1.295
1
Yes
2
No
Sysmiss
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
1. If the answer is coded 1, skip to b5r23, and
2. If the answer is coded 2, skip to b5r19
Circle one of the codes from 1 to 3 and enter the number into the box provided.
For household member age five years up
931124
99126
1
3
2.533
1
No/never in school
2
Still in school
3
No longer in school
Sysmiss
A person is considered schooling if he is registered and active in attending a study process in formal education level,whether under supervision of Ministry of National Education/Depdiknas or other department/institution.
1. Not/not yet attending school - never or not yet been registered and never been active in attending school or at formal education level, including have completed/not completed kindergarten level but do not continue to elementary school.
2. Still attending school - are those who are registered and actively attending a formal education level, whether it is under supervision of Ministry of National Education, Ministry of Religion, other Government Institution, or Private Institution.
3. No longer in school - those who were once registered and actively attending a formal education, but at the time of census are not registered and active anymore, including those who are attending Package A program of SD (Elementary) equivalent, Package B program of SMP (Junior High) equivalent and Package C Program of SMA (Senior High) equivalent.
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
Fill in the month for people who quit prior to 1993, write down completely in the empty space and provided box. If quit prior to 1993, enter 00 into the month boxes.
For household member age five years up
592761
437489
12
1.447
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
Fill in the year for people who quit prior to 1993, write down completely in the empty space and provided box. If quit prior to 1993, enter 0000 into year boxes.
For household member age five years up
592761
437489
2004
473.153
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
Circle one of code 1 to 14 and fill it in the provided box.
For household member age five years up
834764
195486
1
11
2.82
1
Elementary school
2
M. Ibtidaiyah
3
Public/vocationaljunior high
4
M. Tsanawiyah
5
Senior High
6
M. Aliyah (Islamic school)
7
Vocational School
8
Diploma I/II
9
Diploma III
10
Diploma IV/S1
11
S2/S3
Sysmiss
1. SD/SDLB is an Elementary School of 5/6/7 years or equivalent(elementary special school,small elementary school,pamong elementary school).
2. Madrasah Ibtidaiyah(MI) is Islamic Elementary School of SD equivalent.
3. SMP/SMPLB is Secondary School or the equivalent MULO,3-year HBS,and Secondary Special School).
4. Madrasah Tsanawiyah(MTs) is Islamic Secondary School of SMP equivalent .
5. General High School(SMU)/Special High School(SMLB) is a High School(SMU),or the equivalent(Special High School,5-year HBS,AMS,and Employee Administration High Course(KPAA).
6. Madrasah Aliyah(MA) is an Islamic High School of SMU equivalent.
7. Vocational High School(SMK) is a vocational school of SMA equivalent.
8. Diploma 1/2 Program is D1/D2 program in a university that organizes diploma 1 and 2 program in formal education.
9. Diploma 3 Program/baccalaureate is a D3 program or baccalaureate degree in an academy or university that organizes diploma programs or issues baccalaureate degrees.
10. Diploma 4 Program/bachelor is an education program of Diploma 4 or Strata1 in a university.
11. S2/S3 is a postgraduate education program(master or doctorate),Strata 2 or Strata 3 in a university.
Education provider:
Education provider:
Education provider:
Education provider:
Education provider:
For household member age five years up
834764
195486
1
3
1.197
1
State
2
Private
3
Overseas
Sysmiss
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Circle one of the following codes from 1 to 8 and enter the code into the box provided.
For household member age five years up
834764
195486
8
5.744
1
Grade-1
2
Grade-2
3
Grade-3
4
Grade-4
5
Grade-5
6
Grade-6
7
Grade-7
8
Graduated
Sysmiss
Examples: Highest Level/Class Attended/Being Attended
a.For household head/member who has graduated,use code 8 for the highest level/class has been/being attended.
b.For household head/member who has a bachelor degree attending/has attended master/S2 program,use code 6.
c.For household head/member who has a master degree attending/has attended S3 program,use code 7.
d.For household head/member who has attended/is stillatending the highest level/class of S1 program,use code 5.
Graduated means has completed the study marked with passing the final exams in the last class/level of an education in a public or private school and received a certificate/diploma. A household head/member who has not attended the last level of education program but has passed the final exams is considered graduate.
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Circle one of the codes from 1 to 15 and enter the answer into the box provided.
For household member age five years up
834764
195486
1
9
2.449
1
No elementary diploma
2
Elementary/MI
3
Junior High/equal
4
Senior High/equal
5
Vocational junior high
6
Diploma I/II
7
Diploma III
8
Diploma IV/S1
9
S2/S3
Sysmiss
No elementary school diploma means that the household/member does not possessed certificate for a certain educational level, but has to attended to Elementary School of 5/6/7 year study or equivalent(among others are basic level of SLB,Madrasah Ibtidaiyah,Pamong Elementary School,Smal Elementary School,Package A1-A100,Package a Equivalent) but did not/has not yet graduate.This include household/member who graduated 3-year elementary school or equivalent.
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Circle one of the code 1 to code 4 and enter the answer into the provided box.
For household member age five years up
931124
99126
1
3
1.247
1
Latin alphabets
2
Other alphabets
3
Cannot
Sysmiss
Can read and write means able to read and write words/simple sentences in certain letters, e.g. "I must be honest."
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Did you perform the following activity in the past one week? a. work
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
820829
209421
1
2
1.501
1
Yes
2
No
Sysmiss
Working is an activity of doing work with the intention to earn or help earning a living or profit,minimum for one hour in the last one week. Working for one hour as mentioned above should be done continuously and uninterrupted. Income includes wages/salary,including all the benefits and bonus for worker/employee and business income in the form of rents or profits,whether in cash or goods for businessmen.
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Did you perform the following activity in the past one week? b. attending school
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
820829
209421
1
2
1.799
1
Yes
2
No
Sysmiss
Going to school is an activity at a formal school,whether in primary,secondary,or higher education.Students on leave are not included.
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Did you perform the following activity in the past one week? c. handling household
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
820829
209421
1
2
1.589
1
Yes
2
No
Sysmiss
Handling household is an activities of managing the household or helping to manage the household without getting paid.
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Did you perform the following activity in the past one week? d. other beside personal activity
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
820829
209421
1
1
1
1
Yes
2
No
Sysmiss
Other activities include: sports, course, picnic and social activities (organization, volunteering)
Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore.
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
If b5r24a1- 4 with code 1 (“Yes”)
What activity used the most time in the past one week?
If b5r24a1 is coded 1, skip to b5r26.
B5r24a with code 1 (“Yes”) – ask what activity is the most time consuming in the last one week, circle one of the codes and enter the number into the box provided.
For household member age 10 years up
820829
209421
1
4
2.003
1
Work
2
School
3
Handling Household
4
Other
Sysmiss
The most time consuming activity is an activity that uses up most time in comparison with other activities.
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Circle code 1 for “Yes” or code 2 for “No”, then enter the answer into the provided box.
For household member age 10 years up
411279
618971
1
2
1.973
1
Yes
2
No
Sysmiss
Those who are categorized as have jobs but temporarily do not work are:
1.Professional workers who do not work because of sickness waiting for the next projects.Examples: Puppet master,masseur/se,shaman and singer.
2.Regular employees,government officials or employees of private companies who are ill,on leave,absent,on strike or temporarily laid off because the company stopped operating,for example a factory having machine malfunction,or lack of raw material,etc.
3.Farmer who works on farm land,stops working because of an illness or waiting for the next job such as harvest or rainy season to start planting paddy field.
Those who are categorized as having jobs but temporarily do not work are people who work/have businesses but for the last one week stop working for a reason,such as sick,on leave,waiting for harvesting,or on a strike.
Are you looking for work?
Are you looking for work?
Are you looking for work?
Are you looking for work?
Are you looking for work?
For household member age 10 years up
820829
209421
1
2
1.928
1
Yes
2
No
Sysmiss
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
For household member age 10 years up
820829
209421
1
2
1.986
1
Yes
2
No
Sysmiss
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
If b5r26 = 2 and b5r27 = 2
For household member age 10 years up
756502
273748
1
5
3.186
1
Feel unable to obtain work
2
Have work, but not yet started
3
In school or handling household/family
4
Have work/business, feel sufficient
5
Other (disabled, old, and the like)
Sysmiss
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If b5r26 = 2 and b5r27 = 2
For household member age 10 years up
756502
273748
1
2
1.756
1
2
Sysmiss
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Write down the total working days for the last one week according to the number of days spent for work and enter it in the box provided.
For working household member
420473
609777
7
5.865
1
2
3
4
5
6
7
Sysmiss
Working days means days spent by a person to carry out working activities at a minimum of one (1) hour continuously in the last one week.
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Write down the total working hours in the last one week and enter it in the box provided.
For working household member
420473
609777
98
38.715
Total working hours is the time (in hour) spent to do all the working activities in the last one week. If respondent is temporary out of work, write down "00"
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Write down completely the main business/job from workplace in the empty space provided.
For working household member
420473
609777
990
277.345
1
2
3
5
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
29
30
31
32
33
35
37
41
42
45
50
51
52
53
54
55
56
57
60
61
62
63
70
71
73
74
75
77
79
80
81
83
84
85
89
90
91
92
93
95
98
99
100
101
102
107
108
109
110
111
112
113
114
115
116
120
121
122
123
125
130
131
132
133
134
135
136
139
141
142
143
144
145
147
149
150
151
152
153
154
155
156
157
159
160
161
162
163
164
166
168
170
171
172
173
174
176
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
195
199
200
201
202
203
204
206
207
209
210
212
214
215
217
220
221
222
223
225
230
231
232
233
240
241
242
243
245
248
249
250
251
252
253
254
255
256
260
261
262
263
264
265
266
269
270
271
272
273
274
275
280
281
282
286
287
288
289
291
292
293
295
298
300
301
302
303
304
307
308
310
311
312
313
314
315
319
321
322
323
324
325
331
332
333
339
341
342
343
345
350
351
352
353
354
355
357
359
360
361
363
365
368
369
371
372
375
380
381
390
391
392
393
395
396
397
399
400
401
402
403
404
410
411
413
414
416
419
420
421
422
423
424
425
429
430
431
432
434
436
442
445
450
451
452
453
454
455
456
457
458
459
462
463
464
470
475
479
484
489
490
491
492
495
500
501
502
503
504
505
506
507
509
510
511
512
513
514
515
516
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
539
540
541
542
543
544
545
546
549
550
551
552
553
554
555
557
560
561
562
563
564
565
566
570
571
572
573
575
580
582
583
585
589
590
591
593
599
600
601
602
603
604
605
606
607
608
609
611
612
613
614
619
620
621
622
623
624
625
626
628
629
630
631
632
633
634
635
636
637
639
640
641
642
643
644
645
646
648
650
651
652
653
654
655
657
659
660
662
665
666
671
672
674
681
682
691
692
701
702
703
705
708
711
712
713
714
715
716
717
719
721
722
723
724
725
728
729
730
731
732
734
735
739
740
741
742
743
744
745
747
748
749
750
751
752
753
754
755
756
757
759
761
764
769
770
771
776
779
781
782
791
793
795
800
801
802
803
804
805
806
807
808
809
810
811
812
819
820
821
822
823
825
826
830
831
832
835
842
845
850
851
852
853
854
856
857
859
861
862
863
869
889
890
891
893
899
900
901
902
903
905
908
909
910
911
912
919
920
921
922
923
924
925
927
930
931
932
933
936
937
938
939
940
941
942
943
949
950
951
952
953
954
955
956
957
958
959
960
965
970
971
972
980
985
987
989
990
Sysmiss
Business sector/type of work is the sector of activity of work/company/business where the household head/member works.
How to determine the main work:
1.If a household head/member in the last one week only has only one work,than it is considered the main work.
2.If a household head/member in the last one week has more than one work,the main work is the one that consumes the most time. If the time spent to do those works are the same,than the work that produces the largest income is considered the main work.
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Write down completely type of work/position of the main job in the empty space provided.
For working household member
420473
609777
1
999
606.649
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
1. If the answer is coded 1,2,3,5,6, or 7 skip to Block V.E., and
2. If the answer is coded 4 skip to b5r34.
Circle one of the code 1 to code 7 and enter the answer into the provided box.
For working household member
420473
609777
1
7
3.51
1
Self-owned business/freelance
2
Self-owned business with non-permanent/non-paid worker
3
Self-owned business with permanent/paid worker
4
Worker/employee/staff
5
Freelancer in agricultural sector
6
Freelancer in non-agricultural sector
7
Non-paid worker
Sysmiss
Status/work position is the household head/member position at main job.
1. Self-owned business/freelance is a household head/member who works/owns business by taking economical risk, that may result in the lost of production cost that has been spent in doing the business, and does not employ any worker whether paid or unpaid. Included in this category are works that required special skill/talent.
2. Self-owned business with non-permanent/non-paid worker is a household head/member who works or owns a business on his own risk, and hires unpaid labor/employee/staff and or employs fee labor/employee/staff.
3. Self-owned business with permanent/paid worker is a household head/member who opens a business at his own risk and employs at lease one paid labor/employee/staff.
4. Worker/employee/staff is a household head/member whow works for other people or institutions/ office/company and regularly receives wages/salaries in the form of money or goods (in-kind)
5. Freelancer is a household head/member who works irregularly for other people/employer/institution, who has more than one employer in the last one month in a household business or non-household business based on a reward system by receiving wages or compensation both in the form of money or in-kind, whether paid daily or per project.
6. Non-paid worker is a household member who works to help household head/member/other people without getting paid, whether in the form of money or goods.
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
Write down the income in the space provided and enter into the box provided.
For working household member
118141
912109
10000
89200000
851711.687
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
Fill in respondent’s age at first marriage in the provided space and write it down in the box. The formula to calculate the respondent's age at first marriage is the same as the formula to count respondent's age.
For women age 10 years and up - women who once married
278327
751923
10
60
19.732
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Ask how long the respondent has been married. If there were more than one marriage, please add the number of years of the entire wedlocks made. Rounded it down. For those who got pregnant out of wedlock enter code "00".
For women age 10 years and up - women who once married
278327
751923
86
19.595
Children are live birth - male
Children are live birth - male
Children are live birth - male
Children are live birth - male
Children are live birth - male
Total child born from marriage: a. Member of household, live birth (M)
Enter the number of male children born alive, in the corresponding column.If there are no biological children born alive, write down "00".
For women age 10 years and up - women who once married
278327
751923
20
1.545
1
2
3
4
5
6
7
8
9
10
11
12
13
14
20
Sysmiss
Biological children born alive means biological children who were born in a lively condition, showing signs of living although only for a brief period, such as heart beating, breathing and crying. Stillborn children (children born without showing signs of living) are not included in this survey.
Children are live birth - female
Children are live birth - female
Children are live birth - female
Children are live birth - female
Children are live birth - female
Total child born from marriage: a. Member of household, live birth (F)
Enter the number of female children born alive, in the corresponding column.If there are no biological children born alive, write down "00".
For women age 10 years and up - women who once married
278327
751923
20
1.444
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16
17
20
Sysmiss
Biological children born alive means biological children who were born in a lively condition, showing signs of living although only for a brief period, such as heart beating, breathing and crying. Stillborn children (children born without showing signs of living) are not included in this survey.
Children are live birth - male + female
Children are live birth - male + female
Children are live birth - male + female
Children are live birth - male + female
Children are live birth - male + female
Total child born from marriage: a. Member of household, live birth (M+F)
Insert the total number in the male + female colums.If there are no biological children born alive, write down "00".
For women age 10 years and up - women who once married
278327
751923
23
2.989
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
23
Sysmiss
Biological children born alive means biological children who were born in a lively condition, showing signs of living although only for a brief period, such as heart beating, breathing and crying. Stillborn children (children born without showing signs of living) are not included in this survey.
Children are still alive - male
Children are still alive - male
Children are still alive - male
Children are still alive - male
Children are still alive - male
Total child born from marriage: b. Member of household, still alive (M)
Enter the number of male children still alive, in the corresponding column.If there are no biological children still alive, write down "00".
For women age 10 years and up - women who once married
278327
751923
20
1.398
1
2
3
4
5
6
7
8
9
10
11
12
20
Sysmiss
Children are still alive - female
Children are still alive - female
Children are still alive - female
Children are still alive - female
Children are still alive - female
Total child born from marriage: b. Member of household, still alive (F)
Enter the number of female children still alive, in the corresponding column.If there are no biological children still alive, write down "00".
For women age 10 years and up - women who once married
278327
751923
20
1.321
1
2
3
4
5
6
7
8
9
10
11
12
17
20
Sysmiss
Children are still alive - male + female
Children are still alive - male + female
Children are still alive - male + female
Children are still alive - male + female
Children are still alive - male + female
Total child born from marriage: b .Member of household, still alive (M+F)
Insert the total number in the male + female colums.If there are no biological children still alive, write down "00".
For women age 10 years and up - women who once married
278327
751923
20
2.718
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
18
20
Sysmiss
Children are already deceased - male
Children are already deceased - male
Children are already deceased - male
Children are already deceased - male
Children are already deceased - male
Total child born from marriage: c. Member of household, already deceased (M)
Enter the number of male children already deceased, in the corresponding column.If there are no biological children already deceased, write down "00".
For women age 10 years and up - women who once married
278327
751923
11
0.148
1
2
3
4
5
6
7
8
9
10
11
Sysmiss
Children are already deceased - female
Children are already deceased - female
Children are already deceased - female
Children are already deceased - female
Children are already deceased - female
Total child born from marriage: c. Member of household, already deceased (F)
Enter the number of female children already deceased, in the corresponding column.If there are no biological children already deceased, write down "00".
For women age 10 years and up - women who once married
278327
751923
12
0.123
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Children are already deceased - male + female
Children are already deceased - male + female
Children are already deceased - male + female
Children are already deceased - male + female
Children are already deceased - male + female
Total child born from marriage: c. Member of household, already deceased (M+F)
Insert the total number in the male + female colums.If there are no biological children already deceased, write down "00".
For women age 10 years and up - women who once married
278327
751923
13
0.271
1
2
3
4
5
6
7
8
9
10
11
12
13
Sysmiss
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
If the answer is coded 2 skip to other household member.
For women age 10 years and up - women who once married
278327
751923
1
2
1.439
1
Yes
2
No
Sysmiss
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
If the answer is no longer use it or never use it , skip to other household member
Circle the contraception/birth control (KB) code according to the respondent’s answer, enter it in the box provided. If using more than one type of contraception, please record only the type currently used. Generally,the reference time for various birth controls used is 30 days.
For women age 10 years and up - Women with married status
147259
882991
1
2
1.273
1
Yes
2
No
Sysmiss
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
Continue to other household member.
If respondent uses more than one type of contraception (to meet the concept of contraception usage), then write down the type with the smallest code number.
For women age 10 years and up - Women with married status
107011
923239
1
9
4.528
1
Women/tubectomy
2
Men/vasectomy
3
IUD/spiral
4
Injection
5
Implant/norplant
6
Birth control pill
7
Condom/rubber
8
Intravag/tissue/women condom
9
Traditional method
Sysmiss
1. MOW/Medis Operasi Wanita (woman medical surgery)/tubectomy (woman sterilization) is a surgery performed on female household head/member by having her fallopian tubes closed to prevent pregnancy. Please emphasize that the goal is to prevent future pregnancies.
2. MOP/Medis Operasi Pria (man medical surgery)/vasectomy (man sterilization) is a minor surgery performed on male household head/member to prevent his spouse from being pregnant.
3. AKDR/Alat Kontrasepsi Dalam Rahim (IUD/Intra Uterus Device) is a device made of soft plastic/copper,small in size,in the forms of spiral,T,fan,etc. installed inside the womb/uterus to prevent pregnancy. This device functions as pregnancy prevention for a long period of time.
4. KB Injection is one of ways to prevent pregnancy by injecting contraceptive substance periodically,e.g. once in one,three,or six months.
5. Susuk KB/norplant/implanon/alwalit (Contraceptive Skin Implant)-are six small metals to be implanted/injected under the skin of the upper arm to prevent pregnancy. A household head/member is considered using susuk KB if she had the implant less than five(5) years ago prior to the date of census. This includes under the skin injection(implant).
6. KB Pills are pills that are taken to prevent pregnancy. These pills should be taken regularly.
7. Condom/KB rubber is a device made of rubber,in a balloon-like shape,used by male household head/member while having sexual intercourse in order to prevent the spouse from getting pregnant.
8. Intravag/tissue/woman’s condom is a KB tissue positioned inside the vagina before having sexual intercourse. Reference time for this device is up to the last intercourse within 30 days before the interview.
9. Traditional method:
a.Periodic abstinence/calendar method is based on the assumption that by not having sexual intercourse in a certain days of the month,which is during fertile period in monthly cycle,a woman could prevent pregnancy.
b.Coitus interruptus is a method to prevent semen from entering vagina by interrupting intercourse before ejaculation. The refference time for this method is the last intercourse within 30 days.
c.Other traditional methods such as breastfeeding for the purpose of birth control,abstinence,traditional herbs (jamu),and massage.
Individual weight
Individual weight
Individual weight
Individual weight
Individual weight
1030250
4
1038
210.699
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
252913
11
94
40.469
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
North Maluku
91
West Irian Jaya
94
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
252913
1
79
23.399
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
252913
4
740
65.674
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
252913
1
123
8.691
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
252913
1
2
1.599
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number into the box provided.
252913
1001
2582
1946.285
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Write down the household sample sequential number into the box provided.
252913
1
16
8.5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Race of the head of household
Race of the head of household
Race of the head of household
Race of the head of household
Race of the head of household
252913
1
31
8.853
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
252913
1
24
4.074
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
24
Number of children aged 0-4 years
Number of children aged 0-4 years
Number of children aged 0-4 years
Number of children aged 0-4 years
Number of children aged 0-4 years
252913
5
0.392
1
2
3
4
5
Total HM who died since January 2001:
Total HM who died since January 2001:
Total HM who died since January 2001:
Total HM who died since January 2001:
Total HM who died since January 2001:
252913
4
0.0321
1
2
3
4
Building status:
Building status:
Building status:
Building status:
Building status:
Building status:
Circle one of codes 1 to 7 according to respondent’s answer, and fill it in the provided box.
252913
1
7
1.617
1
Own house
2
Lease
3
Rent
4
Free lease
5
Company house
6
Owned by parents/sibling/family
7
Other
1. Own housed residence,if during the census,the residence is legally owned by the household head or member. Residence obtained by credit through banks or under the status of buying lease,is considered personally owned.
2. Leased residence,if the residence is leased by the household head/member for a certain period based on an agrement between tenant and landlord,for example for 1 or 2 years lease. Payment method is usually totally in advance,or in installment that is mutually agreed upon. At the end of the lease,the tenant should leave the residence and if mutually agreen it is possible to renew the lease agreement.
3. Rented residence,if the residence is rented by the household head or one of the members with regular payment continuously without a certain time limit.
4. Rent-free residence,owned by other people,if the residence is provided by other people (not family/parents) and can be occupied/resided in without having to make any kind of payment.
5. Company’s housed Residence,is the residence is owned and provided by an institution/company where the household head/member works,whether by paying rents or not.
6. Parent/relative’s housed,if the residence is not personally owned but belongs to either parents/family/relatives and is free to live in,where the owner of the house does not live there and is not a member of the household.
7. Others,if the residence cannot be included in any of the above categories,such as group owned residence,custom house.
Building condition:
Building condition:
Building condition:
Building condition:
Building condition:
Building condition:
252913
1
3
2.882
1
New building, finished construction by 2003
2
Newly renovated/repaired in 2003
3
Old building
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Circle one of the codes of widest roof type of the physical building where the household of respondent resides,then write it down in the box provided.
252913
1
7
3.247
1
Concrete
2
Roof tile
3
Shingle
4
Iron sheet
5
Asbestos
6
Fiber/palm
7
Other
Roof is the top cover of a building,so that household head/members live in under is protected from the sun heat,rain etc. For multi storeys building,the referred roof is the very top part of the building.
1. Concrete is roof made of a mixture of cement,corals and sand with water.
2. Roof tile is made of clay that is molded and then burned. Including here is concrete roof tile (tiles made of a mixture of cement and sand),fiber cement tile,and ceramic tile.
3. Shingle is roof layered with wooden tiles,usually made of ironwood,or ulin wood (ironwood from Borneo).
4. Iron sheeting is roof made of zinc. Zinc roof shape can be flat or wavy,including zinc roof called decrabond (zinc roof layered with epoxy and acrylic).
5. Asbestos is roof made of asbestos fiber and cement. Generally comes in wavy shapes.
6. Palm is roof made of palm tree fiber or other of the the same type,generally is black in color.
7. Others for all other roof types aside from the above,such as bamboo,plywood,leaves,etc.
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Circle one of the codes of the widest wall type in the physical building where the respondent lives,and then write it down in the provided box.
252913
1
4
1.619
1
Concrete
2
Wood
3
Bamboo
4
Other
Wall is the outer side/border in a building or the separator to other building. If the building has more than one type of wall of the same floor size.the one considered the widest wall is the more costly wall(smallet code).
1. Concrete is wall made of red brick or hollow brick layers plasterd with cement. Including in this category is wall made of red brick layers and plastered, but using wooden beam installed in usually 1 – 1.5 meter distance.
2. Wood is wall made of wood.
3. Bamboo/fiber is wall made of bamboo or fiber. Including in this category is wall made of bamboo weave with size less than 1 m X 1 m.framed in wooden beam and plastered with cement and sand.
4. Others for other types not included in category 1-3.
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Circle one of the codes of the widest floor type of the physical building where the household members reside,and write it down to the provided box.
252913
1
2
1.131
1
Non soil
2
Soil
Definition of floor in this survey is the bottom part/base of a room,whether earthen floor or tiled floor, such as ceramic, marble, wood, and cement.
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Fill in the floor size of the residence of the respondent’s household and write down in the provided box (in m 2 ).
252913
3
998
65.686
Floor size means the size of the floor occupied and used for daily needs(limited to the roof). Any part of the building that is not occupied or used for daily needs is not included in the floor size calculation such as rice storage, live stock farm,service area for drying clothes(cemented floor) and specific space for business(such as stall/store). The floor size of a multi storeys is the total of the entire floors occupied.
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
1. If b6r6a the answer is coded 1,2, or 4 skip to b6r8
2. If b6r6a the answer is coded 3,10, or 11 skip to b6r7
Please ask the main source of drinking water used by the respondent’s household. Circle one of the codes and write it down in the provided box.
252913
9
4.251
Other
1
Bottled water
2
Pipe
3
Pump
4
Protected/covered well
5
Unprotected/uncovered well
6
Protected spring
7
Unprotected/uncovered spring
8
River
9
Rainwater
Please be cautious in determining drinking water source,because in several regions,some people channel river water or mountain spring water to houses using bamboo or plastic pipes. In this case,the drinking water source should still be written as river water or springs,instead of tap water.
1. Branded bottled water is bottled water produced and distributed by a company in various bottles(500 ml,1L,12 L,or 19 L) and in glass/cups packaging; e.g. water from the following brands: Aqua,Moya,2Tang,VIT.
2. Recycled bottled water is water produced through purification process and is not branded.
3. Pipe, retail payment is water produced through purification and sanitation process(PAM water),although it distributed by retail/mobile water sellers
4. Pipe with meter is water produced throuh purification and sanitation process before distributing it to consumers through water piping. This source of water is produced by PAM(Drinking Water Company) and PDAM(Regional Drinking Water Company) or BPAM(Drinking Water Management Agency),whether they managed by the government or private companies.
5. Terrestrial well/pump is ground water obtained by manual pump,electric pump,or windmill including artesis well(drilled well).
6. Protected/covered well is ground water that is dug up,which surrounding is enforced with wall of minimum 0.8 meters above ground and 3 meters under ground,with 1 meter cemented floor around the well.
7. Unprotected/uncovered well is ground water that is dug up,but the surrounding of the well is not protected with wall or 1 meter cemented floor.The method to get water from covered or uncovered water well is with a bucket,whether using pulley or not.
8. Protected spring is surface water source,where water already pooled naturally,protected from waste such as used water,waste from bathing or washing,etc.
9. Unprotected spring is surface water,where water already pooled naturally,but is unprotected from waste,such as used water,waste from bathing,washing,etc.
10. Other water sources are other source of drinking water,such as from dam/lake.
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
If b6r7a = 3 to 7 (pump/well/spring)
Distance to the closest feces containment:
Ask the distance of pump/well/springs to the closest animal waste tank, septic tank or liquid waste whether located in the household or neighbor's surroundings. Circle the answer and write it down in the provided box.
173347
79566
1
3
1.969
1
<10 m
2
>= 10 m
3
Don’t know
Sysmiss
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Circle one of the codes according to respondent’s answer and write it down in the provided box.
252913
1
3
2.551
1
Subscription
2
Retail buying
3
Not buy
1. Subscribe by buying water to drink on a subscription basis (tap of PAM / taps / BPAM), including also subscribe bottled water (aqua, etc.).
2. Buy retail when respondents were randomly buy water.
3. Not buying if drinking water is obtained with their own efforts for free.
Explanation: Asking a neighbor to get water from the dam by paying for his effort is considered buying drinking water.
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
If b6r6a not equal to 3,5 to 12
The use of drinking water facilities:
Circle one of the codes according to the answer and write it down in the provided box.
252913
1
4
1.907
1
Personal
2
Mutual
3
Public
4
None
Included in drinking water facilities are drinking water installation managed by PAM/PDAM, or non PAM/PDAM,including water from drilled well and pump. The approach used is the amount of water used in the last one month.
1. Personal,if the water facility is only used by respondent's household.
2. Mutual,if the water facility is used by the respondent's household jointly with several certain households.
3. Public,if the water facility is used by every households,including the resident's household.
4. None,if the distance of drinking water facility to the respondent's household is > 2.5 Km or by taking water directly from river/lake/rain without purification process by machine,or by purchasing the water.
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
If the answer is coded 4, skip to b6r10c
Circle one of the codes accordingly, then fill in the answer in the provided box.
252913
1
4
1.919
1
Personal
2
Mutual
3
Public
4
None
Defecation facility means the availability of latrine to be used by respondent’s household.
1. Personal,if the defecation facility is only used by the respondent's household.
2. Mutual,if the defecation facility is used by the respondent's household together with several certain households.
3. Public,if the defecation facility is used by evry households,including respondent's household.
4. None,if respondent's household does not have defecation facility
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Circle one of the codes accordingly, and fill it in the provided box,
192143
60770
1
4
1.678
1
Goose neck/leher angsa
2
Pit toilet/plengsengan
3
Squat toilet/cemplung
4
None
Sysmiss
Type of toilet is sitting/squatting latrine used in the toilet.
1. Goose neck/leher angsa is a closet under which seat there is a U shaped pipe(like a duck’s neck) to be filled with water to prevent the odor from going out.
2. Pit toilet/plengsengan is a closet/latrine under which seat there is a flat pipe installed in slightly inclined position towards the final disposal.
3. Squat toilet/cemplung a closet under which seat there is no pipe,so that the waste went directly to its final disposal place.
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Circle one of the codes accordingly, and fill it in the provided box.
252913
1
6
2.656
1
Tank/septic tank
2
Pool/field
3
River/lake/sea
4
Pit hole
5
Beach/open field/farm
6
Other
Tanks are the waste final disposal place in the form of reservoirs,usually made of brick/stone or concrete whether or not having an absorption tub.Included in this category is housing complex that has integrated Liquid Waste Disposal System (SPAL),managed by the municipal government.
1. Septic tank are the waste final disposal place in the form of reservoirs,usually made of brick/stone or concrete whether or not having an absorption tub.
2. Pool/field,if the waste is disposed to the pond/paddy field.
3. River/lake/sea,if the waste is disposed to the river/lake/sea.
4. Pit hole,if the waste is disposed to the Underground hole(large hole in the ground) without separators/walls(not water tight).
5. Beach/open ground/garden,if the waste is disposed to the beach areas or fields,including disposed to the yards.
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Circle one of the codes for lighting source used in respondent’s household,then write it down in the provided box.
252913
1
5
1.527
1
PLN electricity
2
Non-PLN electricity
3
Paraffin lamp/petromak
4
Oil lamp/torch
5
Other
1. PLN Electricity is electricity source managed by PLN(National Electricity Company).
2. Non-PLN Electricity is electricity source managed by other institutions/parties aside from PLN. Including in this category are power source from accumulator/battery storage,generator,and solar power plant(that are not managed by PLN).
3. Petromak/aladin lamp such as multi-fuel lantern and gas lantern is categorized in code 3,while other oil lamps such as (sentir,pelita and other of the same type) are categorized in code 4. Carbide lamp,candle,castor oir lamp,and candlenut lamp are included in code 5.
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Expenditure for Grains [rice, corn, wheat, flour, cornflour etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
37500850
22672.459
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Expenditure for Tubers [cassava, sweet potato, potato, yam, sago, etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
125000
2048.207
Yang termasuk umbi-umbian dalam yaitu ketela pohon,ketela rambat,kentang,gaplek,talas,sagu, dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Expenditure for Fish [fresh fish, salted/preserved fish, prawn etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
400000
13414.626
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Expenditure for Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
264000
5607.933
Yang termasuk daging yaitu daging sapi/kerbau/kambing/domba/babi/ayam,jeroan,hati,limpa,abon,dendeng,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Expenditure for Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
480000
6791.152
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Expenditure for Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
210000
8189.3
Yang termasuk sayur-sayuran yaitu sayur bayam,kangkung,ketimun,wortel,kacang panjang,buncis,bawang,cabe,tomat,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Expenditure for Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
160000
3886.056
Yang termasuk kacang-kacangan yaitu kacang tanah/hijau/kedele/merah/ tunggak/mete,tahu,tempe,tauco,oncom,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Expenditure for Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
250000
4610.532
Yang termasuk buah-buahan yaitu jeruk,mangga,apel,durian,rambutan,salak,duku,nanas,semangka,pisang,pepaya,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Expenditure for Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
175000
5351.405
Yang termasuk minyak dan lemak yaitu minyak kelapa/goreng,kelapa,mentega,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Expenditure for Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
140000
6201.15
Yang termasuk bahan minuman yaitu gula pasir,gula merah,teh,kopi,coklat,sirup,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Expenditure for Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] from purchase, self-producation and present in the past one week: (Rp))
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
180000
3228.225
Yang termasuk bumbu-bumbuan yaitu garam,kemiri,ketumbar,merica,terasi,kecap,vetsin,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Expenditure for Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
450000
2911.115
Mie instant,mie basah,bihun,makaroni/mie kering termasuk jenis konsunsi rumah tangga lainnya
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Expenditure for Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
2250000
12742.581
Yang termasuk makanan jadi yaitu roti,biskuit,kue basah,bubur,bakso,gado-gado,nasi rames,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Expenditure for Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
1250000
317.507
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Expenditure for Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
252913
525000
16410.38
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Write down in Column (2) total expenditures [Details 1 to 15]
252913
5000
37729850
114382.628
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure for house lease, rent, rent expectation (owned, free lease, company house) etc. from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house maintenance and minor repairs :(Rp)
252913
100
108333330
96889.826
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure for house lease, rent, rent expectation (owned, free lease, company house) etc. from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for house lease,rent,rent expectation :(Rp)
252913
100
600000000
1133956.747
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure for electricity bill, telephone bill, gas, kerosene, water, firewood etc. from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house maintenance and minor repairs :(Rp)
252913
7680000
77035.933
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure for electricity bill, telephone bill, gas, kerosene, water, firewood etc. from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for house maintenance and minor repairs :(Rp)
252913
388125500
877187.005
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure for house maintenance and minor repair from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for electricity bill,telephone bill, gas, kerosene, water, firewood etc. :(Rp)
252913
50000000
6955.53
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure for house maintenance and minor repair from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for electricity bill,telephone bill, gas, kerosene, water, firewood etc. :(Rp)
252913
90000000
87751.143
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure for various goods and services (soap, cosmetics, transportation, reading, ID card/driver license processing fee, recreation, telephone card, postal fee etc.) from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for various goods and services :(Rp)
252913
50550000
43592.002
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure fo various goods and services (soap, cosmetics, transportation, reading, ID card/driver license processing fee, recreation, telephone card, postal fee etc.) from purchase, self-producation and present, in the past 12 month:(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for various goods and services:(Rp)
252913
105000000
486479.677
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure for education cost (registration fee, monthly educational fee, re-registration fee, boy/girl scout, craft, course etc.) from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for clothes,footwear and headgear :(Rp)
252913
8850000
26268.958
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure for education cost (registration fee, monthly educational fee, re-registration fee, boy/girl scout, craft, course etc.) from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for clothes,footwear and headgear :(Rp)
252913
93730000
299362.359
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure for health cost (hospital, public clinic, doctor practice, healer, medicine etc.) from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for durable goods :(Rp)
252913
48490000
27270.617
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure for health cost (hospital, public clinic, doctor practice, healer, medicine etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for durable goods :(Rp)
252913
280000750
185342.497
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure for clothes, footwear and headgear (clothes, apparel, shoes, hat, detergent etc.) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for party and ceremony excluding food :(Rp)
252913
6000000
31074.578
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors’ household food expenditure.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure for clothes, footwear and headgear (clothes, apparel, shoes, hat, detergent etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
252913
100000000
391227.198
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors' household food expenditure.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure for durable goods (household equipment, tools, kitchen equipment, entertainment [electronics], sports equipment, genuine/imitation jewelry, vehicles, umbrella, watch, camera, telephone installation, power installation, electronic goods etc.) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
252913
71621000
26546.566
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors’ household food expenditure.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure for durable goods (household equipment, tools, kitchen equipment, entertainment [electronics], sports equipment, genuine/imitation jewelry, vehicles, umbrella, watch, camera, telephone installation, power installation, electronic goods etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
252913
650000400
268933.63
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors' household food expenditure.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure for tax (Land and building tax, vehicle tax) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
252913
4000000
4849.002
Rumah tangga yang tidak membayar PBB tidak perlu diperkirakan nilainya,tetapi bagi rumah tangga yang biasa membayar iuran PBB maka nilainya harus dicantumkan meskipun rumah tangga tersebut belum membayar.
Isian PBB sebulan yang lalu dapat diperoleh dari PBB tahunan dibagi 12.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure for tax (Land and building tax, vehicle tax) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
252913
48000000
59825.842
Rumah tangga yang tidak membayar PBB tidak perlu diperkirakan nilainya,tetapi bagi rumah tangga yang biasa membayar iuran PBB maka nilainya harus dicantumkan meskipun rumah tangga tersebut belum membayar.
Isian PBB sebulan yang lalu dapat diperoleh dari PBB tahunan dibagi 12.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure health insurance from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
252913
2083330
707.76
Contohnya pungutan RT/RW, biaya parkir, dan sebagainya.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure for fee/retribution from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
252913
25000000
8526.972
Contohnya pungutan RT/RW, biaya parkir, dan sebagainya.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure for other insurance from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
252913
15000000
1097.71
Pengeluaran yang dicatat di sini adalah pengeluaran untuk asuransi kesehatan yang hanya bisa diklaim bila pemegang polis mengalami kejadian seperti yang ada dalam perjanjian asuransi tersebut. Bila tidak terjadi sesuatu(seperti dalam perjanjian asuransi) dalam jangka waktu yang telah ditentukan,maka asuransi tersebut tidak dapat di klaim dan akan hilang(sifatnya bukan tabungan).
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure for other insurance from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
252913
50000000
11180.905
Pengeluaran yang dicatat di sini adalah pengeluaran untuk asuransi kesehatan yang hanya bisa diklaim bila pemegang polis mengalami kejadian seperti yang ada dalam perjanjian asuransi tersebut. Bila tidak terjadi sesuatu(seperti dalam perjanjian asuransi) dalam jangka waktu yang telah ditentukan,maka asuransi tersebut tidak dapat di klaim dan akan hilang(sifatnya bukan tabungan).
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure for party and ceremony (wedding, circumcision, birthday, religious holiday, traditional ceremony etc.) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
252913
80000000
19429.31
Pengeluaran yang dicatat di sini adalah pengeluaran untuk pesta perkawinan, ulang tahun, khitanan, upacara keagamaan, upacara adat,dan lainnya, tidak termasuk makanan untuk pesta atau untuk khitanan (konsumsi makanan untuk pesta akan tercatat dalam konsumsi makanan di rumah tangga masing-masing tamu yang datang ke pesta tersebut).
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure for party and ceremony (wedding, circumcision, birthday, religious holiday, traditional ceremony etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
252913
95400000
146234.884
Pengeluaran yang dicatat di sini adalah pengeluaran untuk pesta perkawinan, ulang tahun, khitanan, upacara keagamaan, upacara adat,dan lainnya, tidak termasuk makanan untuk pesta atau untuk khitanan (konsumsi makanan untuk pesta akan tercatat dalam konsumsi makanan di rumah tangga masing-masing tamu yang datang ke pesta tersebut).
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Write down in Column (2) total non-food (details 17 to 24) from purchases, self produced, and gifts in one past month:(Rp)
252913
100
108486330
361717.792
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Write down in Column (3) total non-food (details 17 to 24) from purchases, self produced, and gifts in the past 12 months:(Rp)
252913
49560
722340000
3956008.858
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
Write down in Column (3) average food expenditure a month (Details 16 x 30/7)
252913
21428
161699357
490210.835
The entry is the total sum of Detail 23 and 24, which is the average household expense per month.
The entry is the total sum of Detail 23 and 24, which is the average household expense per month.
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
Write down in Column (2) average non-food expenditure a month (Details 25 column 3 / 12)
252913
4130
60195000
329667.066
Isiannya adalah hasil pembagian Rincian 22 Kolom (3) dengan 12.
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
Write down in Column (2) average household expenditure a month (Details 26 + Details 27)
252913
41666
162338940
819877.902
Main source of household income:
Main source of household income:
Main source of household income:
Main source of household income:
Main source of household income:
Write down completely the main source of household income in the empty space provided.
252913
111
9902
2752.929
Average expenditure per capita
Average expenditure per capita
Average expenditure per capita
Average expenditure per capita
Average expenditure per capita
252913
12925
32467788
221419.283
Have health card?
Have health card?
Have health card?
Have health card?
Have health card?
Have health card?
If the answer is coded 2, skip to b8r3a.
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
252913
1
2
1.842
1
Yes
2
No
Health card is a card issued by the Ministry of Health to assist poor people (poverty-stricken). This card can be used to get medical treatment in the Government’s health services facilities (Hospital and Puskesmas) without any charge. One family should have one health card in which listed the names of all family members, and each member of the family can use it.
Ever use health card for medical treatment
Ever use health card for medical treatment
Ever use health card for medical treatment
Ever use health card for medical treatment
Ever use health card for medical treatment
Ever use health card in public clinic, sub-health clinic, and state hospital during Jan – Dec 2003? 1. Medical treatment
Write down in the provided box the frequency usage of health card/poor certificate.
40074
212839
1
2
1.284
1
Yes
2
No
Sysmiss
Charged with a fee for medical treatment
Charged with a fee for medical treatment
Charged with a fee for medical treatment
Charged with a fee for medical treatment
Charged with a fee for medical treatment
If Column 2 = 0
Did you charged with a fee? 1. Medical treatment
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
28676
224237
1
2
1.778
1
Yes
2
No
Ever use health card for pregnancy checking/ labor
Ever use health card for pregnancy checking/ labor
Ever use health card for pregnancy checking/ labor
Ever use health card for pregnancy checking/ labor
Ever use health card for pregnancy checking/ labor
Ever use health card in public clinic, sub-health clinic, and state hospital during Jan - Dec 2003? 2. Pregnancy checking/ labor
Write down in the provided box the frequency usage of health card/poor certificate.
40074
212839
1
2
1.886
1
Yes
2
No
Sysmiss
Charged with a fee for pregnancy checking/ labor
Charged with a fee for pregnancy checking/ labor
Charged with a fee for pregnancy checking/ labor
Charged with a fee for pregnancy checking/ labor
Charged with a fee for pregnancy checking/ labor
If Column 2 = 0
Did you charged with a fee? 2. Pregnancy checking/ labor
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
4576
248337
1
2
1.681
1
Yes
2
No
Ever use health card for family planning need
Ever use health card for family planning need
Ever use health card for family planning need
Ever use health card for family planning need
Ever use health card for family planning need
Ever use health card in public clinic, sub-health clinic, and state hospital during Jan - Dec 2003? 3. For family planning need
Write down in the provided box the frequency usage of health card/poor certificate.
40074
212839
1
2
1.848
1
Yes
2
No
Sysmiss
Charged with a fee for family planning need
Charged with a fee for family planning need
Charged with a fee for family planning need
Charged with a fee for family planning need
Charged with a fee for family planning need
If Column 2 = 0
Did you charged with a fee? 3. For family planning need
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
6109
246804
1
2
1.63
1
Yes
2
No
If household purchased cheap rice/rice for poor people for the past 3 months, the amount purchased: (Kg)
If household purchased cheap rice/rice for poor people for the past 3 months, the amount purchased: (Kg)
If household purchased cheap rice/rice for poor people for the past 3 months, the amount purchased: (Kg)
If household purchased cheap rice/rice for poor people for the past 3 months, the amount purchased: (Kg)
If household purchased cheap rice/rice for poor people for the past 3 months, the amount purchased: (Kg)
If household purchased cheap rice/rice for poor people for the past 3 months, the amount purchased: (Kg)
If not buying continue to b9r3.
Fill in the amount of raskin in Kilogram bought the last time in the space provided and insert it into the boxes rounded down.
252913
910
6.944
How much per kg generally paid by the household? (Rp)
How much per kg generally paid by the household? (Rp)
How much per kg generally paid by the household? (Rp)
How much per kg generally paid by the household? (Rp)
How much per kg generally paid by the household? (Rp)
How much per kg generally paid by the household? (Rp)
Write down in the provided space the amount of money paid by the household the last time to get one Kg of raskin and insert the amount into the provided boxes.
85676
167237
500
9990
1158.944
Amount of credit received (in thousand Rp): Rp
Amount of credit received (in thousand Rp): Rp
Amount of credit received (in thousand Rp): Rp
Amount of credit received (in thousand Rp): Rp
Amount of credit received (in thousand Rp): Rp
If received a business credit (= Rp 10 million) during Jan – Dec 2003, the amount of credit received (in thousand Rp): Rp
If don't receive, skip to b8r4
252913
999998
202.951
1
2
3
5
6
8
10
15
20
21
22
25
30
40
45
50
60
72
75
90
100
106
120
125
126
130
140
150
155
160
175
180
200
225
233
245
250
260
300
320
330
350
375
390
400
450
460
480
490
500
525
550
560
600
650
660
700
750
775
800
815
850
900
1000
1010
1100
1150
1200
1250
1300
1400
1500
1600
1700
1750
1800
1875
1900
2000
2200
2250
2300
2400
2500
2525
2550
2600
2650
2750
2900
3000
3050
3100
3200
3250
3500
3600
3625
4000
4200
4250
4300
4500
4560
4600
4800
4970
5000
5200
5250
5300
5420
5500
5600
5800
6000
6500
7000
7500
7622
7750
8000
8400
8500
9000
9500
9790
10000
10101
10500
10800
11000
12000
12096
12300
12500
12600
13000
13500
14000
14003
14500
14700
15000
15500
15750
15840
16000
17000
17500
18000
19000
19500
20000
20001
21000
22000
22222
23000
24000
24500
24503
25000
26000
26500
27000
28000
30000
30002
31000
35000
36000
40000
42500
45000
49000
50000
55000
60000
65000
70000
75000
80000
85000
90000
98000
100000
100002
100015
120000
150000
150001
180000
200000
200001
200022
200030
210000
250000
250001
300000
340000
400000
500000
500018
500180
600000
700000
900000
999998
What is the interest rate per year which must be paid (for the largest credit)? (percent)
What is the interest rate per year which must be paid (for the largest credit)? (percent)
What is the interest rate per year which must be paid (for the largest credit)? (percent)
What is the interest rate per year which must be paid (for the largest credit)? (percent)
What is the interest rate per year which must be paid (for the largest credit)? (percent)
What is the interest rate per year which must be paid (for the largest credit)? (percent)
Write down in the provided space the interest rate per year which must be paid and insert into the provided boxes.
4889
248024
99
14.398
Source of credit (the largest credit):
Source of credit (the largest credit):
Source of credit (the largest credit):
Source of credit (the largest credit):
Source of credit (the largest credit):
Source of credit (the largest credit):
Circle one of the codes and enter the number into the box provided.
4889
248024
1
5
2.319
1
Government program
2
Bank
3
Cooperatives/Foundation
4
Individual
5
Other
Sysmiss
Ever received scholarship from social safety net (JPS) state scholarship
Ever received scholarship from social safety net (JPS) state scholarship
Ever received scholarship from social safety net (JPS) state scholarship
Ever received scholarship from social safety net (JPS) state scholarship
Ever received scholarship from social safety net (JPS) state scholarship
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 1. Social safety net (JPS) state scholarship
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.957
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Ever received scholarship from Non-JPS state scholarship
Ever received scholarship from Non-JPS state scholarship
Ever received scholarship from Non-JPS state scholarship
Ever received scholarship from Non-JPS state scholarship
Ever received scholarship from Non-JPS state scholarship
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 2. Non-JPS state scholarship
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.992
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Ever received scholarship from GN-OTA (national movement on foster parents)
Ever received scholarship from GN-OTA (national movement on foster parents)
Ever received scholarship from GN-OTA (national movement on foster parents)
Ever received scholarship from GN-OTA (national movement on foster parents)
Ever received scholarship from GN-OTA (national movement on foster parents)
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 3. GN-OTA (national movement on foster parents)
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.995
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Ever received scholarship from private agency
Ever received scholarship from private agency
Ever received scholarship from private agency
Ever received scholarship from private agency
Ever received scholarship from private agency
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 4. Private agency
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.997
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Ever received scholarship from school
Ever received scholarship from school
Ever received scholarship from school
Ever received scholarship from school
Ever received scholarship from school
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 5. School
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.983
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Ever received scholarship from individual
Ever received scholarship from individual
Ever received scholarship from individual
Ever received scholarship from individual
Ever received scholarship from individual
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 6. Individual
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.999
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Ever received scholarship from other
Ever received scholarship from other
Ever received scholarship from other
Ever received scholarship from other
Ever received scholarship from other
If there is household member who still in school, ever received scholarship in Jan – Dec 2003 from the following source? 7. Other
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
246841
6072
1
2
1.996
1
Yes
2
No
Sysmiss
Scholarships are educational fund supports provided to any student who excels. The available scholarship in college among others BBM-Bantuan Belajar Mahasiswa (Student Learning Support), PPA-Peningkatan Prestasi Akademik (Academic Achievement Improvement), PPE-Peningkatan Prestasi Ekstrakurikuler (Extracurricular Achievement Improvement), BKM-Bantuan Khusus Mahasiswa (Student Special Support).
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? a. Kerosene
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.092
1
Yes
2
No
Amount (lier)- Kerosene
Amount (lier)- Kerosene
Amount (lier)- Kerosene
Amount (lier)- Kerosene
Amount (lier)- Kerosene
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (lier): a. Kerosene
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
229737
23176
0.01
750
16.082
Value (Rp) - Kerosene
Value (Rp) - Kerosene
Value (Rp) - Kerosene
Value (Rp) - Kerosene
Value (Rp) - Kerosene
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): a. Kerosene
Fill in column (5) value (in rupiah) usage for a month ago.
229737
23176
200
900000
20840.405
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? b. Gas (LPG)
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.891
1
Yes
2
No
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (kg): b. Gas (LPG)
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
27473
225440
0.02
380
13.802
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): b. Gas (LPG)
Fill in column (5) value (in rupiah) usage for a month ago.
27473
225440
1300
650000
37391.598
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? c. Gasoline
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.76
1
Yes
2
No
Amount (liter) - Gasoline
Amount (liter) - Gasoline
Amount (liter) - Gasoline
Amount (liter) - Gasoline
Amount (liter) - Gasoline
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (liter): c. Gasoline
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
60789
192124
0.01
660
30.523
Value (Rp) - Gasoline
Value (Rp) - Gasoline
Value (Rp) - Gasoline
Value (Rp) - Gasoline
Value (Rp) - Gasoline
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): c. Gasoline
Fill in column (5) value (in rupiah) usage for a month ago.
60789
192124
350
999900
62072.217
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? d. Diesel fuel
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.988
1
Yes
2
No
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (liter): d. Diesel fuel
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
2921
249992
0.05
660
49.039
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): d. Diesel fuel
Fill in column (5) value (in rupiah) usage for a month ago.
2921
249992
1500
999000
97058.511
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? e. PLN electricity
Jika b.9.r.1=2 (tidak) maka tidak berlanjut(selesai)
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.203
1
Yes
2
No
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (kwh): e. PLN electricity
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
201615
51298
0.01
999.98
74.42
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): e. PLN electricity
Fill in column (5) value (in rupiah) usage for a month ago.
201615
51298
5
999995
38897.147
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? f. Firewood
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.487
1
Yes
2
No
Amount - Firewood
Amount - Firewood
Amount - Firewood
Amount - Firewood
Amount - Firewood
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount: f. Firewood
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
129842
123071
0.01
99.98
34.534
Value (Rp): - Firewood
Value (Rp): - Firewood
Value (Rp): - Firewood
Value (Rp): - Firewood
Value (Rp): - Firewood
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): f. Firewood
Fill in column (5) value (in rupiah) usage for a month ago.
129842
123071
100
900000
18155.556
Did you plant and harvest rice plant in 2003?
Did you plant and harvest rice plant in 2003?
Did you plant and harvest rice plant in 2003?
Did you plant and harvest rice plant in 2003?
Did you plant and harvest rice plant in 2003?
Did you plant and harvest rice plant in 2003?
If the answer is coded 2, finish
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
252913
1
2
1.756
1
Yes
2
No
Harvest rice during Jan – Apr 2003
Harvest rice during Jan – Apr 2003
Harvest rice during Jan – Apr 2003
Harvest rice during Jan – Apr 2003
Harvest rice during Jan – Apr 2003
Did you harvest rice during Jan – Apr 2003?
Circle one code according to the respondent's answer.
61657
191256
1
9
2.97
1
Self-harvest
2
Brooking
3
Cutting
9
No
Planted area (m2), Jan – Apr 2003
Planted area (m2), Jan – Apr 2003
Planted area (m2), Jan – Apr 2003
Planted area (m2), Jan – Apr 2003
Planted area (m2), Jan – Apr 2003
Planted area (m2), Jan – Apr 2003
Fill in column January - April 2003 area of rice planting land (in m2).
47258
205655
900000
5039.829
Harvested area (m2), Jan – Apr 2003
Harvested area (m2), Jan – Apr 2003
Harvested area (m2), Jan – Apr 2003
Harvested area (m2), Jan – Apr 2003
Harvested area (m2), Jan – Apr 2003
Harvested area (m2), Jan – Apr 2003
Fill in column January - April 2003 area of land during the rice harvest (in m2).
47265
205648
900000
4742.628
Jan – Apr 2003 - As harvest wage/payment (bawon)
Jan – Apr 2003 - As harvest wage/payment (bawon)
Jan – Apr 2003 - As harvest wage/payment (bawon)
Jan – Apr 2003 - As harvest wage/payment (bawon)
Jan – Apr 2003 - As harvest wage/payment (bawon)
Harvest (kg – GKP), Jan – Apr 2003 : 1. As harvest wage/payment (bawon)
Fill in column January - April 2003 harvest as the wage / payment (bawon) in units of Kg-GPK (dry grain of harvest)
47257
205656
468750
218.776
Jan – Apr 2003 - Directly sold
Jan – Apr 2003 - Directly sold
Jan – Apr 2003 - Directly sold
Jan – Apr 2003 - Directly sold
Jan – Apr 2003 - Directly sold
Harvest (kg – GKP), Jan – Apr 2003 : 2. Directly sold
Fill in column January - April 2003 harvest sold directly in units of Kg-GPK (dry grain of harvest)
47257
205656
618000
427.828
Jan – Apr 2003 - Taken home
Jan – Apr 2003 - Taken home
Jan – Apr 2003 - Taken home
Jan – Apr 2003 - Taken home
Jan – Apr 2003 - Taken home
Harvest (kg – GKP), Jan – Apr 2003 : 3. Taken home
Fill in column January - April 2003 harvest of the taken home in units of Kg-GPK (dry grain of harvest).
47257
205656
980000
1868.878
Jan – Apr 2003 - Total harvest obtained
Jan – Apr 2003 - Total harvest obtained
Jan – Apr 2003 - Total harvest obtained
Jan – Apr 2003 - Total harvest obtained
Jan – Apr 2003 - Total harvest obtained
Harvest (kg – GKP), Jan – Apr 2003 : 4. Total harvest obtained
Fill in column January - April 2003 total harvest obtained in units of Kg-GPK (dry grain of harvest).
47257
205656
980000
2515.481
Selling price/kg of GKP, Jan – Apr 2003
Selling price/kg of GKP, Jan – Apr 2003
Selling price/kg of GKP, Jan – Apr 2003
Selling price/kg of GKP, Jan – Apr 2003
Selling price/kg of GKP, Jan – Apr 2003
If b9r2d2 is filled
Selling price/kg of GKP, Jan – Apr 2003
Fill in column January - April 2003 selling price / kg of GKP in rupiah.
7743
245170
9115
1125.513
Area cut/brokered (m2), Jan – Apr 2003?
Area cut/brokered (m2), Jan – Apr 2003?
Area cut/brokered (m2), Jan – Apr 2003?
Area cut/brokered (m2), Jan – Apr 2003?
Area cut/brokered (m2), Jan – Apr 2003?
If b9r2a has code 2 to 7
Area cut/brokered (m2), Jan – Apr 2003?
Fill in column January - April 2003 land area of the cut / brokered (in m2).
2320
250593
75000
2379.7
Harvest rice during May – Aug 2003
Harvest rice during May – Aug 2003
Harvest rice during May – Aug 2003
Harvest rice during May – Aug 2003
Harvest rice during May – Aug 2003
Did you harvest rice during May – Aug 2003?
Circle one code according to the respondent's answer.
61657
191256
9
5.624
1
Self-harvest
2
Brooking
3
Cutting
9
No
Planted area (m2), May – Aug 2003
Planted area (m2), May – Aug 2003
Planted area (m2), May – Aug 2003
Planted area (m2), May – Aug 2003
Planted area (m2), May – Aug 2003
Planted area (m2), May – Aug 2003
Fill in column May - August 2003 area of rice planting land (in m2).
26748
226165
700000
4593.859
Harvested area (m2), May – Aug 2003
Harvested area (m2), May – Aug 2003
Harvested area (m2), May – Aug 2003
Harvested area (m2), May – Aug 2003
Harvested area (m2), May – Aug 2003
Harvested area (m2), May – Aug 2003
Fill in column May - August 2003 area of land during the rice harvest (in m2).
26741
226172
700000
4241.102
May – Aug 2003 - As harvest wage/payment (bawon)
May – Aug 2003 - As harvest wage/payment (bawon)
May – Aug 2003 - As harvest wage/payment (bawon)
May – Aug 2003 - As harvest wage/payment (bawon)
May – Aug 2003 - As harvest wage/payment (bawon)
Harvest (kg – GKP), May – Aug 2003 : 1. As harvest wage/payment (bawon)
Fill in column May - August 2003 harvest as the wage / payment (bawon) in units of Kg-GPK (dry grain of harvest)
26745
226168
400000
230.45
May – Aug 2003 - Directly sold
May – Aug 2003 - Directly sold
May – Aug 2003 - Directly sold
May – Aug 2003 - Directly sold
May – Aug 2003 - Directly sold
Harvest (kg – GKP), May – Aug 2003 : 2. Directly sold
Fill in column May - August 2003 harvest sold directly in units of Kg-GPK (dry grain of harvest)
26746
226167
876315
533.131
May – Aug 2003 - Taken home
May – Aug 2003 - Taken home
May – Aug 2003 - Taken home
May – Aug 2003 - Taken home
May – Aug 2003 - Taken home
Harvest (kg – GKP), May – Aug 2003 : 3. Taken home
Fill in column May - August 2003 harvest of the taken home in units of Kg-GPK (dry grain of harvest).
26741
226172
880000
1590.821
May – Aug 2003 - Total harvest obtained
May – Aug 2003 - Total harvest obtained
May – Aug 2003 - Total harvest obtained
May – Aug 2003 - Total harvest obtained
May – Aug 2003 - Total harvest obtained
Harvest (kg – GKP), May – Aug 2003 : 4. Total harvest obtained
Fill in column May - August 2003 total harvest obtained in units of Kg-GPK (dry grain of harvest).
26748
226165
880000
2322.62
Selling price/kg of GKP, May – Aug 2003
Selling price/kg of GKP, May – Aug 2003
Selling price/kg of GKP, May – Aug 2003
Selling price/kg of GKP, May – Aug 2003
Selling price/kg of GKP, May – Aug 2003
If b9r2d2 is filled
Selling price/kg of GKP, May – Aug 2003
Fill in column May - August 2003 selling price / kg of GKP in rupiah.
4592
248321
9505
1173.415
Area cut/brokered (m2), May – Aug 2003?
Area cut/brokered (m2), May – Aug 2003?
Area cut/brokered (m2), May – Aug 2003?
Area cut/brokered (m2), May – Aug 2003?
Area cut/brokered (m2), May – Aug 2003?
If b9r2a has code 2 to 7
Area cut/brokered (m2), May – Aug 2003?
Fill in column May - August 2003 land area of the cut / brokered (in m2).
2651
250262
511501
2228.07
Harvest rice during Sept – Dec 2003?
Harvest rice during Sept – Dec 2003?
Harvest rice during Sept – Dec 2003?
Harvest rice during Sept – Dec 2003?
Harvest rice during Sept – Dec 2003?
Did you harvest rice during Sept – Dec 2003?
Circle one code according to the respondent's answer.
61656
191257
9
6.469
1
Self-harvest
2
Brooking
3
Cutting
9
No
Planted area (m2), Sept – Dec 2003
Planted area (m2), Sept – Dec 2003
Planted area (m2), Sept – Dec 2003
Planted area (m2), Sept – Dec 2003
Planted area (m2), Sept – Dec 2003
Planted area (m2), Sept – Dec 2003
Fill in column September - December 2003 area of rice planting land (in m2).
20096
232817
500000
4425.485
Harvested area (m2), Sept – Dec 2003
Harvested area (m2), Sept – Dec 2003
Harvested area (m2), Sept – Dec 2003
Harvested area (m2), Sept – Dec 2003
Harvested area (m2), Sept – Dec 2003
Harvested area (m2), Sept – Dec 2003
Fill in column September - December 2003 area of land during the rice harvest (in m2).
20089
232824
500000
4078.564
Sept – Dec 2003 - As harvest wage/payment (bawon)
Sept – Dec 2003 - As harvest wage/payment (bawon)
Sept – Dec 2003 - As harvest wage/payment (bawon)
Sept – Dec 2003 - As harvest wage/payment (bawon)
Sept – Dec 2003 - As harvest wage/payment (bawon)
Harvest (kg – GKP), Sept – Dec 2003 : 1. As harvest wage/payment (bawon)
Fill in column September - December 2003, harvest as the wage / payment (bawon) in units of Kg-GPK (dry grain of harvest)
20089
232824
600000
302.967
Sept – Dec 2003 - Directly sold
Sept – Dec 2003 - Directly sold
Sept – Dec 2003 - Directly sold
Sept – Dec 2003 - Directly sold
Sept – Dec 2003 - Directly sold
Harvest (kg – GKP), Sept – Dec 2003 : 2. Directly sold
Fill in column September - December 2003, harvest sold directly in units of Kg-GPK (dry grain of harvest)
20089
232824
400000
505.177
Sept – Dec 2003 - Taken home
Sept – Dec 2003 - Taken home
Sept – Dec 2003 - Taken home
Sept – Dec 2003 - Taken home
Sept – Dec 2003 - Taken home
Harvest (kg – GKP), Sept – Dec 2003 : 3. Taken home
Fill in column September - December 2003, harvest of the taken home in units of Kg-GPK (dry grain of harvest).
20089
232824
980000
1521.936
Sept – Dec 2003 - Total harvest obtained
Sept – Dec 2003 - Total harvest obtained
Sept – Dec 2003 - Total harvest obtained
Sept – Dec 2003 - Total harvest obtained
Sept – Dec 2003 - Total harvest obtained
Harvest (kg – GKP), Sept – Dec 2003 : 4. Total harvest obtained
Fill in column September - December 2003, total harvest obtained in units of Kg-GPK (dry grain of harvest).
20089
232824
980000
2330.179
Selling price/kg of GKP, Sept – Dec 2003
Selling price/kg of GKP, Sept – Dec 2003
Selling price/kg of GKP, Sept – Dec 2003
Selling price/kg of GKP, Sept – Dec 2003
Selling price/kg of GKP, Sept – Dec 2003
If b9r2d2 is filled
Selling price/kg of GKP, Sept – Dec 2003
Fill in column September - December 2003, selling price / kg of GKP in rupiah.
4185
248728
9500
1156.996
Area cut/brokered (m2), Sept – Dec 2003
Area cut/brokered (m2), Sept – Dec 2003
Area cut/brokered (m2), Sept – Dec 2003
Area cut/brokered (m2), Sept – Dec 2003
Area cut/brokered (m2), Sept – Dec 2003
If b9r2a has code 2 to 7
Area cut/brokered (m2), Sept – Dec 2003?
Fill in column September - December 2003, land area of the cut / brokered (in m2).
2348
250565
75000
1316.116
Household weight
Household weight
Household weight
Household weight
Household weight
252913
1013
216.936
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
267549
11
94
39.213
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
North Maluku
91
West Irian Jaya
94
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
267549
1
79
23.297
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
267549
10
740
75.166
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
267549
1
111
8.632
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
267549
1
2
1.555
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number into the box provided.
267549
1001
2542
1242.811
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Write down the household sample sequential number into the box provided.
267549
16
8.502
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
267549
1
15
2.881
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1.
267549
1
9
2.571
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Housemaid, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
267549
1
2
1.499
1
Male
2
Female
Age (Year)
Age (Year)
Age (Year)
Age (Year)
Age (Year)
Age (Year)
267549
99
27.742
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for male household members aged 15 years and above and cross (x) for female household members aged 15 years and above
267549
-
V
X
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
186553
80996
1
9
2.187
1
2
3
4
5
6
7
8
9
Sysmiss
1. Write sequential number from 1 for eldest male to youngest then continued with eldest female to youngest
2. Circle the sequential number as selected respondent based on KISH Table with the following condition: (as it is written in the questionnaire VSEN2004.MPK)
Biological father still alive?
Biological father still alive?
Biological father still alive?
Biological father still alive?
Biological father still alive?
Biological father still alive?
267549
1
9
1.331
1
Yes
2
No
9
Do not know
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
267549
1
9
1.252
1
Yes
2
No
9
Do not know
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Fill code 1 if "Yes, for the treatment", code 2 if "Yes, for a check up / treatments", code 3 if "Yes, for the treatment and check-up", and code 4 if the "No" for each household member 1 year old up into the box provided.
263491
4058
4
3.781
1
Yes, for treatment
2
Yes, for checkup/care
3
Yes, for treatment & checkup
4
No
Sysmiss
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
55336
212213
1
2
1.935
1
Yes
2
No
Sysmiss
Work is at (the main) business?
Work is at (the main) business?
Work is at (the main) business?
Work is at (the main) business?
Work is at (the main) business?
If “Yes” (Col. 10 = 1)
Work is at (the main) business?
3582
263967
1
4
1.999
1
Self-owned
2
Owned PT
3
Other paid people/ party
4
Other unpaid people/ party
Sysmiss
Main job in the past week:
Main job in the past week:
Main job in the past week:
Main job in the past week:
Main job in the past week:
Main job in the past week:
3582
263967
1
9
6.494
1
Traveling trader
2
Permanent place trader
3
Scavenging
4
Work in household/small industry
5
Work in medium/large industry
6
Work in agriculture sector
7
Work in transportation sector
8
Work in service sector
9
Other
Sysmiss
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
55336
212213
1
2
1.993
1
Yes
2
No
Sysmiss
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
55336
212213
1
2
1.648
1
Yes
2
No
Sysmiss
Daily average hour for the activity?
Daily average hour for the activity?
Daily average hour for the activity?
Daily average hour for the activity?
Daily average hour for the activity?
If “Yes” (Col. 14=1)
Daily average hour for the activity?
19500
248049
1
8
1.441
1
2
3
4
5
6
7
8
Sysmiss
Individual weight
Individual weight
Individual weight
Individual weight
Individual weight
267549
230
1580
811.337
-
-
-
-
-
266195
1354
1
79
23.271
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided.
266195
1354
1
9
2.574
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
Sysmiss
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Housemaid, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Write down the gender of each household member in the provided box, code 1 for “Male” and code 2 for “Female”. Do not guess people’s gender based on their names. To make sure, please ask if the person in question is a male or a female.
266195
1354
1
2
1.499
1
Male
2
Female
Sysmiss
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent’s age and enter the answer into the box.
266195
1354
98
27.787
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Marital status
Marital status
Marital status
Marital status
Marital status
Marital status:
Ask marital status of the respondent and enter the code into the box provided.
266195
1354
1
4
1.612
1
Not married
2
Married
3
Divorce
4
Divorce due to death
Sysmiss
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Household member sequential No.
Household member sequential No.
Household member sequential No.
Household member sequential No.
Household member sequential No.
266195
1354
15
2.877
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Sysmiss
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
266195
1354
1
2
1.872
1
Yes
2
No
Sysmiss
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
265635
1914
41
0.196
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
265432
2117
4
0.276
1
2
3
4
Sysmiss
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
Information provider - Sequential no
266195
1354
1
18
4.76
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
18
Sysmiss
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
266194
1355
13
0.973
1
2
3
4
5
6
7
8
9
10
11
12
13
Sysmiss
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
266195
1354
1
2
1.276
1
Yes
2
No
Sysmiss
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Any health complaint in the past one month? (read from a to h) a. fever
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266195
1354
1
2
1.883
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Fever is a condition which symptom is the increasing body temperature above 37.5 degrees Celcius, or if touched (especially with the back of the hand) it feels hot.
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Any health complaint in the past one month? (read from a to h) b. cough
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266194
1355
1
2
1.856
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Coughing is a sound produced by the sudden opening of vocal cords followed by the fast release of air, in order to let out the object that stimulates the central or lower part of respiratory tract; short or long; dry, phlegm or bloody expectoration; lasting for days, weeks, months or years.
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Any health complaint in the past one month? (read from a to h) c. cold
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266195
1354
1
2
1.857
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Colds is a condition with the following symptoms: mucus, nasal congestion, and might be followed by sneezing, or other symptoms.
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Any health complaint in the past one month? (read from a to h) d. asthma/breathlessnes
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266195
1354
1
2
1.984
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Asthma is an illness during which attack the patient suffers difficulty in breathing due to constriction in the lower respiratoty track, causing the breathing to make a shound while letting air out; local community calls the illness bengek or mengi.
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Any health complaint in the past one month? (read from a to h) e. diarrhea
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266194
1355
1
2
1.984
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Diarrhea is an illness which symptomsare: runny or liquid faeces, sometimes mixed with blood or mucus; generally happens 3 times or more within 24 hours. Diarrhea might be accompanied with a throwing up, or decrement of consciousness. Local people call this illness as mencret or bocor.
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Any health complaint in the past one month? (read from a to h) f. migraine
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266195
1354
1
2
1.948
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Migraine/Recurring headache is the feeling of pain, throbbing pain, jabbing pain, like being tied up, drilled or stabbed in the head, or other uncomfortable feelings in part or of the whole head. It lasts from a few hours to a few days, recurring for several times within 1 year (at least 2 times), with similar symptoms. Headache during fewer is not considered a recurring headache.
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Any health complaint in the past one month? (read from a to h) g. toothache
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266194
1355
1
2
1.979
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Toothache is the feeling of pain in the teeth or gums, sometimes accompanied by swelling, but does not include sprue.
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Any health complaint in the past one month? (read from a to h) h. other
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
266195
1354
1
2
1.922
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Other problems are health problems such as measles, perforated tympanic membrane /CSOM, hepatitis/liver disease, seizures, paralyzed, senility, including other health problems caused by accidents/tragic events, natural disaster, lost of appetite, difficulty in defecating, headache caused by fever, non-recurring headache, problems with joints, problems in hearing, cataract, gastritis, stomachache, catching colds, unable to urinate, ulcer, sore eyes, and physical problems caused due to menstruation or pregnancy.
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If the answer is coded 2, skip to b5r5a
Circle the appropriate code and fill in the provided box.
265776
1773
2
0.416
1
Yes
2
No
Sysmiss
Complaint of activities means that the respondent cannot do the normal activity (work, study, daily activities) as usual.
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption:(days)
Write down how long (days) the household members who have health problems are interrupted from their daily activities in the last one month.The duration of interruption shall not exceed 30 days because the time reference used is the last one month, although the actual health problems last for more than 30 days.
265607
1942
30
0.976
Period of disruption does not refer to the worst health problem, but also covers the total duration of all the health problems suffered by the household members in the last one month. If a person has more than one health problem, the length of interruption time caused by the illnesses should not be combined.
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Circle one of codes and record in the box available. Circles code 1 if householder "still has health disruption until the enumeration day" and circle code 2 if "No".
265608
1941
2
0.32
1
Yes
2
No
Sysmiss
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
If the answer is coded 2, skip to b5r6
Circle the appropriate code and fill in the provided box.
265776
1773
2
0.386
1
Yes
2
No
Sysmiss
Self medication is an effort to have a medication by deciding the kind of medicines by oneself (without any /prescription from a medical doctor/traditional medication/batra).
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Type of medicine/treatment method used: 1. traditional medicine
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
265698
1851
2
0.352
1
Yes
2
No
Sysmiss
Traditional Medicine is medicine concoction made of herbs/plants, animal, mineral, etc. which is generaly has already been used for generation whether to cure an illness ir to be taken as health supplement in a form of powder, finely chops, liquid, tablet, capsule, medical embrocation, liniment lotion, etc.
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Type of medicine/treatment method used: 2. modern medicine
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
265698
1851
2
0.237
1
Yes
2
No
Sysmiss
Modern medicine is medicine used in a medical system, it can be in the form of tablet, caplet, capsule, syrup, powder, ointment, suppository (i.e. hemorrhoids medicine), inhaler (i.e. asthmatic medicine to be sprayed inside the mouth or to be inhaled); usually is ready made from pharmaceutical factories, with packaging and registration code number in the Ministry of Health starting with 1-3 letters followed by numbers.
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Type of medicine/treatment method used: 3. other
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
265697
1852
2
0.4
1
Yes
2
No
Sysmiss
Others, such as food supplement/natural supplement (i.e: sunchlorella, squalen, omega 3, nuskin, imedeen, collagen, etc); tonic drinks (i.e: Kratingdaeng, Kaki Tiga, M-150, Adem Sari, Lasegar, etc) with registration code beginning with MD (local products) or ML (imported products); skin scrapping; massage.
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
If the answer is coded 2, skip to b5r8
Circle the appropriate code and fill in the provided box.
265776
1773
2
0.48
1
Yes
2
No
Sysmiss
The followings are not included in medical treatment:consultation,medical check-up,health check (such as for Driver Liscense,new employee acceptance,promotion),screening (medical check-up to find illness,such as:Pap Smear Test for cervix cancer,mantoux tes for toddler to find TBC),normal pregnancy check-up,and immunization,because all are prevention efforts.
Outpatient is an effort by household members who have health problems to check their health and get medication by going to modern or traditional health services without hospitalization,including housecall.
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
How many times became outpatient in the past one month? a. state hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
30
0.0124
1
2
3
4
5
6
7
8
10
11
12
20
21
22
30
Sysmiss
State Hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
How many times became outpatient in the past one month? b. private hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
14
0.00587
1
2
3
4
5
6
7
8
10
14
Sysmiss
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
How many times became outpatient in the past one month? c. doctor
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
20
0.043
1
2
3
4
5
6
7
8
9
10
11
12
13
20
Sysmiss
Doctor is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN.
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
How many times became outpatient in the past one month? d. health clinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
30
0.0706
1
2
3
4
5
6
7
8
9
10
11
12
20
21
30
Sysmiss
Health clinic(Community Health Center) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
How many times became outpatient in the past one month? e. polyclinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265522
2027
10
0.0064
1
2
3
4
5
7
10
Sysmiss
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
How many times became outpatient in the past one month? f. medical worker practice
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
30
0.036
1
2
3
4
5
6
7
8
10
12
20
30
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
How many times became outpatient in the past one month? g. traditional treatment
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
12
0.0038
1
2
3
4
5
6
7
8
9
10
12
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
How many times became outpatient in the past one month? h. other
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
265523
2026
30
0.00955
1
2
3
4
5
6
7
8
9
10
11
12
20
21
22
25
30
Sysmiss
Others, such as Polindes (Village Maternity Ward), Posyandu, or if a woman gave birth without any medical
support.
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
If the answer is no, skip to b5r10.
Circle one of the codes and enter the number into the box provided.
266195
1354
1
2
1.988
1
Yes
2
No
Sysmiss
Inpatient is an effort to treat a disease by spending a night or more in a modern or traditional health service unit,including inpatient in maternity ward.
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period (in days) - a. state hospital
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
265422
2127
212
0.0392
State Hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period (in days) - b. private hospital
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
265422
2127
222
0.0253
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period (in days) - c. health clinic
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
265422
2127
300
0.00726
Health clinic(Community Health Center) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period (in days): d. medical worker practice
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
265422
2127
222
0.00358
1
2
3
4
5
6
7
8
10
15
20
100
222
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period (in days): e. traditional treatment
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
265422
2127
222
0.00192
1
2
3
4
5
6
8
10
15
20
30
48
222
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period (in days): f. other
Fill in the duration of inpatient that is already finished in the last one year, in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
265422
2127
222
0.00232
1
2
3
4
5
6
7
9
14
16
22
30
98
222
Sysmiss
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Is there any health insurance/financing for outpatient/inpatient needs as follows: a. Askes
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.936
1
Yes
2
No
Sysmiss
Health Insurance for Civil Servant/Veteran/Pensioneris healthcare insurance for Civil Servant,Veteran and Pensioner,proven by membership card that is managed by PT Askes (Persero).
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Is there any health insurance/financing for outpatient/inpatient needs as follows: b. Askes/Jamsostek
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.974
1
Yes
2
No
Sysmiss
Jamsostek is healthcare insurance for employee of private company in formal sector,proven by membership card that is managed by PT Jamsostek.
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Is there any health insurance/financing for outpatient/inpatient needs as follows: c. Office/company
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.977
1
Yes
2
No
Sysmiss
Private health insurance is commercial medical insurance to replace the expenses of health services spent by the policy holders. The membership is proven by medical insurance card.
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Is there any health insurance/financing for outpatient/inpatient needs as follows: d. JPKM (Public Health Service Assurance)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.992
1
Yes
2
No
Sysmiss
Benefit/reimbursement by company is healthcare benefit that is proven by identity card as an employee of the company that will provide health benefit/reimbursement of the medical expenses.
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Is there any health insurance/financing for outpatient/inpatient needs as follows: e. Commercial health insurance
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.996
1
Yes
2
No
Sysmiss
Health insurance/health card/poor insurance/poor card is a health security for poor people that is proven by a membership card of JPK-MM,health card,poor card,JPK Gakin card or SKTM (Letter of Poverty) or Jamkesmas card.
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Is there any health insurance/financing for outpatient/inpatient needs as follows: f. Dana sehat (health fund)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.907
1
Yes
2
No
Sysmiss
Health fund is membership of healthcare for a group/community that is proven by the membership card of health fund.
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Is there any health insurance/financing for outpatient/inpatient needs as follows: g. Kartu sehat (health/poor card)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.977
1
Yes
2
No
Sysmiss
Other health insurance are other healthcare and medical securities that can be proven by ownership of membership cards for the above healthcare services.
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
If the toddler is 1 month old or more (b5r11a not equal to 00), continue to b5r12.
Fill in the toddler's age in months, if the age is >= 1 month in the space provided and directly move it to the box provided
Child age 0-59 months
265438
2111
59
2.844
Age of child : (days)
Age of child : (days)
Age of child : (days)
Age of child : (days)
Age of child : (days)
If b5r11a = 00
Age of child : (days)
Fill in the toddler's age in days, if the toddler is < 1 month old in the space provided and directly move it to the box provided.
Child age 0-59 months
265399
2150
30
0.0144
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
If the answer is coded 1 or 2, skip to b5r14.
Fill in the answer code to the box.
Child age 0-59 months
265438
2111
9
0.233
1
Yes, can be shown
2
No, cannot be shown
3
Do not have
9
Do not know
Sysmiss
Birth certificate is a letter of birth proof issued by Civil Registry Office, either in the country or overseas.
1. Yes, it can be shown if the birth certificate can be shown to the officer
2. Yes, but it can't be shown if the birth certificate can't be shown to the officer
3. Do not have - self explanatory
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
If do not have/do not know (b5r12 = 3 or 9)
If do not have/do not know (R.12 = 3 or 9), why?
Do not read out the answer. Circle one of the codes and enter the number into the box provided.
Child age 0-59 months
265404
2145
99
1.33
1
Expensive/no fund
2
Far traveling distance
3
Expensive and Far traveling distance
4
Do not know about birth certificate recording
5
Expensive and Do not know about birth certificate recording
6
Far traveling distance and Do not know about birth certificate recording
7
Expensive, Far traveling distance and Do not know about birth certificate recording
8
Do not know the processing procedure
9
Expensive and Do not know the processing procedure
10
Far traveling distance and Do not know the processing procedure
11
Expensive, Far traveling distance and Do not know the processing procedure
12
Do not know about birth certificate recording and Do not know the processing procedure
13
Expensive, Do not know about birth certificate recording and Do not know the processing procedure
14
Far traveling distance, Do not know about birth certificate recording and Do not know the processing procedure
15
Expensive, Far traveling distance, Do not know about birth certificate recording and Do not know the processing procedure
16
Do not see the need
17
Expensive and Do not see the need
18
Far traveling distance and Do not see the need
19
Expensive, Far traveling distance and Do not see the need
20
Do not know about birth certificate recording and Do not see the need
21
Expensive, Do not know about birth certificate recording and Do not see the need
22
Far traveling distance, Do not know about birth certificate recording and Do not see the need
23
Expensive, Far traveling distance, Do not know about birth certificate recording and Do not see the need
24
Do not know the processing procedure and Do not see the need
25
Expensive, Do not know the processing procedure and Do not see the need
26
Far traveling distance, Do not know the processing procedure and Do not see the need
27
Expensive, Far traveling distance, Do not know the processing procedure and Do not see the need
28
Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
29
Expensive, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
30
Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
31
Expensive, Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
32
Other
33
Expensive and Other
34
Far traveling distance and Other
35
Expensive, Far traveling distance and Other
36
Do not know about birth certificate recording and Other
37
Expensive, Do not know about birth certificate recording and Other
38
Far traveling distance, Do not know about birth certificate recording and Other
39
Expensive, Far traveling distance, Do not know about birth certificate recording and Other
40
Do not know the processing procedure and Other
41
Expensive, Do not know the processing procedure and Other
42
Far traveling distance, Do not know the processing procedure and Other
43
Expensive, Far traveling distance, Do not know the processing procedure and Other
44
Do not know about birth certificate recording, Do not know the processing procedure and Other
45
Expensive, Do not know about birth certificate recording, Do not know the processing procedure and Other
46
Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Other
47
Expensive, Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Other
48
Do not see the need and Other
49
Expensive, Do not see the need and Other
50
Far traveling distance, Do not see the need and Other
51
Expensive, Far traveling distance, Do not see the need and Other
99
Do not know
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Fill in the box a for the helper for the first born .
Child age 0-59 months
265438
2111
9
0.257
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
9
Sysmiss
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Fill in box b for the helper for the last born .
Child age 0-59 months
265438
2111
9
0.241
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
9
Sysmiss
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
How many times the child received immunization? a. BCG
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
265438
2111
9
0.0985
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. BCG (Bacillus Calmette Guerin) is a vaccination to prevent Tuberculosis/TBC, given to a new born baby or a toddler by injection on the base of the upper arm. BCG injection is given one time.
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
How many times the child received immunization? b. DPT
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
265438
2111
9
0.178
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. DPT (Diphteria ,Pertussis, Tetanus) is given to a baby aged 3 months or older, by injecting it on the thigh and should be repeated after 1 month and then again after 2 months. Thus, a complete DPT Immunization on toddlers are done 3 times (sometimes time lapse between injections can be more than one month).
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
How many times the child received immunization? c. Polio
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
265438
2111
9
0.192
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Polio is a vaccine to prevent polio virus, given to a baby at the age 3 months or older by giving 3 drops of liquid vaccine in a pink or white color directly into the baby's mouth; usually given together with DPT vaccination. A complete Polio immunization is given 3 times. In National Immunization Week (PIN), polio immunization are given specifically for all toddlers in Indonesia at the same week (in certain regions are at the same month or day) in accordance to the given schedule.
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
How many times the child received immunization? d. Measles
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
265438
2111
9
0.0842
1
2
3
4
5
6
7
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Measles/morbilli is a vaccine to prevent measles/morbilli; (please state the symptoms and epidemic area of measles if the mother seems not understand), that is usually given one time to a baby aged between 9 to 12 months, by injecting on the thigh.
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
How many times the child received immunization? e. Hepatitis B
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
265438
2111
9
0.136
1
2
3
4
5
6
9
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Hepatitis B is an intramuscular injection (injection to the mucsle), usually on the thigh, given to baby to prevent Hepatitis B. This injection is given 3 times. The first injection given when the baby is 0 month old, the second is given at the age of 1 month, and the third is at the age of 6 months.
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
If the entry is coded 2, skip to question other household member.
Circle code 1 for “Yes” and code 2 for “No” and write down in the provided box.
Child age 0-59 months
265438
2111
2
0.1
1
Yes
2
No
Sysmiss
Breastfeeding is if a mother’s nipple sucked by a baby secreting milk that is drunk by the baby,although only a little. A breastfeeding mother is not only the biological mother of the baby but she could be another woman.
Breast milk(ASI) is the best natural food for baby,which composition meets the full requirement of a baby up to 6 months old.ASI contains elements that provides protection against various diseases and also enzyme that help baby’s digestive system. Breastfeeding with affection can also strengthen the bond between a mother and her baby.
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
If “yes” [b5r16a = 1]
Period of provided with breast milk:
Record the answer of duration in the box available in month by completing below.
Child age 0-59 months
265435
2114
59
1.483
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
If “yes” [b5r16a = 1]
Period - Breast milk exclusive:
Fill in days if age < 1 month and in months if age is >= 1 month
Child age 0-59 months
265435
2114
48
0.332
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
Child age 0-59 months
265401
2148
2
0.0103
1
Yes
2
No
Sysmiss
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
1. If the answer is coded 1, skip to b5r23, and
2. If the answer is coded 2, skip to b5r19
Circle one of the codes from 1 to 3 and enter the number into the box provided.
For household member age five years up
266156
1393
3
2.301
1
No/never in school
2
Still in school
3
No longer in school
Sysmiss
A person is considered schooling if he is registered and active in attending a study process in formal education level,whether under supervision of Ministry of National Education/Depdiknas or other department/institution.
1. Not/not yet attending school - never or not yet been registered and never been active in attending school or at formal education level, including have completed/not completed kindergarten level but do not continue to elementary school.
2. Still attending school - are those who are registered and actively attending a formal education level, whether it is under supervision of Ministry of National Education, Ministry of Religion, other Government Institution, or Private Institution.
3. No longer in school - those who were once registered and actively attending a formal education, but at the time of census are not registered and active anymore, including those who are attending Package A program of SD (Elementary) equivalent, Package B program of SMP (Junior High) equivalent and Package C Program of SMA (Senior High) equivalent.
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
Fill in the month for people who quit prior to 1993, write down completely in the empty space and provided box. If quit prior to 1993, enter 00 into the month boxes.
For household member age five years up
265858
1691
12
0.869
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
Fill in the year for people who quit prior to 1993, write down completely in the empty space and provided box. If quit prior to 1993, enter 0000 into year boxes.
For household member age five years up
265858
1691
2004
284.133
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
Circle one of code 1 to 14 and fill it in the provided box.
For household member age five years up
266122
1427
11
2.33
1
Elementary school
2
M. Ibtidaiyah
3
Public/vocationaljunior high
4
M. Tsanawiyah
5
Senior High
6
M. Aliyah (Islamic school)
7
Vocational School
8
Diploma I/II
9
Diploma III
10
Diploma IV/S1
11
S2/S3
Sysmiss
1. SD/SDLB is an Elementary School of 5/6/7 years or equivalent(elementary special school,small elementary school,pamong elementary school).
2. Madrasah Ibtidaiyah(MI) is Islamic Elementary School of SD equivalent.
3. SMP/SMPLB is Secondary School or the equivalent MULO,3-year HBS,and Secondary Special School).
4. Madrasah Tsanawiyah(MTs) is Islamic Secondary School of SMP equivalent .
5. General High School(SMU)/Special High School(SMLB) is a High School(SMU),or the equivalent(Special High School,5-year HBS,AMS,and Employee Administration High Course(KPAA).
6. Madrasah Aliyah(MA) is an Islamic High School of SMU equivalent.
7. Vocational High School(SMK) is a vocational school of SMA equivalent.
8. Diploma 1/2 Program is D1/D2 program in a university that organizes diploma 1 and 2 program in formal education.
9. Diploma 3 Program/baccalaureate is a D3 program or baccalaureate degree in an academy or university that organizes diploma programs or issues baccalaureate degrees.
10. Diploma 4 Program/bachelor is an education program of Diploma 4 or Strata1 in a university.
11. S2/S3 is a postgraduate education program(master or doctorate),Strata 2 or Strata 3 in a university.
Education provider:
Education provider:
Education provider:
Education provider:
Education provider:
For household member age five years up
266122
1427
3
0.991
1
State
2
Private
3
Overseas
Sysmiss
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Circle one of the following codes from 1 to 8 and enter the code into the box provided.
For household member age five years up
266122
1427
8
4.676
1
Grade-1
2
Grade-2
3
Grade-3
4
Grade-4
5
Grade-5
6
Grade-6
7
Grade-7
8
Graduated
Sysmiss
Examples: Highest Level/Class Attended/Being Attended
a.For household head/member who has graduated,use code 8 for the highest level/class has been/being attended.
b.For household head/member who has a bachelor degree attending/has attended master/S2 program,use code 6.
c.For household head/member who has a master degree attending/has attended S3 program,use code 7.
d.For household head/member who has attended/is stillatending the highest level/class of S1 program,use code 5.
Graduated means has completed the study marked with passing the final exams in the last class/level of an education in a public or private school and received a certificate/diploma. A household head/member who has not attended the last level of education program but has passed the final exams is considered graduate.
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Circle one of the codes from 1 to 15 and enter the answer into the box provided.
For household member age five years up
266122
1427
9
2.01
1
No elementary diploma
2
Elementary/MI
3
Junior High/equal
4
Senior High/equal
5
Vocational junior high
6
Diploma I/II
7
Diploma III
8
Diploma IV/S1
9
S2/S3
Sysmiss
No elementary school diploma means that the household/member does not possessed certificate for a certain educational level, but has to attended to Elementary School of 5/6/7 year study or equivalent(among others are basic level of SLB,Madrasah Ibtidaiyah,Pamong Elementary School,Smal Elementary School,Package A1-A100,Package a Equivalent) but did not/has not yet graduate.This include household/member who graduated 3-year elementary school or equivalent.
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Circle one of the code 1 to code 4 and enter the answer into the provided box.
For household member age five years up
266156
1393
3
1.125
1
Latin alphabets
2
Other alphabets
3
Cannot
Sysmiss
Can read and write means able to read and write words/simple sentences in certain letters, e.g. "I must be honest."
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Did you perform the following activity in the past one week? a. work
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
266110
1439
2
1.193
1
Yes
2
No
Sysmiss
Working is an activity of doing work with the intention to earn or help earning a living or profit,minimum for one hour in the last one week. Working for one hour as mentioned above should be done continuously and uninterrupted. Income includes wages/salary,including all the benefits and bonus for worker/employee and business income in the form of rents or profits,whether in cash or goods for businessmen.
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Did you perform the following activity in the past one week? b. attending school
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
266110
1439
2
1.447
1
Yes
2
No
Sysmiss
Going to school is an activity at a formal school,whether in primary,secondary,or higher education.Students on leave are not included.
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Did you perform the following activity in the past one week? c. handling household
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
266110
1439
2
1.258
1
Yes
2
No
Sysmiss
Handling household is an activities of managing the household or helping to manage the household without getting paid.
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Did you perform the following activity in the past one week? d. other beside personal activity
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
266110
1439
1
0.801
1
Yes
2
No
Sysmiss
Other activities include: sports, course, picnic and social activities (organization, volunteering)
Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore.
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
If b5r24a1- 4 with code 1 (“Yes”)
What activity used the most time in the past one week?
If b5r24a1 is coded 1, skip to b5r26.
B5r24a with code 1 (“Yes”) – ask what activity is the most time consuming in the last one week, circle one of the codes and enter the number into the box provided.
For household member age 10 years up
266110
1439
4
1.599
1
Work
2
School
3
Handling Household
4
Other
Sysmiss
The most time consuming activity is an activity that uses up most time in comparison with other activities.
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Circle code 1 for “Yes” or code 2 for “No”, then enter the answer into the provided box.
For household member age 10 years up
265756
1793
2
0.77
1
Yes
2
No
Sysmiss
Those who are categorized as have jobs but temporarily do not work are:
1.Professional workers who do not work because of sickness waiting for the next projects.Examples: Puppet master,masseur/se,shaman and singer.
2.Regular employees,government officials or employees of private companies who are ill,on leave,absent,on strike or temporarily laid off because the company stopped operating,for example a factory having machine malfunction,or lack of raw material,etc.
3.Farmer who works on farm land,stops working because of an illness or waiting for the next job such as harvest or rainy season to start planting paddy field.
Those who are categorized as having jobs but temporarily do not work are people who work/have businesses but for the last one week stop working for a reason,such as sick,on leave,waiting for harvesting,or on a strike.
Are you looking for work?
Are you looking for work?
Are you looking for work?
Are you looking for work?
Are you looking for work?
For household member age 10 years up
266110
1439
2
1.544
1
Yes
2
No
Sysmiss
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
For household member age 10 years up
266110
1439
2
1.592
1
Yes
2
No
Sysmiss
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
If b5r26 = 2 and b5r27 = 2
For household member age 10 years up
266056
1493
5
2.368
1
Feel unable to obtain work
2
Have work, but not yet started
3
In school or handling household/family
4
Have work/business, feel sufficient
5
Other (disabled, old, and the like)
Sysmiss
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If b5r26 = 2 and b5r27 = 2
For household member age 10 years up
266056
1493
2
1.286
1
2
Sysmiss
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Write down the total working days for the last one week according to the number of days spent for work and enter it in the box provided.
For working household member
265756
1793
7
2.463
1
2
3
4
5
6
7
Sysmiss
Working days means days spent by a person to carry out working activities at a minimum of one (1) hour continuously in the last one week.
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Write down the total working hours in the last one week and enter it in the box provided.
For working household member
265756
1793
98
16.21
Total working hours is the time (in hour) spent to do all the working activities in the last one week. If respondent is temporary out of work, write down "00"
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Write down completely the main business/job from workplace in the empty space provided.
For working household member
265756
1793
972
122.971
1
5
7
9
10
11
12
13
14
15
19
20
21
22
23
30
41
42
50
51
52
54
55
56
61
70
73
75
81
84
85
90
98
100
101
102
108
110
111
112
113
114
120
122
123
131
132
133
134
141
142
144
145
150
151
152
153
154
155
157
160
162
163
164
166
170
171
172
173
174
176
180
181
182
183
184
187
188
189
190
191
192
200
201
202
204
209
210
212
215
221
222
223
231
232
233
241
242
243
248
250
251
252
253
256
260
261
262
263
264
265
266
269
271
272
273
275
281
282
289
291
292
293
300
302
303
310
311
312
313
314
315
319
321
322
323
325
331
332
333
341
342
343
345
350
351
352
353
354
359
360
361
363
365
368
369
371
372
390
391
399
401
402
403
404
410
413
416
421
422
423
424
425
429
430
432
434
436
445
450
451
452
453
454
455
456
459
462
463
470
475
484
490
491
492
500
501
502
503
504
505
507
509
510
511
512
513
514
515
516
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
539
540
541
542
543
544
545
549
550
551
552
553
554
557
561
563
564
566
570
571
572
575
582
589
600
601
602
603
604
605
606
607
608
611
612
621
622
623
624
625
626
629
630
631
632
633
634
635
636
639
641
642
643
645
648
650
651
654
655
659
660
662
671
672
674
682
701
702
703
711
712
713
714
715
716
717
721
722
723
724
725
729
731
732
735
739
741
742
743
744
747
749
750
751
752
753
755
756
757
769
771
781
791
795
800
801
802
803
804
806
807
809
810
812
820
825
830
831
835
842
850
851
852
853
854
856
859
893
900
901
902
905
909
911
912
919
921
922
923
924
925
927
930
931
932
936
940
941
949
950
951
952
956
957
958
959
960
965
970
971
972
Sysmiss
Business sector/type of work is the sector of activity of work/company/business where the household head/member works.
How to determine the main work:
1.If a household head/member in the last one week only has only one work,than it is considered the main work.
2.If a household head/member in the last one week has more than one work,the main work is the one that consumes the most time. If the time spent to do those works are the same,than the work that produces the largest income is considered the main work.
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Write down completely type of work/position of the main job in the empty space provided.
For working household member
265756
1793
999
258.26
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
1. If the answer is coded 1,2,3,5,6, or 7 skip to Block V.E., and
2. If the answer is coded 4 skip to b5r34.
Circle one of the code 1 to code 7 and enter the answer into the provided box.
For working household member
265756
1793
7
1.505
1
Self-owned business/freelance
2
Self-owned business with non-permanent/non-paid worker
3
Self-owned business with permanent/paid worker
4
Worker/employee/staff
5
Freelancer in agricultural sector
6
Freelancer in non-agricultural sector
7
Non-paid worker
Sysmiss
Status/work position is the household head/member position at main job.
1. Self-owned business/freelance is a household head/member who works/owns business by taking economical risk, that may result in the lost of production cost that has been spent in doing the business, and does not employ any worker whether paid or unpaid. Included in this category are works that required special skill/talent.
2. Self-owned business with non-permanent/non-paid worker is a household head/member who works or owns a business on his own risk, and hires unpaid labor/employee/staff and or employs fee labor/employee/staff.
3. Self-owned business with permanent/paid worker is a household head/member who opens a business at his own risk and employs at lease one paid labor/employee/staff.
4. Worker/employee/staff is a household head/member whow works for other people or institutions/ office/company and regularly receives wages/salaries in the form of money or goods (in-kind)
5. Freelancer is a household head/member who works irregularly for other people/employer/institution, who has more than one employer in the last one month in a household business or non-household business based on a reward system by receiving wages or compensation both in the form of money or in-kind, whether paid daily or per project.
6. Non-paid worker is a household member who works to help household head/member/other people without getting paid, whether in the form of money or goods.
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
Write down the income in the space provided and enter into the box provided.
For working household member
256078
11471
999500
48342.812
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
Fill in respondent’s age at first marriage in the provided space and write it down in the box. The formula to calculate the respondent's age at first marriage is the same as the formula to count respondent's age.
For women age 10 years and up - women who once married
265577
1972
60
5.379
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Ask how long the respondent has been married. If there were more than one marriage, please add the number of years of the entire wedlocks made. Rounded it down. For those who got pregnant out of wedlock enter code "00".
For women age 10 years and up - women who once married
265577
1972
82
5.476
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
If the answer is coded 2 skip to other household member.
For women age 10 years and up - women who once married
265577
1972
2
0.391
1
Yes
2
No
Sysmiss
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
If the answer is no longer use it or never use it , skip to other household member
Circle the contraception/birth control (KB) code according to the respondent’s answer, enter it in the box provided. If using more than one type of contraception, please record only the type currently used. Generally,the reference time for various birth controls used is 30 days.
For women age 10 years and up - Women with married status
265507
2042
2
0.192
1
Yes
2
No
Sysmiss
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
Continue to other household member.
If respondent uses more than one type of contraception (to meet the concept of contraception usage), then write down the type with the smallest code number.
For women age 10 years and up - Women with married status
265474
2075
9
0.487
1
Women/tubectomy
2
Men/vasectomy
3
IUD/spiral
4
Injection
5
Implant/norplant
6
Birth control pill
7
Condom/rubber
8
Intravag/tissue/women condom
9
Traditional method
Sysmiss
1. MOW/Medis Operasi Wanita (woman medical surgery)/tubectomy (woman sterilization) is a surgery performed on female household head/member by having her fallopian tubes closed to prevent pregnancy. Please emphasize that the goal is to prevent future pregnancies.
2. MOP/Medis Operasi Pria (man medical surgery)/vasectomy (man sterilization) is a minor surgery performed on male household head/member to prevent his spouse from being pregnant.
3. AKDR/Alat Kontrasepsi Dalam Rahim (IUD/Intra Uterus Device) is a device made of soft plastic/copper,small in size,in the forms of spiral,T,fan,etc. installed inside the womb/uterus to prevent pregnancy. This device functions as pregnancy prevention for a long period of time.
4. KB Injection is one of ways to prevent pregnancy by injecting contraceptive substance periodically,e.g. once in one,three,or six months.
5. Susuk KB/norplant/implanon/alwalit (Contraceptive Skin Implant)-are six small metals to be implanted/injected under the skin of the upper arm to prevent pregnancy. A household head/member is considered using susuk KB if she had the implant less than five(5) years ago prior to the date of census. This includes under the skin injection(implant).
6. KB Pills are pills that are taken to prevent pregnancy. These pills should be taken regularly.
7. Condom/KB rubber is a device made of rubber,in a balloon-like shape,used by male household head/member while having sexual intercourse in order to prevent the spouse from getting pregnant.
8. Intravag/tissue/woman’s condom is a KB tissue positioned inside the vagina before having sexual intercourse. Reference time for this device is up to the last intercourse within 30 days before the interview.
9. Traditional method:
a.Periodic abstinence/calendar method is based on the assumption that by not having sexual intercourse in a certain days of the month,which is during fertile period in monthly cycle,a woman could prevent pregnancy.
b.Coitus interruptus is a method to prevent semen from entering vagina by interrupting intercourse before ejaculation. The refference time for this method is the last intercourse within 30 days.
c.Other traditional methods such as breastfeeding for the purpose of birth control,abstinence,traditional herbs (jamu),and massage.
Household member sequential No.
Household member sequential No.
Household member sequential No.
Household member sequential No.
Household member sequential No.
266195
1354
1
15
2.877
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Sysmiss
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided.
266195
1354
1
9
2.574
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
Sysmiss
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Household helpers, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Write down the gender of each household member in the provided box, code 1 for “Male” and code 2 for “Female”. Do not guess people’s gender based on their names. To make sure, please ask if the person in question is a male or a female.
266195
1354
1
2
1.499
1
Male
2
Female
Sysmiss
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent's age and enter the answer into the box. Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
266195
1354
98
27.787
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Marital status
Marital status
Marital status
Marital status
Marital status
Marital status
Ask marital status of the respondent and enter the code into the box provided.
266195
1354
1
4
1.612
1
Not married
2
Married
3
Divorce
4
Divorce due to death
Sysmiss
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
266195
1354
1
2
1.872
1
Yes
2
No
Sysmiss
“Tour” trip: trip to commercial tourist destinations, or stay in commercial accommodation, or trip distance = 100 Km (return).
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Fill in the travel frequency (times) for each household members who travel in the past 3 calendar months. Write down “00” if the related household member do not travel.
265635
1914
41
0.196
One time travel/journey is calculated since leaving home and return back to the initial place. Travel/journey that has not been completed (the person has not returned to the initial place), is not considered as traveling.
Travelling household member: trip to commercial tourist destinations, or stay in commercial accommodation, and or trip distance = 100 Km (return), excluding commuter, school and work.
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Write down the appropriate code for family members aged 0-6 regarding their participation in pre-school education.
Household member age 0-6 years
265432
2117
4
0.278
1
Yes, kindergarten/RA/RB
2
Yes, playgroup
3
Yes, daycare
4
No
Sysmiss
Yes, once , if they have attended pre-school education and at the moment has finished/completed/not active anymore.
Yes, currently on, if at the moment the respondent is still actively attending a pre-school education.
No, if the respondent never attended a pre-school education.
Attended preschool education means enrolled in and actively attending education in kindergarten (TK)/Bustanul Athfal (BA), Raudatul Athfal (RA), play group, day-care center, Early Age Children Education (PAUD) and other institution.
District Id
District Id
District Id
District Id
District Id
266195
1354
1101
9472
3946.766
Participant education:
Participant education:
Participant education:
Participant education:
Participant education:
265399
2150
5
3.297
1
2
3
4
5
Sysmiss
Kr
Kr
Kr
Kr
Kr
265399
2150
5
1.703
1
2
3
4
5
Sysmiss
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
265399
2150
2
1.117
1
2
Sysmiss
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
265399
2150
30
0.187
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
112317
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
18
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
112317
01
02
03
04
05
06
07
08
09
10
11
When did you quit school?
When did you quit school?
When did you quit school?
When did you quit school?
When did you quit school?
265399
2150
Sysmiss
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
21932
11
94
39.657
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
North Maluku
91
West Irian Jaya
94
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
21932
1
79
22.717
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
21932
10
730
73.851
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
21932
1
111
8.701
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
21932
1
2
1.564
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number into the box provided.
21932
1001
2542
1236.405
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Write down the household sample sequential number into the box provided.
21932
16
8.491
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
21932
2
15
4.795
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total toddlers
Total toddlers
Total toddlers
Total toddlers
Total toddlers
Total toddlers
21932
1
5
1.17
1
2
3
4
5
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
21932
99999
28469.674
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
21932
1
4
3.42
1
Provincial BPS Staff
2
District/City BPS Staff
3
Statistics Clerk
4
Partner
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
21932
99999
14494.529
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
21932
1
4
2.115
1
Provincial BPS Staff
2
District/City BPS Staff
3
Statistics Clerk
4
Partner
Household member sequential No. (youngest toddler):
Household member sequential No. (youngest toddler):
Household member sequential No. (youngest toddler):
Household member sequential No. (youngest toddler):
Household member sequential No. (youngest toddler):
Household member sequential No. (youngest toddler):
21932
2
14
4.562
2
3
4
5
6
7
8
9
10
11
12
13
14
Age (youngest toddler): (months)
Age (youngest toddler): (months)
Age (youngest toddler): (months)
Age (youngest toddler): (months)
Age (youngest toddler): (months)
Age (youngest toddler): (months)
21932
59
27.346
Is (name of youngest toddler) received high dosage of vitamin A for the past year? (as showed in example)?
Is (name of youngest toddler) received high dosage of vitamin A for the past year? (as showed in example)?
Is (name of youngest toddler) received high dosage of vitamin A for the past year? (as showed in example)?
Is (name of youngest toddler) received high dosage of vitamin A for the past year? (as showed in example)?
Is (name of youngest toddler) received high dosage of vitamin A for the past year? (as showed in example)?
Is (name of youngest toddler) received high dosage of vitamin A for the past year? (as showed in example)?
21932
1
9
1.867
1
Yes
2
No
9
Do not know
How many times?
How many times?
How many times?
How many times?
How many times?
If yes (m7r1 = 1)
How many times?
13872
8060
1
9
2.266
1
1 time
2
2 times
3
More than 2 times
9
Do not know
Sysmiss
Is the toddler weighed in the past month?
Is the toddler weighed in the past month?
Is the toddler weighed in the past month?
Is the toddler weighed in the past month?
Is the toddler weighed in the past month?
Is the toddler weighed in the past month?
21932
1
9
1.641
1
Yes
2
No
9
Do not know
The weight from the last weighed: (kg)
The weight from the last weighed: (kg)
The weight from the last weighed: (kg)
The weight from the last weighed: (kg)
The weight from the last weighed: (kg)
If yes (m7r3 = 1)
The weight from the last weighed: (kg)
11045
10887
15
400
100.849
How many times (the youngest toddler) is examined (not for treatment) by medical worker in the past one year? (times)
How many times (the youngest toddler) is examined (not for treatment) by medical worker in the past one year? (times)
How many times (the youngest toddler) is examined (not for treatment) by medical worker in the past one year? (times)
How many times (the youngest toddler) is examined (not for treatment) by medical worker in the past one year? (times)
How many times (the youngest toddler) is examined (not for treatment) by medical worker in the past one year? (times)
How many times (the youngest toddler) is examined (not for treatment) by medical worker in the past one year? (times)
21932
24
2.443
Was (the youngest toddler) examined by medical worker until age 1 month?
Was (the youngest toddler) examined by medical worker until age 1 month?
Was (the youngest toddler) examined by medical worker until age 1 month?
Was (the youngest toddler) examined by medical worker until age 1 month?
Was (the youngest toddler) examined by medical worker until age 1 month?
Was (the youngest toddler) examined by medical worker until age 1 month?
21932
1
9
1.865
1
Yes
2
No
9
Do not know
How many times the toddler was examined - Age 0-7 days: (times)
How many times the toddler was examined - Age 0-7 days: (times)
How many times the toddler was examined - Age 0-7 days: (times)
How many times the toddler was examined - Age 0-7 days: (times)
How many times the toddler was examined - Age 0-7 days: (times)
If yes (m7r6 = 1)
How many times the toddler was examined? a. Age 0-7 days: (times)
10724
11208
3
1.17
1
2
3
Sysmiss
How many times the toddler was examined - Age 8-28 days: (times)
How many times the toddler was examined - Age 8-28 days: (times)
How many times the toddler was examined - Age 8-28 days: (times)
How many times the toddler was examined - Age 8-28 days: (times)
How many times the toddler was examined - Age 8-28 days: (times)
How many times the toddler was examined? b. Age 8-28 days: (times)
10724
11208
9
1.454
1
2
3
4
5
6
7
8
9
Sysmiss
Is the toddler's biological mother live in the household?
Is the toddler's biological mother live in the household?
Is the toddler's biological mother live in the household?
Is the toddler's biological mother live in the household?
Is the toddler's biological mother live in the household?
Is the toddler's biological mother live in the household?
21932
1
2
1.032
1
Yes
2
No
Household member sequential No. (biological mother of the youngest toddler):
Household member sequential No. (biological mother of the youngest toddler):
Household member sequential No. (biological mother of the youngest toddler):
Household member sequential No. (biological mother of the youngest toddler):
Household member sequential No. (biological mother of the youngest toddler):
Household member sequential No. (biological mother of the youngest toddler):
21236
696
1
13
2.223
1
2
3
4
5
6
7
8
9
10
11
12
13
Sysmiss
When the mother was pregnant with (name of the youngest toddler), did she check the pregnancy to health worker?
When the mother was pregnant with (name of the youngest toddler), did she check the pregnancy to health worker?
When the mother was pregnant with (name of the youngest toddler), did she check the pregnancy to health worker?
When the mother was pregnant with (name of the youngest toddler), did she check the pregnancy to health worker?
When the mother was pregnant with (name of the youngest toddler), did she check the pregnancy to health worker?
When the mother was pregnant with (name of the youngest toddler), did she check the pregnancy to health worker?
21236
696
1
9
1.189
1
Yes
2
No
9
Do not know
Sysmiss
The mother check the pregnancy, when pregnancy age 0-3 months: (times)
The mother check the pregnancy, when pregnancy age 0-3 months: (times)
The mother check the pregnancy, when pregnancy age 0-3 months: (times)
The mother check the pregnancy, when pregnancy age 0-3 months: (times)
The mother check the pregnancy, when pregnancy age 0-3 months: (times)
If yes, how many times did the mother check the pregnancy? a. When pregnancy age 0-3 months: (times)
18972
2960
9
1.559
1
2
3
4
5
6
7
8
9
Sysmiss
The mother check the pregnancy, when pregnancy age 4-6 months: (times)
The mother check the pregnancy, when pregnancy age 4-6 months: (times)
The mother check the pregnancy, when pregnancy age 4-6 months: (times)
The mother check the pregnancy, when pregnancy age 4-6 months: (times)
The mother check the pregnancy, when pregnancy age 4-6 months: (times)
If yes, how many times did the mother check the pregnancy? b. When pregnancy age 4-6 months: (times)
18972
2960
9
2.013
1
2
3
4
5
6
7
8
9
Sysmiss
The mother check the pregnancy, when pregnancy age 7 month & up: (times)
The mother check the pregnancy, when pregnancy age 7 month & up: (times)
The mother check the pregnancy, when pregnancy age 7 month & up: (times)
The mother check the pregnancy, when pregnancy age 7 month & up: (times)
The mother check the pregnancy, when pregnancy age 7 month & up: (times)
If yes, how many times did the mother check the pregnancy? c. When pregnancy age 7 month & up: (times)
18972
2960
9
2.629
1
2
3
4
5
6
7
8
9
Sysmiss
The mother check the pregnancy, total checking (R.10.a to R.10.c): (times)
The mother check the pregnancy, total checking (R.10.a to R.10.c): (times)
The mother check the pregnancy, total checking (R.10.a to R.10.c): (times)
The mother check the pregnancy, total checking (R.10.a to R.10.c): (times)
The mother check the pregnancy, total checking (R.10.a to R.10.c): (times)
If yes, how many times did the mother check the pregnancy? d. Total checking (R.10.a to R.10.c): (times
18972
2960
24
6.194
When pregnant with (name of the youngest toddler), was the mother ever consume iron/blood booster pill (as showed in example)?
When pregnant with (name of the youngest toddler), was the mother ever consume iron/blood booster pill (as showed in example)?
When pregnant with (name of the youngest toddler), was the mother ever consume iron/blood booster pill (as showed in example)?
When pregnant with (name of the youngest toddler), was the mother ever consume iron/blood booster pill (as showed in example)?
When pregnant with (name of the youngest toddler), was the mother ever consume iron/blood booster pill (as showed in example)?
When pregnant with (name of the youngest toddler), was the mother ever consume iron/blood booster pill (as showed in example)?
21236
696
1
9
1.921
1
Yes
2
No
9
Do not know
Sysmiss
How many iron pills were consumed?
How many iron pills were consumed?
How many iron pills were consumed?
How many iron pills were consumed?
How many iron pills were consumed?
If yes (m7r11 = 1)
How many iron pills were consumed?
14376
7556
1
9
3.611
1
< 90 pills
2
90 pills or more
9
Do not know
Sysmiss
Individual weight
Individual weight
Individual weight
Individual weight
Individual weight
21932
244
3308
956.552
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
66644
11
94
38.995
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
North Maluku
91
West Irian Jaya
94
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
66644
1
79
23.119
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
66644
10
740
76.06
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
66644
1
111
8.517
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
66644
1
2
1.554
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number into the box provided.
66644
1001
2542
1244.592
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Write down the household sample sequential number into the box provided.
66644
16
8.499
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
66644
1
13
1.886
1
2
3
4
5
6
7
8
9
10
11
12
13
Marital status:
Marital status:
Marital status:
Marital status:
Marital status:
Marital status (in line with VSEN2004.K, Block IV.A, Column 6):
66644
4
1.975
1
Not married
2
Married
3
Divorce
4
Divorce due to death
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Highest certificate/diploma obtained:
Highest certificate/diploma obtained:
Highest certificate/diploma obtained:
Highest certificate/diploma obtained:
Highest certificate/diploma obtained:
Highest certificate/diploma obtained (in line with VSEN2004.K, Block V.C, Detail 22)
66644
9
2.623
1
Do not have
2
Elementary school/equal
3
Junior high/equal
4
Senior high/equal
5
Vocational school
6
Diploma 1 or 2
7
Diploma 3/Bachelor Degree
8
Diploma 4/S1
9
S2/S3
In general, how is the current health condition of (name) (physical and mental)?
In general, how is the current health condition of (name) (physical and mental)?
In general, how is the current health condition of (name) (physical and mental)?
In general, how is the current health condition of (name) (physical and mental)?
In general, how is the current health condition of (name) (physical and mental)?
In general, how is the current health condition of (name) (physical and mental)?
66644
1
5
1.901
1
Very good
2
Good
3
Fair
4
Bad
5
Very bad
How severe is (name) having trouble walking in and out of house in the past one month?
How severe is (name) having trouble walking in and out of house in the past one month?
How severe is (name) having trouble walking in and out of house in the past one month?
How severe is (name) having trouble walking in and out of house in the past one month?
How severe is (name) having trouble walking in and out of house in the past one month?
How severe is (name) having trouble walking in and out of house in the past one month?
66644
1
5
1.159
1
No problem
2
A little problem
3
Frequent problem
4
Very sever
5
Cannot walk/move
How severe is (name) having trouble to take care of oneself (bathing, dressed) of house in the past 1 month?
How severe is (name) having trouble to take care of oneself (bathing, dressed) of house in the past 1 month?
How severe is (name) having trouble to take care of oneself (bathing, dressed) of house in the past 1 month?
How severe is (name) having trouble to take care of oneself (bathing, dressed) of house in the past 1 month?
How severe is (name) having trouble to take care of oneself (bathing, dressed) of house in the past 1 month?
How severe is (name) having trouble to take care of oneself (bathing, dressed) of house in the past 1 month?
66644
1
5
1.095
1
No problem
2
A little problem
3
Frequent problem
4
Very sever
5
Cannot walk/move
How severe is (name) feel pain or not feeling well in the past one month?
How severe is (name) feel pain or not feeling well in the past one month?
How severe is (name) feel pain or not feeling well in the past one month?
How severe is (name) feel pain or not feeling well in the past one month?
How severe is (name) feel pain or not feeling well in the past one month?
How severe is (name) feel pain or not feeling well in the past one month?
66644
1
5
1.501
1
No sickness
2
Slight
3
Medium
4
Bad
5
Severe/very severe
How severe is (name) having trouble to concentrate or remembering in the past 1 month?
How severe is (name) having trouble to concentrate or remembering in the past 1 month?
How severe is (name) having trouble to concentrate or remembering in the past 1 month?
How severe is (name) having trouble to concentrate or remembering in the past 1 month?
How severe is (name) having trouble to concentrate or remembering in the past 1 month?
How severe is (name) having trouble to concentrate or remembering in the past 1 month?
66644
1
5
1.218
1
No problem
2
A little problem
3
Frequent problem
4
Very severe
5
Cannot do it
How large is the obstacle faced by (name) in communicating or involving oneself in public activities in the past one month?
How large is the obstacle faced by (name) in communicating or involving oneself in public activities in the past one month?
How large is the obstacle faced by (name) in communicating or involving oneself in public activities in the past one month?
How large is the obstacle faced by (name) in communicating or involving oneself in public activities in the past one month?
How large is the obstacle faced by (name) in communicating or involving oneself in public activities in the past one month?
How large is the obstacle faced by (name) in communicating or involving oneself in public activities in the past one month?
66644
1
5
1.274
1
No
2
Few
3
Sometimes
4
Numerous
5
A lot of
How severe is (name) having trouble sleeping (cannot sleep, wake often during the night or wake up too early) in the past one month?
How severe is (name) having trouble sleeping (cannot sleep, wake often during the night or wake up too early) in the past one month?
How severe is (name) having trouble sleeping (cannot sleep, wake often during the night or wake up too early) in the past one month?
How severe is (name) having trouble sleeping (cannot sleep, wake often during the night or wake up too early) in the past one month?
How severe is (name) having trouble sleeping (cannot sleep, wake often during the night or wake up too early) in the past one month?
How severe is (name) having trouble sleeping (cannot sleep, wake often during the night or wake up too early) in the past one month?
66644
1
5
1.324
1
No problem
2
Slight
3
Medium
4
Bad
5
Severe/very severe
How severe is (name) feeling excessive anxiety or worried for no reason in the past one month?
How severe is (name) feeling excessive anxiety or worried for no reason in the past one month?
How severe is (name) feeling excessive anxiety or worried for no reason in the past one month?
How severe is (name) feeling excessive anxiety or worried for no reason in the past one month?
How severe is (name) feeling excessive anxiety or worried for no reason in the past one month?
How severe is (name) feeling excessive anxiety or worried for no reason in the past one month?
66644
1
5
1.234
1
No problem
2
Slight
3
Medium
4
Bad
5
Severe/very severe
Is (name) wear eyeglasses or contact lenses?
Is (name) wear eyeglasses or contact lenses?
Is (name) wear eyeglasses or contact lenses?
Is (name) wear eyeglasses or contact lenses?
Is (name) wear eyeglasses or contact lenses?
Is (name) wear eyeglasses or contact lenses?
66644
1
5
1.89
1
Yes
2
No
3
4
5
How difficult (name) read or see object at arm’s length (around 30 cm) in the past one month?
How difficult (name) read or see object at arm’s length (around 30 cm) in the past one month?
How difficult (name) read or see object at arm’s length (around 30 cm) in the past one month?
How difficult (name) read or see object at arm’s length (around 30 cm) in the past one month?
How difficult (name) read or see object at arm’s length (around 30 cm) in the past one month?
How difficult (name) read or see object at arm’s length (around 30 cm) in the past one month?
66644
1
5
1.371
1
No problem
2
Little problem
3
Frequent problem
4
Severe
5
Cannot see
Is (name) smoke in the past one month?
Is (name) smoke in the past one month?
Is (name) smoke in the past one month?
Is (name) smoke in the past one month?
Is (name) smoke in the past one month?
Is (name) smoke in the past one month?
1. If the answer is coded 2 or 3 skip to m8br14.
2. If the answer is coded 4, skip to m8br15.
66644
1
4
3.004
1
Yes, everyday
2
Yes, sometimes
3
No, used to
4
No, never
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
If yes (m8br11 = 1)
How many cigarettes smoked every day? (cigarettes)
18552
48092
1
99
11.065
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
18552
48092
7
70
19.607
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
25275
41369
5
74
17.443
Any other household member who smoke in the past one month?
Any other household member who smoke in the past one month?
Any other household member who smoke in the past one month?
Any other household member who smoke in the past one month?
Any other household member who smoke in the past one month?
Any other household member who smoke in the past one month?
If R.11 = 3 or 4, and R.15 = 2, go to R.17
66644
1
2
1.544
1
Yes
2
No
Is (name)/household member smoke inside the house with other household members?
Is (name)/household member smoke inside the house with other household members?
Is (name)/household member smoke inside the house with other household members?
Is (name)/household member smoke inside the house with other household members?
Is (name)/household member smoke inside the house with other household members?
Is (name)/household member smoke inside the house with other household members?
45607
21037
1
2
1.164
1
Yes
2
No
Sysmiss
How many days in one week (name) consume fruits? (days)
How many days in one week (name) consume fruits? (days)
How many days in one week (name) consume fruits? (days)
How many days in one week (name) consume fruits? (days)
How many days in one week (name) consume fruits? (days)
How many days in one week (name) consume fruits? (days)
If 0 day, go to m8br18a.
66644
7
2.204
1
2
3
4
5
6
7
How many portion in average every day? (portion)
How many portion in average every day? (portion)
How many portion in average every day? (portion)
How many portion in average every day? (portion)
How many portion in average every day? (portion)
If m8br17a not equal to 0
How many portion in average every day? (portion) [Show consumption card to respondent]
50917
15727
0.5
9.9
1.652
How many days in one week (name) consume vegetables (soup, stir-fried, salad)? (days)
How many days in one week (name) consume vegetables (soup, stir-fried, salad)? (days)
How many days in one week (name) consume vegetables (soup, stir-fried, salad)? (days)
How many days in one week (name) consume vegetables (soup, stir-fried, salad)? (days)
How many days in one week (name) consume vegetables (soup, stir-fried, salad)? (days)
How many days in one week (name) consume vegetables (soup, stir-fried, salad)? (days)
If 0 day, go to m8br19a.
66644
7
5.045
1
2
3
4
5
6
7
How many portion in average every day? (portion)
How many portion in average every day? (portion)
How many portion in average every day? (portion)
How many portion in average every day? (portion)
How many portion in average every day? (portion)
If m8br18a not equal to 0
How many portion in average every day? (portion) [Show consumption card to respondent]
64367
2277
0.5
9.9
2.028
How many days (one) perform heavy activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform heavy activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform heavy activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform heavy activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform heavy activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform heavy activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
If 0 day, go to m8br20a.
66644
7
1.695
1
2
3
4
5
6
7
How long in average (name) performed the heavy activities on those days? (minutes)
How long in average (name) performed the heavy activities on those days? (minutes)
How long in average (name) performed the heavy activities on those days? (minutes)
How long in average (name) performed the heavy activities on those days? (minutes)
How long in average (name) performed the heavy activities on those days? (minutes)
How long in average (name) performed the heavy activities on those days? (minutes)
24383
42261
10
360
106.326
How many days (one) perform moderate activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform moderate activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform moderate activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform moderate activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform moderate activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) perform moderate activities (showed physical activity card) for no less than 10 minutes without stopping for the past one week? (days)
If 0 day, go to m8br21a.
66644
7
3.906
1
2
3
4
5
6
7
How long in average (name) performed the moderate activities on those days? (minutes)
How long in average (name) performed the moderate activities on those days? (minutes)
How long in average (name) performed the moderate activities on those days? (minutes)
How long in average (name) performed the moderate activities on those days? (minutes)
How long in average (name) performed the moderate activities on those days? (minutes)
How long in average (name) performed the moderate activities on those days? (minutes)
51621
15023
10
360
72.498
How many days (one) walk for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) walk for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) walk for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) walk for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) walk for no less than 10 minutes without stopping for the past one week? (days)
How many days (one) walk for no less than 10 minutes without stopping for the past one week? (days)
If 0 day, go to m8br22a.
66644
7
3.321
1
2
3
4
5
6
7
How long in average (name) walk on those days? (minutes)
How long in average (name) walk on those days? (minutes)
How long in average (name) walk on those days? (minutes)
How long in average (name) walk on those days? (minutes)
How long in average (name) walk on those days? (minutes)
How long in average (name) walk on those days? (minutes)
44790
21854
10
360
33.816
Is (name)/child (name) age no more than 12 years ever received outpatient service in the past one year?
Is (name)/child (name) age no more than 12 years ever received outpatient service in the past one year?
Is (name)/child (name) age no more than 12 years ever received outpatient service in the past one year?
Is (name)/child (name) age no more than 12 years ever received outpatient service in the past one year?
Is (name)/child (name) age no more than 12 years ever received outpatient service in the past one year?
Is (name)/child (name) age no more than 12 years ever received outpatient service in the past one year?
If the answer is coded 2, skip to m8cr23a.
66644
1
2
1.71
1
Yes
2
No
To where (name)/child (name) age no more than 12 years was taken for the last outpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last outpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last outpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last outpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last outpatient service?
If yes (m8cr22a = 1)
To where (name)/child (name) age no more than 12 years was taken for the last outpatient service?
19294
47350
1
8
4.084
1
State hospital
2
Private hospital
3
Doctor practice
4
Public clinic
5
Polyclinic
6
Health worker practice
7
Traditional medicine
8
Other
Sysmiss
How long it took to each the outpatient service facility?
How long it took to each the outpatient service facility?
How long it took to each the outpatient service facility?
How long it took to each the outpatient service facility?
How long it took to each the outpatient service facility?
How long it took to each the outpatient service facility?
19294
47350
1
4
1.459
1
= 29 minutes
2
30-59 minutes
3
60-119 minutes
4
= 120 minutes
Sysmiss
Who performed examination?
Who performed examination?
Who performed examination?
Who performed examination?
Who performed examination?
Who performed examination?
19294
47350
1
7
2.634
1
Doctor
2
Dentist
3
Nurse
4
Midwife
5
Other paramedic
6
Shaman/traditional healer/sensei
7
Other
Sysmiss
In the last medical visit, was (name) satisfied with the provided services?
In the last medical visit, was (name) satisfied with the provided services?
In the last medical visit, was (name) satisfied with the provided services?
In the last medical visit, was (name) satisfied with the provided services?
In the last medical visit, was (name) satisfied with the provided services?
In the last medical visit, was (name) satisfied with the provided services?
19294
47350
1
5
2.298
1
Very satisfied
2
Satisfied
3
Sufficiently satisfied
4
Less than satisfied
5
Not satisfied
Sysmiss
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
19294
47350
1
4
1.409
1
= 29 minutes
2
30-59 minutes
3
60-119 minutes
4
= 120 minutes
Sysmiss
During the visit to the last treatment place, how was the explanation on disease, medical treatment and action?
During the visit to the last treatment place, how was the explanation on disease, medical treatment and action?
During the visit to the last treatment place, how was the explanation on disease, medical treatment and action?
During the visit to the last treatment place, how was the explanation on disease, medical treatment and action?
During the visit to the last treatment place, how was the explanation on disease, medical treatment and action?
During the visit to the last treatment place, how was the explanation on disease, medical treatment and action?
19294
47350
1
5
2.342
1
Very clear
2
Clear
3
Sufficiently clear
4
Unclear
5
Very unclear
Sysmiss
Is (name)/child (name) age no more than 12 years ever received inpatient service in the past five years?
Is (name)/child (name) age no more than 12 years ever received inpatient service in the past five years?
Is (name)/child (name) age no more than 12 years ever received inpatient service in the past five years?
Is (name)/child (name) age no more than 12 years ever received inpatient service in the past five years?
Is (name)/child (name) age no more than 12 years ever received inpatient service in the past five years?
Is (name)/child (name) age no more than 12 years ever received inpatient service in the past five years?
If the answer is coded 2, skip to m8cr24.
66644
1
2
1.96
1
Yes
2
No
To where (name)/child (name) age no more than 12 years was taken for the last inpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last inpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last inpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last inpatient service?
To where (name)/child (name) age no more than 12 years was taken for the last inpatient service?
If yes (m8cr23a = 1)
To where (name)/child (name) age no more than 12 years was taken for the last inpatient service?
2657
63987
1
8
2.395
1
State hospital
2
Private hospital
3
Doctor practice
4
Public clinic
5
Polyclinic
6
Health worker practice
7
Traditional medicine
8
Other
Sysmiss
How long it took to each the inpatient service facility?
How long it took to each the inpatient service facility?
How long it took to each the inpatient service facility?
How long it took to each the inpatient service facility?
How long it took to each the inpatient service facility?
How long it took to each the inpatient service facility?
2657
63987
1
4
1.918
1
= 29 minutes
2
30-59 minutes
3
60-119 minutes
4
= 120 minutes
Sysmiss
How long (name)/child (name) stayed as inpatient?
How long (name)/child (name) stayed as inpatient?
How long (name)/child (name) stayed as inpatient?
How long (name)/child (name) stayed as inpatient?
How long (name)/child (name) stayed as inpatient?
How long (name)/child (name) stayed as inpatient?
2657
63987
1
4
2.102
1
1-2 days
2
3-5 days
3
6-14 days
4
6
15 days or more
Sysmiss
In the last inpatient service, was (name) satisfied with the provided services?
In the last inpatient service, was (name) satisfied with the provided services?
In the last inpatient service, was (name) satisfied with the provided services?
In the last inpatient service, was (name) satisfied with the provided services?
In the last inpatient service, was (name) satisfied with the provided services?
In the last inpatient service, was (name) satisfied with the provided services?
2657
63987
1
5
2.409
1
Very satisfied
2
Satisfied
3
Sufficiently satisfied
4
Less than satisfied
5
Not satisfied
Sysmiss
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
How long was the waiting time to obtain service in the place?
2657
63987
1
4
1.484
1
= 29 minutes
2
30-59 minutes
3
60-119 minutes
4
= 120 minutes
Sysmiss
During the inpatient service, how was the explanation on disease, medical treatment and action?
During the inpatient service, how was the explanation on disease, medical treatment and action?
During the inpatient service, how was the explanation on disease, medical treatment and action?
During the inpatient service, how was the explanation on disease, medical treatment and action?
During the inpatient service, how was the explanation on disease, medical treatment and action?
During the inpatient service, how was the explanation on disease, medical treatment and action?
2657
63987
1
5
2.329
1
Very clear
2
Clear
3
Sufficiently clear
4
Unclear
5
Very unclear
Sysmiss
Is (name) ever diagnosed with joint disease (rheumatic/ arthritis) by medical worker?
Is (name) ever diagnosed with joint disease (rheumatic/ arthritis) by medical worker?
Is (name) ever diagnosed with joint disease (rheumatic/ arthritis) by medical worker?
Is (name) ever diagnosed with joint disease (rheumatic/ arthritis) by medical worker?
Is (name) ever diagnosed with joint disease (rheumatic/ arthritis) by medical worker?
Is (name) ever diagnosed with joint disease (rheumatic/ arthritis) by medical worker?
66644
1
9
2.251
1
Yes
2
No
9
Do not know
I will now ask about health issues that may be experienced by (name) and the treatment. Questions will be asked repeatedly to obtain detailed information
I will now ask about health issues that may be experienced by (name) and the treatment. Questions will be asked repeatedly to obtain detailed information
I will now ask about health issues that may be experienced by (name) and the treatment. Questions will be asked repeatedly to obtain detailed information
I will now ask about health issues that may be experienced by (name) and the treatment. Questions will be asked repeatedly to obtain detailed information
I will now ask about health issues that may be experienced by (name) and the treatment. Questions will be asked repeatedly to obtain detailed information
I will now ask about health issues that may be experienced by (name) and the treatment. Questions will be asked repeatedly to obtain detailed information
66644
1
9
2.098
1
Yes
2
No
9
Do not know
Is (name) ever treated for joint disease (rheumatic/arthritis)?
Is (name) ever treated for joint disease (rheumatic/arthritis)?
Is (name) ever treated for joint disease (rheumatic/arthritis)?
Is (name) ever treated for joint disease (rheumatic/arthritis)?
Is (name) ever treated for joint disease (rheumatic/arthritis)?
Is (name) ever treated for joint disease (rheumatic/arthritis)?
66644
1
9
2.111
1
Yes
2
No
9
Do not know
Pain, sore, numb or swelling not because of accident or wound, around arm joints, hand, leg and foot which occur for more than one month?
Pain, sore, numb or swelling not because of accident or wound, around arm joints, hand, leg and foot which occur for more than one month?
Pain, sore, numb or swelling not because of accident or wound, around arm joints, hand, leg and foot which occur for more than one month?
Pain, sore, numb or swelling not because of accident or wound, around arm joints, hand, leg and foot which occur for more than one month?
Pain, sore, numb or swelling not because of accident or wound, around arm joints, hand, leg and foot which occur for more than one month?
Is (name) suffered the following in the past one year? a. Pain, sore, numb or swelling not because of accident or wound, around arm joints, hand, leg and foot which occur for more than one month?
66644
1
2
1.891
1
Yes
2
No
Numbness on joints when awake from sleep, or after sit for a long time?
Numbness on joints when awake from sleep, or after sit for a long time?
Numbness on joints when awake from sleep, or after sit for a long time?
Numbness on joints when awake from sleep, or after sit for a long time?
Numbness on joints when awake from sleep, or after sit for a long time?
If the answer is coded 2, skip to m8dr28a.
Is (name) suffered the following in the past one year? b. Numbness on joints when awake from sleep, or after sit for a long time?
66644
1
2
1.813
1
Yes
2
No
How long the numbness last?
How long the numbness last?
How long the numbness last?
How long the numbness last?
How long the numbness last?
If yes (m8dr27b = 1)
Is (name) suffered the following in the past one year? c. How long the numbness last?
12431
54213
1
2
1.138
1
<= 30 minutes
2
> 30 minutes
Sysmiss
Is the numbness disappear after (name) move the joints?
Is the numbness disappear after (name) move the joints?
Is the numbness disappear after (name) move the joints?
Is the numbness disappear after (name) move the joints?
Is the numbness disappear after (name) move the joints?
Is (name) suffered the following in the past one year? d. Is the numbness disappear after (name) move the joints?
12431
54213
1
2
1.116
1
Yes
2
No
Sysmiss
Is (name) ever suffered back pain (along the back spine) for the past one month?
Is (name) ever suffered back pain (along the back spine) for the past one month?
Is (name) ever suffered back pain (along the back spine) for the past one month?
Is (name) ever suffered back pain (along the back spine) for the past one month?
Is (name) ever suffered back pain (along the back spine) for the past one month?
If yes (R.27.b = 1)
Is (name) ever suffered back pain (along the back spine) for the past one month?
66644
1
2
1.891
1
Yes
2
No
How many days did (name) suffer from the back pain? (days)
How many days did (name) suffer from the back pain? (days)
How many days did (name) suffer from the back pain? (days)
How many days did (name) suffer from the back pain? (days)
How many days did (name) suffer from the back pain? (days)
How many days did (name) suffer from the back pain? (days)
7279
59365
1
31
4.461
Is (name) ever diagnosed with heart disease by medical worker?
Is (name) ever diagnosed with heart disease by medical worker?
Is (name) ever diagnosed with heart disease by medical worker?
Is (name) ever diagnosed with heart disease by medical worker?
Is (name) ever diagnosed with heart disease by medical worker?
Is (name) ever diagnosed with heart disease by medical worker?
66644
1
9
2.321
1
Yes
2
No
9
Do not know
Is (name) ever treated for heart disease?
Is (name) ever treated for heart disease?
Is (name) ever treated for heart disease?
Is (name) ever treated for heart disease?
Is (name) ever treated for heart disease?
Is (name) ever treated for heart disease?
66644
1
9
2.194
1
Yes
2
No
9
Do not know
Is (name) ever treated or cared for the disease in the past two weeks?
Is (name) ever treated or cared for the disease in the past two weeks?
Is (name) ever treated or cared for the disease in the past two weeks?
Is (name) ever treated or cared for the disease in the past two weeks?
Is (name) ever treated or cared for the disease in the past two weeks?
Is (name) ever treated or cared for the disease in the past two weeks?
66644
1
9
2.146
1
Yes
2
No
9
Do not know
Stuffed feeling or chest pain when (name) walked rapidly or climbing?
Stuffed feeling or chest pain when (name) walked rapidly or climbing?
Stuffed feeling or chest pain when (name) walked rapidly or climbing?
Stuffed feeling or chest pain when (name) walked rapidly or climbing?
Stuffed feeling or chest pain when (name) walked rapidly or climbing?
Is (name) ever experienced the following in the past one year: a. Stuffed feeling or chest pain when (name) walked rapidly or climbing?
66644
1
3
2.067
1
Yes
2
No
3
Never walked rapidly or climbing
Stuffed feeling or chest pain when (name) walked normally on flat path?
Stuffed feeling or chest pain when (name) walked normally on flat path?
Stuffed feeling or chest pain when (name) walked normally on flat path?
Stuffed feeling or chest pain when (name) walked normally on flat path?
Stuffed feeling or chest pain when (name) walked normally on flat path?
Is (name) ever experienced the following in the past one year: b. Stuffed feeling or chest pain when (name) walked normally on flat path?
If m8dr32a = 2 or 3 and m8dr32b = 2, go to m8dr33a.
66644
1
2
1.958
1
Yes
2
No
What (name) did when experienced the stuffed feeling or chest pain when walking?
What (name) did when experienced the stuffed feeling or chest pain when walking?
What (name) did when experienced the stuffed feeling or chest pain when walking?
What (name) did when experienced the stuffed feeling or chest pain when walking?
What (name) did when experienced the stuffed feeling or chest pain when walking?
Is (name) ever experienced the following in the past one year: c. What (name) did when experienced the stuffed feeling or chest pain when walking?
6370
60274
1
9
1.221
1
Stop or slowed down the walk
2
Continue walking after put medicine below tongue
3
Continue walking
9
Sysmiss
What happened with the stuffed feeling or chest pain, when (name) stopped walking?
What happened with the stuffed feeling or chest pain, when (name) stopped walking?
What happened with the stuffed feeling or chest pain, when (name) stopped walking?
What happened with the stuffed feeling or chest pain, when (name) stopped walking?
What happened with the stuffed feeling or chest pain, when (name) stopped walking?
Is (name) ever experienced the following in the past one year: d. What happened with the stuffed feeling or chest pain, when (name) stopped walking?
6370
60274
1
9
1.098
1
Subside
2
Not subside
9
Sysmiss
Please show on which section the stuffed feeling or chest pain occurred?
Please show on which section the stuffed feeling or chest pain occurred?
Please show on which section the stuffed feeling or chest pain occurred?
Please show on which section the stuffed feeling or chest pain occurred?
Please show on which section the stuffed feeling or chest pain occurred?
Is (name) ever experienced the following in the past one year: e. Please show on which section the stuffed feeling or chest pain occurred?
6370
60274
1
15
2.644
1
Upper or middle part of chest
2
Lower part of chest
3
Left arm
4
Other
5
6
7
8
9
10
11
12
13
14
15
Sysmiss
Is (name) ever suffered from injury due to traffic accident in the past one year?
Is (name) ever suffered from injury due to traffic accident in the past one year?
Is (name) ever suffered from injury due to traffic accident in the past one year?
Is (name) ever suffered from injury due to traffic accident in the past one year?
Is (name) ever suffered from injury due to traffic accident in the past one year?
Is (name) ever suffered from injury due to traffic accident in the past one year?
If the answer is coded 2, skip to m8dr34a.
66644
1
2
1.989
1
Yes
2
No
When was (the last) accident occur? (months ago)
When was (the last) accident occur? (months ago)
When was (the last) accident occur? (months ago)
When was (the last) accident occur? (months ago)
When was (the last) accident occur? (months ago)
When was (the last) accident occur? (months ago)
727
65917
1
12
5.319
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
If the answer is coded 2, skip to m8dr34a.
727
65917
1
2
1.367
1
Yes
2
No
Sysmiss
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
460
66184
1
8
3.587
1
State hospital
2
Private hospital
3
Doctor practice
4
Public clinic
5
Polyclinic
6
Health worker practice
7
Traditional medicine
8
Other
Sysmiss
How long was the time between accident and (the first) medical aid?
How long was the time between accident and (the first) medical aid?
How long was the time between accident and (the first) medical aid?
How long was the time between accident and (the first) medical aid?
How long was the time between accident and (the first) medical aid?
How long was the time between accident and (the first) medical aid?
460
66184
1
3
1.459
1
< 1 hour
2
1-24 hours
3
> 24 hours
Sysmiss
Is (name) ever suffered from poisoning, drowning, violence, burnt etc. which caused injury and disrupt daily activities in the past one year?
Is (name) ever suffered from poisoning, drowning, violence, burnt etc. which caused injury and disrupt daily activities in the past one year?
Is (name) ever suffered from poisoning, drowning, violence, burnt etc. which caused injury and disrupt daily activities in the past one year?
Is (name) ever suffered from poisoning, drowning, violence, burnt etc. which caused injury and disrupt daily activities in the past one year?
Is (name) ever suffered from poisoning, drowning, violence, burnt etc. which caused injury and disrupt daily activities in the past one year?
Is (name) ever suffered from poisoning, drowning, violence, burnt etc. which caused injury and disrupt daily activities in the past one year?
If the answer is coded 2, skip to m8dr35a.
66644
1
2
1.995
1
Yes
2
No
When was (the last) event occur? (months ago)
When was (the last) event occur? (months ago)
When was (the last) event occur? (months ago)
When was (the last) event occur? (months ago)
When was (the last) event occur? (months ago)
When was (the last) event occur? (months ago)
311
66333
1
12
4.913
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
Was (name) received medical aid at the time?
If the answer is coded 2, skip to m8dr35a.
311
66333
1
2
1.498
1
Yes
2
No
Sysmiss
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
Where (name) received (the first) medical aid?
156
66488
1
8
3.987
1
State hospital
2
Private hospital
3
Doctor practice
4
Public clinic
5
Polyclinic
6
Health worker practice
7
Traditional medicine
8
Other
Sysmiss
How long was the time between event and (the first) medical aid?
How long was the time between event and (the first) medical aid?
How long was the time between event and (the first) medical aid?
How long was the time between event and (the first) medical aid?
How long was the time between event and (the first) medical aid?
How long was the time between event and (the first) medical aid?
156
66488
1
3
1.538
1
< 1 hour
2
1-24 hours
3
> 24 hours
Sysmiss
Coughing for 3 weeks or more?
Coughing for 3 weeks or more?
Coughing for 3 weeks or more?
Coughing for 3 weeks or more?
Coughing for 3 weeks or more?
Is (name) ever experienced the following in the past one year: a. Coughing for 3 weeks or more?
66644
1
2
1.935
1
Yes
2
No
Coughing with considerable sweating when sleeping at night?
Coughing with considerable sweating when sleeping at night?
Coughing with considerable sweating when sleeping at night?
Coughing with considerable sweating when sleeping at night?
Coughing with considerable sweating when sleeping at night?
Is (name) ever experienced the following in the past one year: b. Coughing with considerable sweating when sleeping at night?
66644
1
2
1.954
1
Yes
2
No
Coughing up blood or bloody sputum/phlegm?
Coughing up blood or bloody sputum/phlegm?
Coughing up blood or bloody sputum/phlegm?
Coughing up blood or bloody sputum/phlegm?
Coughing up blood or bloody sputum/phlegm?
Is (name) ever experienced the following in the past one year: c. Coughing up blood or bloody sputum/phlegm?
66644
1
2
1.995
1
Yes
2
No
Underwent TBC/lung disease test, with sputum testing in laboratory or lung x-ray?
Underwent TBC/lung disease test, with sputum testing in laboratory or lung x-ray?
Underwent TBC/lung disease test, with sputum testing in laboratory or lung x-ray?
Underwent TBC/lung disease test, with sputum testing in laboratory or lung x-ray?
Underwent TBC/lung disease test, with sputum testing in laboratory or lung x-ray?
Is (name) ever experienced the following in the past one year: d. Underwent TBC/lung disease test, with sputum testing in laboratory or lung x-ray?
If the answer is coded 2, skip to m8dr35f.
66644
1
2
1.993
1
Yes
2
No
what was the result?
what was the result?
what was the result?
what was the result?
what was the result?
If yes (m8dr35d = 1)
Is (name) ever experienced the following in the past one year: e. If yes (R.35.d = 1), what was the result?
448
66196
1
9
2.853
1
Positive
2
Negative
9
Do not know
Sysmiss
Ever receive TBC medicine (cause red-colored urine)?
Ever receive TBC medicine (cause red-colored urine)?
Ever receive TBC medicine (cause red-colored urine)?
Ever receive TBC medicine (cause red-colored urine)?
Ever receive TBC medicine (cause red-colored urine)?
Is (name) ever experienced the following in the past one year: f. Ever receive TBC medicine (cause red-colored urine)?
66644
1
2
1.996
1
Yes
2
No
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
Relationship with head of household (HH)
66644
1
9
1.948
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
Gender
Gender
Gender
Gender
Gender
Gender
66644
1
2
1.493
1
Male
2
Female
Age (Year)
Age (Year)
Age (Year)
Age (Year)
Age (Year)
Age (Year)
66644
15
99
38.129
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
Give check mark (v) for men and cross (x) for women
66644
V
X
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
Respondent and respondent selection sequential number [See elucidation]
66644
1
8
1.836
1
2
3
4
5
6
7
8
Biological father still alive?
Biological father still alive?
Biological father still alive?
Biological father still alive?
Biological father still alive?
Biological father still alive?
66644
1
9
1.478
1
Yes
2
No
9
Do not know
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
Biological mother still alive?
66644
1
9
1.373
1
Yes
2
No
9
Do not know
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
Receive dental examination/ care by doctor/ nurse in the past 6 months?
66644
1
4
3.781
1
Yes, for treatment
2
Yes, for checkup/care
3
Yes, for treatment & checkup
4
No
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
Work at least 1 hour in the past week?
66644
1
Yes
2
No
Sysmiss
Work is at (the main) business?
Work is at (the main) business?
Work is at (the main) business?
Work is at (the main) business?
Work is at (the main) business?
If “Yes” (Col. 10 = 1)
Work is at (the main) business?
66644
1
Self-owned
2
Owned PT
3
Other paid people/ party
4
Other unpaid people/ party
Sysmiss
Main job in the past week:
Main job in the past week:
Main job in the past week:
Main job in the past week:
Main job in the past week:
Main job in the past week:
66644
1
Traveling trader
2
Permanent place trader
3
Scavenging
4
Work in household/small industry
5
Work in medium/large industry
6
Work in agriculture sector
7
Work in transportation sector
8
Work in service sector
9
Other
Sysmiss
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
Perform money generating activity such as busker or beg, clean car in traffic lights etc. in the past week?
66644
1
Yes
2
No
Sysmiss
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
Help household work (cook, shop, wash, nurse younger sibling/other household member etc.) in the past week?
66644
1
Yes
2
No
Sysmiss
Daily average hour for the activity?
Daily average hour for the activity?
Daily average hour for the activity?
Daily average hour for the activity?
Daily average hour for the activity?
If “Yes” (Col. 14=1)
Daily average hour for the activity?
66644
Sysmiss
-
-
-
-
-
66419
225
1
79
23.072
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
Biological mother sequential number
66418
226
13
0.355
1
2
3
4
5
6
7
8
9
10
13
Sysmiss
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Is the household member present during interview?
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66419
225
1
2
1.162
1
Yes
2
No
Sysmiss
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Health complaints - fever
Any health complaint in the past one month? (read from a to h) a. fever
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66419
225
1
2
1.907
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Fever is a condition which symptom is the increasing body temperature above 37.5 degrees Celcius, or if touched (especially with the back of the hand) it feels hot.
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Health complaints - cough
Any health complaint in the past one month? (read from a to h) b. cough
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66418
226
1
2
1.857
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Coughing is a sound produced by the sudden opening of vocal cords followed by the fast release of air, in order to let out the object that stimulates the central or lower part of respiratory tract; short or long; dry, phlegm or bloody expectoration; lasting for days, weeks, months or years.
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Health complaints - cold
Any health complaint in the past one month? (read from a to h) c. cold
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66419
225
1
2
1.869
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Colds is a condition with the following symptoms: mucus, nasal congestion, and might be followed by sneezing, or other symptoms.
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Health complaints - asthma/breathlessnes
Any health complaint in the past one month? (read from a to h) d. asthma/breathlessnes
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66419
225
1
2
1.975
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Asthma is an illness during which attack the patient suffers difficulty in breathing due to constriction in the lower respiratoty track, causing the breathing to make a shound while letting air out; local community calls the illness bengek or mengi.
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Health complaints - diarrhea
Any health complaint in the past one month? (read from a to h) e. diarrhea
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66418
226
1
2
1.985
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Diarrhea is an illness which symptomsare: runny or liquid faeces, sometimes mixed with blood or mucus; generally happens 3 times or more within 24 hours. Diarrhea might be accompanied with a throwing up, or decrement of consciousness. Local people call this illness as mencret or bocor.
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Health complaints - migraine
Any health complaint in the past one month? (read from a to h) f. migraine
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66419
225
1
2
1.926
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Migraine/Recurring headache is the feeling of pain, throbbing pain, jabbing pain, like being tied up, drilled or stabbed in the head, or other uncomfortable feelings in part or of the whole head. It lasts from a few hours to a few days, recurring for several times within 1 year (at least 2 times), with similar symptoms. Headache during fewer is not considered a recurring headache.
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Health complaints - toothache
Any health complaint in the past one month? (read from a to h) g. toothache
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66418
226
1
2
1.974
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Toothache is the feeling of pain in the teeth or gums, sometimes accompanied by swelling, but does not include sprue.
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Health complaints - other
Any health complaint in the past one month? (read from a to h) h. other
If the answer is coded 2, skip to b5r8
Use code 1 if the respondent have health problems or code 2 if the answer is "No".
66419
225
1
2
1.89
1
Yes
2
No
Sysmiss
1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things.
2. Other problems are health problems such as measles, perforated tympanic membrane /CSOM, hepatitis/liver disease, seizures, paralyzed, senility, including other health problems caused by accidents/tragic events, natural disaster, lost of appetite, difficulty in defecating, headache caused by fever, non-recurring headache, problems with joints, problems in hearing, cataract, gastritis, stomachache, catching colds, unable to urinate, ulcer, sore eyes, and physical problems caused due to menstruation or pregnancy.
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If there is a complaint,did it disrupt job,school or daily activities?
If the answer is coded 2, skip to b5r5a
Circle the appropriate code and fill in the provided box.
66260
384
2
0.462
1
Yes
2
No
Sysmiss
Complaint of activities means that the respondent cannot do the normal activity (work, study, daily activities) as usual.
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption: (days)
Period of disruption:(days)
Write down how long (days) the household members who have health problems are interrupted from their daily activities in the last one month.The duration of interruption shall not exceed 30 days because the time reference used is the last one month, although the actual health problems last for more than 30 days.
66195
449
30
1.116
Period of disruption does not refer to the worst health problem, but also covers the total duration of all the health problems suffered by the household members in the last one month. If a person has more than one health problem, the length of interruption time caused by the illnesses should not be combined.
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Is it still disrupting now?
Circle one of codes and record in the box available. Circles code 1 if householder "still has health disruption until the enumeration day" and circle code 2 if "No".
66196
448
2
0.317
1
Yes
2
No
Sysmiss
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
Ever performed self-medication in the past 1 month?
If the answer is coded 2, skip to b5r6
Circle the appropriate code and fill in the provided box.
66260
384
2
0.407
1
Yes
2
No
Sysmiss
Self medication is an effort to have a medication by deciding the kind of medicines by oneself (without any /prescription from a medical doctor/traditional medication/batra).
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Self medicine/treatment - traditional medicine
Type of medicine/treatment method used: 1. traditional medicine
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
66236
408
2
0.392
1
Yes
2
No
Sysmiss
Traditional Medicine is medicine concoction made of herbs/plants, animal, mineral, etc. which is generaly has already been used for generation whether to cure an illness ir to be taken as health supplement in a form of powder, finely chops, liquid, tablet, capsule, medical embrocation, liniment lotion, etc.
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Self medicine/treatment - modern medicine
Type of medicine/treatment method used: 2. modern medicine
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
66236
408
2
0.27
1
Yes
2
No
Sysmiss
Modern medicine is medicine used in a medical system, it can be in the form of tablet, caplet, capsule, syrup, powder, ointment, suppository (i.e. hemorrhoids medicine), inhaler (i.e. asthmatic medicine to be sprayed inside the mouth or to be inhaled); usually is ready made from pharmaceutical factories, with packaging and registration code number in the Ministry of Health starting with 1-3 letters followed by numbers.
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Self medicine/treatment - other
Type of medicine/treatment method used: 3. other
Enter code 1 if the answer is “Yes” or code 2 for “No” in the box provided.
66235
409
2
0.449
1
Yes
2
No
Sysmiss
Others, such as food supplement/natural supplement (i.e: sunchlorella, squalen, omega 3, nuskin, imedeen, collagen, etc); tonic drinks (i.e: Kratingdaeng, Kaki Tiga, M-150, Adem Sari, Lasegar, etc) with registration code beginning with MD (local products) or ML (imported products); skin scrapping; massage.
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
Ever become an outpatient in the past one month?
If the answer is coded 2, skip to b5r8
Circle the appropriate code and fill in the provided box.
66260
384
2
0.528
1
Yes
2
No
Sysmiss
The followings are not included in medical treatment:consultation,medical check-up,health check (such as for Driver Liscense,new employee acceptance,promotion),screening (medical check-up to find illness,such as:Pap Smear Test for cervix cancer,mantoux tes for toddler to find TBC),normal pregnancy check-up,and immunization,because all are prevention efforts.
Outpatient is an effort by household members who have health problems to check their health and get medication by going to modern or traditional health services without hospitalization,including housecall.
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
Frequency of outpatient - state hospital
How many times became outpatient in the past one month? a. state hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
30
0.0142
1
2
3
4
5
6
7
8
11
21
30
Sysmiss
State Hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
Frequency of outpatient - private hospital
How many times became outpatient in the past one month? b. private hospital
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
8
0.00623
1
2
3
4
5
6
8
Sysmiss
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
Frequency of outpatient - doctor
How many times became outpatient in the past one month? c. doctor
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
20
0.047
1
2
3
4
5
6
7
8
10
11
12
20
Sysmiss
Doctor is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN.
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
Frequency of outpatient - health clinic
How many times became outpatient in the past one month? d. health clinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
20
0.0686
1
2
3
4
5
6
7
8
10
12
20
Sysmiss
Health clinic(Community Health Center) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
Frequency of outpatient - polyclinic
How many times became outpatient in the past one month? e. polyclinic
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66155
489
10
0.00642
1
2
3
4
10
Sysmiss
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
Frequency of outpatient - medical worker practice
How many times became outpatient in the past one month? f. medical worker practice
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
30
0.0396
1
2
3
4
5
6
7
8
10
12
20
30
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
Frequency of outpatient - traditional treatment
How many times became outpatient in the past one month? g. traditional treatment
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
12
0.00452
1
2
3
4
5
6
8
9
12
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
Frequency of outpatient - other
How many times became outpatient in the past one month? h. other
Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization).
66156
488
30
0.0116
1
2
3
4
5
6
7
8
10
11
12
21
22
25
30
Sysmiss
Others, such as Polindes (Village Maternity Ward), Posyandu, or if a woman gave birth without any medical
support.
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
Ever become an inpatient in the past one year?
If the answer is no, skip to b5r10.
Circle one of the codes and enter the number into the box provided.
66419
225
1
2
1.985
1
Yes
2
No
Sysmiss
Inpatient is an effort to treat a disease by spending a night or more in a modern or traditional health service unit,including inpatient in maternity ward.
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period - state hospital
Inpatient period (in days) - a. state hospital
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
66123
521
106
0.0486
State Hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina).
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period - private hospital
Inpatient period (in days) - b. private hospital
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
66123
521
90
0.0295
Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra.
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period - health clinic
Inpatient period (in days) - c. health clinic
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
66123
521
16
0.00561
Health clinic(Community Health Center) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society.
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period - medical worker practice
Inpatient period (in days): d. medical worker practice
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
66123
521
20
0.00371
1
2
3
4
5
6
7
8
15
20
Sysmiss
Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours.
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period - traditional treatment
Inpatient period (in days): e. traditional treatment
Fill in the duration of inpatient that is already finished in the last one year , in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
66123
521
30
0.00234
1
2
3
4
5
6
15
20
30
Sysmiss
Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum).
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period - other
Inpatient period (in days): f. other
Fill in the duration of inpatient that is already finished in the last one year, in the provided box, if the respondent has been inpatient more than once in the same place, add the duration of the inpatient days of the several visits for the last one year.
66123
521
30
0.00219
1
2
3
4
5
6
7
16
22
30
Sysmiss
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Health insurance for outpatient/inpatient needs - Askes
Is there any health insurance/financing for outpatient/inpatient needs as follows: a. Askes
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.932
1
Yes
2
No
Sysmiss
Health Insurance for Civil Servant/Veteran/Pensioneris healthcare insurance for Civil Servant,Veteran and Pensioner,proven by membership card that is managed by PT Askes (Persero).
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Health insurance for outpatient/inpatient needs - Askes/Jamsostek
Is there any health insurance/financing for outpatient/inpatient needs as follows: b. Askes/Jamsostek
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.969
1
Yes
2
No
Sysmiss
Jamsostek is healthcare insurance for employee of private company in formal sector,proven by membership card that is managed by PT Jamsostek.
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Health financing for outpatient/inpatient needs - Office/company
Is there any health insurance/financing for outpatient/inpatient needs as follows: c. Office/company
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.976
1
Yes
2
No
Sysmiss
Private health insurance is commercial medical insurance to replace the expenses of health services spent by the policy holders. The membership is proven by medical insurance card.
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Health insurance for outpatient/inpatient needs - JPKM (Public Health Service Assurance)
Is there any health insurance/financing for outpatient/inpatient needs as follows: d. JPKM (Public Health Service Assurance)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.992
1
Yes
2
No
Sysmiss
Benefit/reimbursement by company is healthcare benefit that is proven by identity card as an employee of the company that will provide health benefit/reimbursement of the medical expenses.
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Health insurance for outpatient/inpatient needs - Commercial health insurance
Is there any health insurance/financing for outpatient/inpatient needs as follows: e. Commercial health insurance
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.996
1
Yes
2
No
Sysmiss
Health insurance/health card/poor insurance/poor card is a health security for poor people that is proven by a membership card of JPK-MM,health card,poor card,JPK Gakin card or SKTM (Letter of Poverty) or Jamkesmas card.
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Health financing for outpatient/inpatient needs - Dana sehat (health fund)
Is there any health insurance/financing for outpatient/inpatient needs as follows: f. Dana sehat (health fund)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.906
1
Yes
2
No
Sysmiss
Health fund is membership of healthcare for a group/community that is proven by the membership card of health fund.
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Health insurance for outpatient/inpatient needs - Kartu sehat (health/poor card)
Is there any health insurance/financing for outpatient/inpatient needs as follows: g. Kartu sehat (health/poor card)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.977
1
Yes
2
No
Sysmiss
Other health insurance are other healthcare and medical securities that can be proven by ownership of membership cards for the above healthcare services.
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
Age of child : (months)
If the toddler is 1 month old or more (b5r11a not equal to 00), continue to b5r12.
Fill in the toddler's age in months, if the age is >= 1 month in the space provided and directly move it to the box provided
Child age 0-59 months
66116
528
48
0.00395
Age of child : (days)
Age of child : (days)
Age of child : (days)
Age of child : (days)
Age of child : (days)
If b5r11a = 00
Age of child : (days)
Fill in the toddler's age in days, if the toddler is < 1 month old in the space provided and directly move it to the box provided.
Child age 0-59 months
66116
528
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
If the answer is coded 1 or 2, skip to b5r14.
Fill in the answer code to the box.
Child age 0-59 months
66116
528
3
0.000302
1
Yes, can be shown
2
No, cannot be shown
3
Do not have
9
Do not know
Sysmiss
Birth certificate is a letter of birth proof issued by Civil Registry Office, either in the country or overseas.
1. Yes, it can be shown if the birth certificate can be shown to the officer
2. Yes, but it can't be shown if the birth certificate can't be shown to the officer
3. Do not have - self explanatory
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
Main reason of do not have/do not know
If do not have/do not know (b5r12 = 3 or 9)
If do not have/do not know (R.12 = 3 or 9), why?
Do not read out the answer. Circle one of the codes and enter the number into the box provided.
Child age 0-59 months
66116
528
99
0.00191
1
Expensive/no fund
2
Far traveling distance
3
Expensive and Far traveling distance
4
Do not know about birth certificate recording
5
Expensive and Do not know about birth certificate recording
6
Far traveling distance and Do not know about birth certificate recording
7
Expensive, Far traveling distance and Do not know about birth certificate recording
8
Do not know the processing procedure
9
Expensive and Do not know the processing procedure
10
Far traveling distance and Do not know the processing procedure
11
Expensive, Far traveling distance and Do not know the processing procedure
12
Do not know about birth certificate recording and Do not know the processing procedure
13
Expensive, Do not know about birth certificate recording and Do not know the processing procedure
14
Far traveling distance, Do not know about birth certificate recording and Do not know the processing procedure
15
Expensive, Far traveling distance, Do not know about birth certificate recording and Do not know the processing procedure
16
Do not see the need
17
Expensive and Do not see the need
18
Far traveling distance and Do not see the need
19
Expensive, Far traveling distance and Do not see the need
20
Do not know about birth certificate recording and Do not see the need
21
Expensive, Do not know about birth certificate recording and Do not see the need
22
Far traveling distance, Do not know about birth certificate recording and Do not see the need
23
Expensive, Far traveling distance, Do not know about birth certificate recording and Do not see the need
24
Do not know the processing procedure and Do not see the need
25
Expensive, Do not know the processing procedure and Do not see the need
26
Far traveling distance, Do not know the processing procedure and Do not see the need
27
Expensive, Far traveling distance, Do not know the processing procedure and Do not see the need
28
Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
29
Expensive, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
30
Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
31
Expensive, Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Do not see the need
32
Other
33
Expensive and Other
34
Far traveling distance and Other
35
Expensive, Far traveling distance and Other
36
Do not know about birth certificate recording and Other
37
Expensive, Do not know about birth certificate recording and Other
38
Far traveling distance, Do not know about birth certificate recording and Other
39
Expensive, Far traveling distance, Do not know about birth certificate recording and Other
40
Do not know the processing procedure and Other
41
Expensive, Do not know the processing procedure and Other
42
Far traveling distance, Do not know the processing procedure and Other
43
Expensive, Far traveling distance, Do not know the processing procedure and Other
44
Do not know about birth certificate recording, Do not know the processing procedure and Other
45
Expensive, Do not know about birth certificate recording, Do not know the processing procedure and Other
46
Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Other
47
Expensive, Far traveling distance, Do not know about birth certificate recording, Do not know the processing procedure and Other
48
Do not see the need and Other
49
Expensive, Do not see the need and Other
50
Far traveling distance, Do not see the need and Other
51
Expensive, Far traveling distance, Do not see the need and Other
99
Do not know
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Who assisted the first birth process?
Fill in the box a for the helper for the first born .
Child age 0-59 months
66116
528
4
0.000363
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
Sysmiss
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Who assisted the last birth process?
Fill in box b for the helper for the last born .
Child age 0-59 months
66116
528
5
0.000408
1
Doctor
2
Midwife
3
Other paramedic
4
Healer
5
Family
6
Other
Sysmiss
The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse).
Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion.
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
Frequency immunization - BCG
How many times the child received immunization? a. BCG
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
66116
528
3
0.000136
1
3
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. BCG (Bacillus Calmette Guerin) is a vaccination to prevent Tuberculosis/TBC, given to a new born baby or a toddler by injection on the base of the upper arm. BCG injection is given one time.
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
Frequency immunization - DPT
How many times the child received immunization? b. DPT
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
66116
528
3
0.000242
1
2
3
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. DPT (Diphteria ,Pertussis, Tetanus) is given to a baby aged 3 months or older, by injecting it on the thigh and should be repeated after 1 month and then again after 2 months. Thus, a complete DPT Immunization on toddlers are done 3 times (sometimes time lapse between injections can be more than one month).
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
Frequency immunization - Polio
How many times the child received immunization? c. Polio
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
66116
528
3
0.000212
1
2
3
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Polio is a vaccine to prevent polio virus, given to a baby at the age 3 months or older by giving 3 drops of liquid vaccine in a pink or white color directly into the baby's mouth; usually given together with DPT vaccination. A complete Polio immunization is given 3 times. In National Immunization Week (PIN), polio immunization are given specifically for all toddlers in Indonesia at the same week (in certain regions are at the same month or day) in accordance to the given schedule.
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
Frequency immunization - Measles
How many times the child received immunization? d. Measles
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
66116
528
3
0.000151
1
3
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Measles/morbilli is a vaccine to prevent measles/morbilli; (please state the symptoms and epidemic area of measles if the mother seems not understand), that is usually given one time to a baby aged between 9 to 12 months, by injecting on the thigh.
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
Frequency immunization - Hepatitis B
How many times the child received immunization? e. Hepatitis B
Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine.
Child age 0-59 months
66116
528
3
0.000106
1
2
3
Sysmiss
1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease.
2. Hepatitis B is an intramuscular injection (injection to the mucsle), usually on the thigh, given to baby to prevent Hepatitis B. This injection is given 3 times. The first injection given when the baby is 0 month old, the second is given at the age of 1 month, and the third is at the age of 6 months.
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
Ever provided with breast milk?
If the entry is coded 2, skip to question other household member.
Circle code 1 for “Yes” and code 2 for “No” and write down in the provided box.
Child age 0-59 months
66116
528
2
0.000136
1
Yes
2
No
Sysmiss
Breastfeeding is if a mother’s nipple sucked by a baby secreting milk that is drunk by the baby,although only a little. A breastfeeding mother is not only the biological mother of the baby but she could be another woman.
Breast milk(ASI) is the best natural food for baby,which composition meets the full requirement of a baby up to 6 months old.ASI contains elements that provides protection against various diseases and also enzyme that help baby’s digestive system. Breastfeeding with affection can also strengthen the bond between a mother and her baby.
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
Period of provided with breast milk:
If “yes” [b5r16a = 1]
Period of provided with breast milk:
Record the answer of duration in the box available in month by completing below.
Child age 0-59 months
66116
528
24
0.00203
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
Period - Breast milk exclusive:
If “yes” [b5r16a = 1]
Period - Breast milk exclusive:
Fill in days if age < 1 month and in months if age is >= 1 month
Child age 0-59 months
66116
528
4
0.000227
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
If age less than 7 months, is only provided with breast milk only for the last 24 hours?
Child age 0-59 months
66116
528
1
Yes
2
No
Sysmiss
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
Schooling participation:
1. If the answer is coded 1, skip to b5r23, and
2. If the answer is coded 2, skip to b5r19
Circle one of the codes from 1 to 3 and enter the number into the box provided.
For household member age five years up
66419
225
3
2.745
1
No/never in school
2
Still in school
3
No longer in school
Sysmiss
A person is considered schooling if he is registered and active in attending a study process in formal education level,whether under supervision of Ministry of National Education/Depdiknas or other department/institution.
1. Not/not yet attending school - never or not yet been registered and never been active in attending school or at formal education level, including have completed/not completed kindergarten level but do not continue to elementary school.
2. Still attending school - are those who are registered and actively attending a formal education level, whether it is under supervision of Ministry of National Education, Ministry of Religion, other Government Institution, or Private Institution.
3. No longer in school - those who were once registered and actively attending a formal education, but at the time of census are not registered and active anymore, including those who are attending Package A program of SD (Elementary) equivalent, Package B program of SMP (Junior High) equivalent and Package C Program of SMA (Senior High) equivalent.
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
When did you quit school? (Month)
Fill in the month for people who quit prior to 1993, write down completely in the empty space and provided box. If quit prior to 1993, enter 00 into the month boxes.
For household member age five years up
66294
350
12
0.999
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
When did you quit school? (Year)
Fill in the year for people who quit prior to 1993, write down completely in the empty space and provided box. If quit prior to 1993, enter 0000 into year boxes.
For household member age five years up
66294
350
2004
323.938
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
The highest education type and level currently studied/passed:
Circle one of code 1 to 14 and fill it in the provided box.
For household member age five years up
66407
237
11
2.871
1
Elementary school
2
M. Ibtidaiyah
3
Public/vocationaljunior high
4
M. Tsanawiyah
5
Senior High
6
M. Aliyah (Islamic school)
7
Vocational School
8
Diploma I/II
9
Diploma III
10
Diploma IV/S1
11
S2/S3
Sysmiss
1. SD/SDLB is an Elementary School of 5/6/7 years or equivalent(elementary special school,small elementary school,pamong elementary school).
2. Madrasah Ibtidaiyah(MI) is Islamic Elementary School of SD equivalent.
3. SMP/SMPLB is Secondary School or the equivalent MULO,3-year HBS,and Secondary Special School).
4. Madrasah Tsanawiyah(MTs) is Islamic Secondary School of SMP equivalent .
5. General High School(SMU)/Special High School(SMLB) is a High School(SMU),or the equivalent(Special High School,5-year HBS,AMS,and Employee Administration High Course(KPAA).
6. Madrasah Aliyah(MA) is an Islamic High School of SMU equivalent.
7. Vocational High School(SMK) is a vocational school of SMA equivalent.
8. Diploma 1/2 Program is D1/D2 program in a university that organizes diploma 1 and 2 program in formal education.
9. Diploma 3 Program/baccalaureate is a D3 program or baccalaureate degree in an academy or university that organizes diploma programs or issues baccalaureate degrees.
10. Diploma 4 Program/bachelor is an education program of Diploma 4 or Strata1 in a university.
11. S2/S3 is a postgraduate education program(master or doctorate),Strata 2 or Strata 3 in a university.
Education provider:
Education provider:
Education provider:
Education provider:
Education provider:
For household member age five years up
66407
237
3
1.118
1
State
2
Private
3
Overseas
Sysmiss
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Highest class/level studied/currently studied:
Circle one of the following codes from 1 to 8 and enter the code into the box provided.
For household member age five years up
66407
237
8
5.931
1
Grade-1
2
Grade-2
3
Grade-3
4
Grade-4
5
Grade-5
6
Grade-6
7
Grade-7
8
Graduated
Sysmiss
Examples: Highest Level/Class Attended/Being Attended
a.For household head/member who has graduated,use code 8 for the highest level/class has been/being attended.
b.For household head/member who has a bachelor degree attending/has attended master/S2 program,use code 6.
c.For household head/member who has a master degree attending/has attended S3 program,use code 7.
d.For household head/member who has attended/is stillatending the highest level/class of S1 program,use code 5.
Graduated means has completed the study marked with passing the final exams in the last class/level of an education in a public or private school and received a certificate/diploma. A household head/member who has not attended the last level of education program but has passed the final exams is considered graduate.
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Highest diploma obtained:
Circle one of the codes from 1 to 15 and enter the answer into the box provided.
For household member age five years up
66407
237
9
2.523
1
No elementary diploma
2
Elementary/MI
3
Junior High/equal
4
Senior High/equal
5
Vocational junior high
6
Diploma I/II
7
Diploma III
8
Diploma IV/S1
9
S2/S3
Sysmiss
No elementary school diploma means that the household/member does not possessed certificate for a certain educational level, but has to attended to Elementary School of 5/6/7 year study or equivalent(among others are basic level of SLB,Madrasah Ibtidaiyah,Pamong Elementary School,Smal Elementary School,Package A1-A100,Package a Equivalent) but did not/has not yet graduate.This include household/member who graduated 3-year elementary school or equivalent.
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Can read and write:
Circle one of the code 1 to code 4 and enter the answer into the provided box.
For household member age five years up
66419
225
3
1.216
1
Latin alphabets
2
Other alphabets
3
Cannot
Sysmiss
Can read and write means able to read and write words/simple sentences in certain letters, e.g. "I must be honest."
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Activities in past one week - work
Did you perform the following activity in the past one week? a. work
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
66419
225
2
1.383
1
Yes
2
No
Sysmiss
Working is an activity of doing work with the intention to earn or help earning a living or profit,minimum for one hour in the last one week. Working for one hour as mentioned above should be done continuously and uninterrupted. Income includes wages/salary,including all the benefits and bonus for worker/employee and business income in the form of rents or profits,whether in cash or goods for businessmen.
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Activities in past one week - attending school
Did you perform the following activity in the past one week? b. attending school
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
66419
225
2
1.935
1
Yes
2
No
Sysmiss
Going to school is an activity at a formal school,whether in primary,secondary,or higher education.Students on leave are not included.
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Activities in past one week - handling household
Did you perform the following activity in the past one week? c. handling household
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
66419
225
2
1.51
1
Yes
2
No
Sysmiss
Handling household is an activities of managing the household or helping to manage the household without getting paid.
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Activities in past one week - other beside personal activity
Did you perform the following activity in the past one week? d. other beside personal activity
Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided.
For household member age 10 years up
66419
225
1
1
1
Yes
2
No
Sysmiss
Other activities include: sports, course, picnic and social activities (organization, volunteering)
Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore.
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
What activity used the most time in the past one week?
If b5r24a1- 4 with code 1 (“Yes”)
What activity used the most time in the past one week?
If b5r24a1 is coded 1, skip to b5r26.
B5r24a with code 1 (“Yes”) – ask what activity is the most time consuming in the last one week, circle one of the codes and enter the number into the box provided.
For household member age 10 years up
66419
225
4
1.917
1
Work
2
School
3
Handling Household
4
Other
Sysmiss
The most time consuming activity is an activity that uses up most time in comparison with other activities.
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Do you have work/business, but temporarily not working for the past one week?
Circle code 1 for “Yes” or code 2 for “No”, then enter the answer into the provided box.
For household member age 10 years up
66277
367
2
0.747
1
Yes
2
No
Sysmiss
Those who are categorized as have jobs but temporarily do not work are:
1.Professional workers who do not work because of sickness waiting for the next projects.Examples: Puppet master,masseur/se,shaman and singer.
2.Regular employees,government officials or employees of private companies who are ill,on leave,absent,on strike or temporarily laid off because the company stopped operating,for example a factory having machine malfunction,or lack of raw material,etc.
3.Farmer who works on farm land,stops working because of an illness or waiting for the next job such as harvest or rainy season to start planting paddy field.
Those who are categorized as having jobs but temporarily do not work are people who work/have businesses but for the last one week stop working for a reason,such as sick,on leave,waiting for harvesting,or on a strike.
Are you looking for work?
Are you looking for work?
Are you looking for work?
Are you looking for work?
Are you looking for work?
For household member age 10 years up
66419
225
2
1.93
1
Yes
2
No
Sysmiss
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
Are you preparing a business during the past one week?
For household member age 10 years up
66419
225
2
1.985
1
Yes
2
No
Sysmiss
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
Main reason of not looking for work/preparing business:
If b5r26 = 2 and b5r27 = 2
For household member age 10 years up
66397
247
5
3.019
1
Feel unable to obtain work
2
Have work, but not yet started
3
In school or handling household/family
4
Have work/business, feel sufficient
5
Other (disabled, old, and the like)
Sysmiss
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If there is a job offer, will you accept it?
If b5r26 = 2 and b5r27 = 2
For household member age 10 years up
66397
247
2
1.575
1
2
Sysmiss
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Total work day: (days)
Write down the total working days for the last one week according to the number of days spent for work and enter it in the box provided.
For working household member
66259
385
7
3.709
1
2
3
4
5
6
7
Sysmiss
Working days means days spent by a person to carry out working activities at a minimum of one (1) hour continuously in the last one week.
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Total work hour from all jobs in the past one week: (hours)
Write down the total working hours in the last one week and enter it in the box provided.
For working household member
66259
385
98
24.455
Total working hours is the time (in hour) spent to do all the working activities in the last one week. If respondent is temporary out of work, write down "00"
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Write down completely the main business/job from workplace in the empty space provided.
For working household member
66259
385
970
182.849
1
7
9
11
12
13
14
15
19
20
21
30
50
55
56
90
100
101
102
110
111
112
113
122
123
131
132
133
141
142
151
152
153
154
155
160
164
171
172
173
174
180
181
182
189
191
192
200
201
202
204
210
221
222
223
231
232
241
242
243
250
251
252
253
256
260
261
262
263
264
265
266
269
271
272
273
275
281
282
289
291
292
293
300
302
303
310
311
313
314
315
319
321
322
323
331
332
333
341
342
343
351
353
359
361
369
371
372
401
402
410
423
425
430
434
450
451
452
453
454
455
456
470
475
501
502
503
504
505
510
511
512
513
514
515
519
520
521
522
523
524
525
526
527
528
530
532
533
535
539
542
543
549
551
552
554
557
561
564
600
601
602
603
604
605
607
611
612
621
622
623
624
625
626
630
631
632
633
634
635
636
639
641
642
650
651
655
659
660
662
671
672
701
702
703
711
712
713
715
716
717
721
723
724
725
729
731
735
739
741
742
743
744
749
750
751
752
753
755
756
757
769
771
800
801
802
803
804
806
809
810
820
842
850
851
852
853
854
856
893
900
901
909
911
912
919
921
922
923
924
927
930
931
936
950
951
960
970
Sysmiss
Business sector/type of work is the sector of activity of work/company/business where the household head/member works.
How to determine the main work:
1.If a household head/member in the last one week only has only one work,than it is considered the main work.
2.If a household head/member in the last one week has more than one work,the main work is the one that consumes the most time. If the time spent to do those works are the same,than the work that produces the largest income is considered the main work.
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Type of work/position of the main job in the past one week:
Write down completely type of work/position of the main job in the empty space provided.
For working household member
66259
385
999
390.194
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
1. If the answer is coded 1,2,3,5,6, or 7 skip to Block V.E., and
2. If the answer is coded 4 skip to b5r34.
Circle one of the code 1 to code 7 and enter the answer into the provided box.
For working household member
66259
385
7
2.127
1
Self-owned business/freelance
2
Self-owned business with non-permanent/non-paid worker
3
Self-owned business with permanent/paid worker
4
Worker/employee/staff
5
Freelancer in agricultural sector
6
Freelancer in non-agricultural sector
7
Non-paid worker
Sysmiss
Status/work position is the household head/member position at main job.
1. Self-owned business/freelance is a household head/member who works/owns business by taking economical risk, that may result in the lost of production cost that has been spent in doing the business, and does not employ any worker whether paid or unpaid. Included in this category are works that required special skill/talent.
2. Self-owned business with non-permanent/non-paid worker is a household head/member who works or owns a business on his own risk, and hires unpaid labor/employee/staff and or employs fee labor/employee/staff.
3. Self-owned business with permanent/paid worker is a household head/member who opens a business at his own risk and employs at lease one paid labor/employee/staff.
4. Worker/employee/staff is a household head/member whow works for other people or institutions/ office/company and regularly receives wages/salaries in the form of money or goods (in-kind)
5. Freelancer is a household head/member who works irregularly for other people/employer/institution, who has more than one employer in the last one month in a household business or non-household business based on a reward system by receiving wages or compensation both in the form of money or in-kind, whether paid daily or per project.
6. Non-paid worker is a household member who works to help household head/member/other people without getting paid, whether in the form of money or goods.
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
The amount of net wage/salary (money and goods) generally received in a month from the main job - rupiah
Write down the income in the space provided and enter into the box provided.
For working household member
62589
4055
998350
73098.036
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
First marriage at age: (Years)
Fill in respondent’s age at first marriage in the provided space and write it down in the box. The formula to calculate the respondent's age at first marriage is the same as the formula to count respondent's age.
For women age 10 years and up - women who once married
66185
459
60
8.055
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Number of years in marriage: (years)
Ask how long the respondent has been married. If there were more than one marriage, please add the number of years of the entire wedlocks made. Rounded it down. For those who got pregnant out of wedlock enter code "00".
For women age 10 years and up - women who once married
66185
459
81
7.975
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
Ever use/wear family planning tool/device/method?
If the answer is coded 2 skip to other household member.
For women age 10 years and up - women who once married
66185
459
2
0.593
1
Yes
2
No
Sysmiss
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
The use/wearing of family planning device/method?
If the answer is no longer use it or never use it , skip to other household member
Circle the contraception/birth control (KB) code according to the respondent’s answer, enter it in the box provided. If using more than one type of contraception, please record only the type currently used. Generally,the reference time for various birth controls used is 30 days.
For women age 10 years and up - Women with married status
66152
492
2
0.272
1
Yes
2
No
Sysmiss
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
The selected family planning device/method:
Continue to other household member.
If respondent uses more than one type of contraception (to meet the concept of contraception usage), then write down the type with the smallest code number.
For women age 10 years and up - Women with married status
66146
498
9
0.725
1
Women/tubectomy
2
Men/vasectomy
3
IUD/spiral
4
Injection
5
Implant/norplant
6
Birth control pill
7
Condom/rubber
8
Intravag/tissue/women condom
9
Traditional method
Sysmiss
1. MOW/Medis Operasi Wanita (woman medical surgery)/tubectomy (woman sterilization) is a surgery performed on female household head/member by having her fallopian tubes closed to prevent pregnancy. Please emphasize that the goal is to prevent future pregnancies.
2. MOP/Medis Operasi Pria (man medical surgery)/vasectomy (man sterilization) is a minor surgery performed on male household head/member to prevent his spouse from being pregnant.
3. AKDR/Alat Kontrasepsi Dalam Rahim (IUD/Intra Uterus Device) is a device made of soft plastic/copper,small in size,in the forms of spiral,T,fan,etc. installed inside the womb/uterus to prevent pregnancy. This device functions as pregnancy prevention for a long period of time.
4. KB Injection is one of ways to prevent pregnancy by injecting contraceptive substance periodically,e.g. once in one,three,or six months.
5. Susuk KB/norplant/implanon/alwalit (Contraceptive Skin Implant)-are six small metals to be implanted/injected under the skin of the upper arm to prevent pregnancy. A household head/member is considered using susuk KB if she had the implant less than five(5) years ago prior to the date of census. This includes under the skin injection(implant).
6. KB Pills are pills that are taken to prevent pregnancy. These pills should be taken regularly.
7. Condom/KB rubber is a device made of rubber,in a balloon-like shape,used by male household head/member while having sexual intercourse in order to prevent the spouse from getting pregnant.
8. Intravag/tissue/woman’s condom is a KB tissue positioned inside the vagina before having sexual intercourse. Reference time for this device is up to the last intercourse within 30 days before the interview.
9. Traditional method:
a.Periodic abstinence/calendar method is based on the assumption that by not having sexual intercourse in a certain days of the month,which is during fertile period in monthly cycle,a woman could prevent pregnancy.
b.Coitus interruptus is a method to prevent semen from entering vagina by interrupting intercourse before ejaculation. The refference time for this method is the last intercourse within 30 days.
c.Other traditional methods such as breastfeeding for the purpose of birth control,abstinence,traditional herbs (jamu),and massage.
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
Serial number of household members
66419
225
1
13
1.884
1
2
3
4
5
6
7
8
9
10
11
12
13
Sysmiss
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Relation with the head of household
Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided.
66419
225
1
9
1.951
1
Head of household
2
Wife/husband
3
Child
4
In-law
5
Grandchild
6
Parent/in-law
7
Other family
8
Housemaid
9
Other
Sysmiss
1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head).
2. Wife/husband, is the wife/husband of the head of household.
3. Children, includes biological children, stepchildren, and adopted children of the head of household.
4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons.
5. Grandchildren, are the children of biological children, step children, or adopted children.
6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household.
7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents.
8. Household helpers, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment.
9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house.
Gender
Gender
Gender
Gender
Gender
Gender
Write down the gender of each household member in the provided box, code 1 for “Male” and code 2 for “Female”. Do not guess people’s gender based on their names. To make sure, please ask if the person in question is a male or a female.
66419
225
1
2
1.493
1
Male
2
Female
Sysmiss
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Age (year)
Ask the respondent's age and enter the answer into the box. Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
66419
225
2
98
38.138
Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar.
Marital status
Marital status
Marital status
Marital status
Marital status
Marital status
Ask marital status of the respondent and enter the code into the box provided.
66419
225
1
4
1.998
1
Not married
2
Married
3
Divorce
4
Divorce due to death
Sysmiss
1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society.
2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet.
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Perform “tour”* trip? (Oct 1 – Dec 31, 2003)
Fill in code 1 for “Yes” or code 2 for “No” into the provided boxes.
66419
225
1
2
1.857
1
Yes
2
No
Sysmiss
“Tour” trip: trip to commercial tourist destinations, or stay in commercial accommodation, or trip distance = 100 Km (return).
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Travel frequency in the past 3 calendar months?
Fill in the travel frequency (times) for each household members who travel in the past 3 calendar months. Write down “00” if the related household member do not travel.
66227
417
41
0.233
One time travel/journey is calculated since leaving home and return back to the initial place. Travel/journey that has not been completed (the person has not returned to the initial place), is not considered as traveling.
Travelling household member: trip to commercial tourist destinations, or stay in commercial accommodation, and or trip distance = 100 Km (return), excluding commuter, school and work.
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Ever/ on pre-school education?
Write down the appropriate code for family members aged 0-6 regarding their participation in pre-school education.
Household member age 0-6 years
66116
528
4
0.000635
1
Yes, kindergarten/RA/RB
2
Yes, playgroup
3
Yes, daycare
4
No
Sysmiss
Yes, once , if they have attended pre-school education and at the moment has finished/completed/not active anymore.
Yes, currently on, if at the moment the respondent is still actively attending a pre-school education.
No, if the respondent never attended a pre-school education.
Attended preschool education means enrolled in and actively attending education in kindergarten (TK)/Bustanul Athfal (BA), Raudatul Athfal (RA), play group, day-care center, Early Age Children Education (PAUD) and other institution.
District Id
District Id
District Id
District Id
District Id
66419
225
1101
9472
3924.175
Participant education:
Participant education:
Participant education:
Participant education:
Participant education:
66116
528
5
4.397
1
2
3
4
5
Sysmiss
HH
HH
HH
HH
HH
66116
528
5
1.942
1
2
3
4
5
Sysmiss
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
Has birth certificate (not birth statement), can I see it?
66116
528
2
1.296
1
2
Sysmiss
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
How many times became outpatient in the past one month?
66116
528
30
0.198
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
Main business/job from workplace in the past one week:
42193
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
18
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
Position/status of the main job in the past one week:
42193
01
02
03
04
05
06
07
08
09
10
11
When did you quit school?
When did you quit school?
When did you quit school?
When did you quit school?
When did you quit school?
66116
528
Sysmiss
Individual weight
Individual weight
Individual weight
Individual weight
Individual weight
66644
745
4004
2292.613
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
66644
1
2
1.554
1
Urban
2
Rural
Number
Number
Number
Number
Number
66644
1
1
1
1
How long the numbness last?
How long the numbness last?
How long the numbness last?
How long the numbness last?
How long the numbness last?
12431
54213
1
1
1
1
Sysmiss
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
How many cigarettes smoked every day? (cigarettes)
18552
48092
1
6
2.826
1
<4
2
5-9
3
10-14
4
15-19
5
20-24
6
>= 25
Sysmiss
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
At what age (name) started to smoke every day? (years old)
18552
48092
1
6
3.587
1
5-9
2
10-14
3
15-19
4
20-24
5
25-29
6
>=30
Sysmiss
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
At what age (name) smoke for the first time? (years old)
25275
41369
1
6
3.142
1
5-9
2
10-14
3
15-19
4
20-24
5
25-29
6
>=30
Sysmiss
Province
Province
Province
Province
Province
Province
Write down the name province in the space provided and add the related code referred to in the box provided.
66755
11
94
38.995
11
Nanggroe Aceh Darussalam
12
North Sumatera
13
West Sumatera
14
Riau
15
Jambi
16
South Sumatera
17
Bengkulu
18
Lampung
19
Bangka Belitung
21
Riau Island
31
DKI Jakarta
32
West Java
33
Central Java
34
DI Yogyakarta
35
East Java
36
Banten
51
Bali
52
West Nusa Tenggara
53
East Nusa Tenggara
61
West Kalimantan
62
Central Kalimantan
63
South Kalimantan
64
East Kalimantan
71
North Sulawesi
72
Central Sulawesi
73
South Sulawesi
74
Southeast Sulawesi
75
Gorontalo
76
West Sulawesi
81
Maluku
82
North Maluku
91
West Irian Jaya
94
Papua
District/City
District/City
District/City
District/City
District/City
District/City
Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided.
66755
1
79
23.118
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Sub-district
Write down the name subdistrict in the space provided and add the related code referred to in the box provided.
66755
10
740
76.046
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Village/kelurahan
Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided.
66755
1
111
8.517
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Village/kelurahan classification
Circle the answered code, then write it down in the box provided.
66755
1
2
1.554
1
Urban
2
Rural
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Sample code number
Write down the sample code number into the box provided.
66755
1001
2542
1244.585
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Household sample sequential number
Write down the household sample sequential number into the box provided.
66755
16
8.5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
Total household members (HM)
66755
1
15
4.007
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total toddlers
Total toddlers
Total toddlers
Total toddlers
Total toddlers
Total toddlers
66755
5
0.384
1
2
3
4
5
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
66755
99999
29259.84
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
66755
1
4
3.424
1
2
3
4
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
66755
99999
14543.47
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
66755
1
4
2.115
1
2
3
4
Residential building control status
Residential building control status
Residential building control status
Residential building control status
Residential building control status
Residential building control status (in line with VSEN2004.K, Block VI.R.1)
If m5r1 = 4 to 7, go to m5r4.
66755
1
7
1.699
1
Owned
2
Lease
3
Rent
4
Rent free
5
Official house
6
Owned by other people/child/family
7
Other
Lease amount per year: (Rp)
Lease amount per year: (Rp)
Lease amount per year: (Rp)
Lease amount per year: (Rp)
Lease amount per year: (Rp)
If lease (m5r1=2)
Lease amount per year: (Rp)
3030
63725
15000
99999999
1822459.571
Rent amount per month: (Rp)
Rent amount per month: (Rp)
Rent amount per month: (Rp)
Rent amount per month: (Rp)
Rent amount per month: (Rp)
If rent (m5r1=3)
Rent amount per month: (Rp)
2562
64193
5000
833000
128845.911
How was the building obtained?
How was the building obtained?
How was the building obtained?
How was the building obtained?
How was the building obtained?
If owned (m5r1=1)
How was the building obtained?
52776
13979
1
7
5.111
1
Purchased from developer (national housing, real estate)
2
Purchased from cooperatives/Foundation
3
Purchased new from individual
4
Purchase not new
5
Self-construction
6
Administrative allocation (official house etc.)
7
Other (heritage,grant, etc.)
Sysmiss
What was the payment method?
What was the payment method?
What was the payment method?
What was the payment method?
What was the payment method?
If m5r3a = 1, 2, 3 or 4
What was the payment method?
6576
60179
1
4
1.441
1
Cash
2
Public housing loan (KPR)
3
Non-public housing loan
4
Other
Sysmiss
How long is the credit period? (years)
How long is the credit period? (years)
How long is the credit period? (years)
How long is the credit period? (years)
How long is the credit period? (years)
If using KPR (m5r3b = 2)
How long is the credit period? (years)
1289
65466
1
99
12.908
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
21
22
25
32
42
52
99
Sysmiss
Method of purchasing land:
Method of purchasing land:
Method of purchasing land:
Method of purchasing land:
Method of purchasing land:
Method of purchasing land:
52776
13979
1
9
2.638
1
Purchase along with house
2
Purchase just land
3
Heritage/grant
4
Rent
5
On other people land
6
Other
9
Sysmiss
Land legal evidence
Land legal evidence
Land legal evidence
Land legal evidence
Land legal evidence
Land legal evidence
52776
13979
1
9
2.847
1
Certificate from National Land Agency (BPN)
2
Sell deed
3
Girik(uncertified)
4
Other
5
No evidence
9
Sysmiss
The land legal status:
The land legal status:
The land legal status:
The land legal status:
The land legal status:
If certificate (m5r3e.=1)
The land legal status:
14858
51897
1
3
1.078
1
Owner rights
2
Building User Rights
3
Use rights
Sysmiss
Is the residential building constructed by yourself or by constructed by mutual aid?
Is the residential building constructed by yourself or by constructed by mutual aid?
Is the residential building constructed by yourself or by constructed by mutual aid?
Is the residential building constructed by yourself or by constructed by mutual aid?
Is the residential building constructed by yourself or by constructed by mutual aid?
If m5r3a = 5
Is the residential building constructed by yourself or by constructed by mutual aid?
36658
30097
1
2
1.681
1
Yes
2
No
Sysmiss
How long have you live in the house/residence?
How long have you live in the house/residence?
How long have you live in the house/residence?
How long have you live in the house/residence?
How long have you live in the house/residence?
How long have you live in the house/residence?
66755
1
4
3.5
1
< 1 year
2
1-3 years
3
4-5 years
4
> 5 years
Do you have your own house?
Do you have your own house?
Do you have your own house?
Do you have your own house?
Do you have your own house?
If the residential place status is not personally owned (m5r1 not equal to 1)
Do you have your own house?
13979
52776
1
2
1.861
1
ya
2
tidak
Sysmiss
Is there any plan for the next 3 years?
Is there any plan for the next 3 years?
Is there any plan for the next 3 years?
Is there any plan for the next 3 years?
Is there any plan for the next 3 years?
If have no house (m5r5=2)
Is there any plan for the next 3 years?
12038
54717
1
6
5.132
1
Purchase house through KPR housing loan
2
Purchase house through non-KPR housing loan
3
Purchase house by cash
4
Build their own house
5
Lease/rent
6
No plan
Sysmiss
Kind of building:
Kind of building:
Kind of building:
Kind of building:
Kind of building:
Kind of building:
66755
1
3
1.139
1
Regular house
2
House on stilts
3
Floating house
Type of building:
Type of building:
Type of building:
Type of building:
Type of building:
Type of building:
66719
36
1
6
1.295
1
Single one floor
2
Single multiple floors
3
Coupled one floor
4
Coupled multiple floors
5
Many coupled one floor
6
Many coupled multiple floors/cheap flat
Sysmiss
Building function
Building function
Building function
Building function
Building function
Building function
66719
36
1
2
1.058
1
Regular residence
2
Mixed residence
Sysmiss
Plot area: (square meters)
Plot area: (square meters)
Plot area: (square meters)
Plot area: (square meters)
Plot area: (square meters)
Plot area: (square meters)
66719
36
2
999
210.337
Building area: (square meters)
Building area: (square meters)
Building area: (square meters)
Building area: (square meters)
Building area: (square meters)
If m5r7 = 1
Building area: (square meters)
57510
9245
3
999
73.593
Type of ceiling (mostly used)
Type of ceiling (mostly used)
Type of ceiling (mostly used)
Type of ceiling (mostly used)
Type of ceiling (mostly used)
Type of ceiling (mostly used)
66755
1
6
4.127
1
Gypsum
2
Plywood
3
Asbestos
4
Plait/bamboo
5
Other
6
None
Building condition
Building condition
Building condition
Building condition
Building condition
Building condition
66755
1
4
1.577
1
Good
2
Fair
3
Damaged
4
Heavily damaged
Number of room: (rooms)
Number of room: (rooms)
Number of room: (rooms)
Number of room: (rooms)
Number of room: (rooms)
Number of room: (rooms)
66755
1
99
4.286
Total - bedroom
Total - bedroom
Total - bedroom
Total - bedroom
Total - bedroom
Room condition according to function - Total: 1. Bedroom
66755
9
2.152
1
2
3
4
5
6
7
8
9
Mostly ventilated - bedroom
Mostly ventilated - bedroom
Mostly ventilated - bedroom
Mostly ventilated - bedroom
Mostly ventilated - bedroom
Room condition according to function - Mostly ventilated: 1. Bedroom
64610
2145
1
2
1.106
1
Yes
2
No
Sysmiss
Sufficient natural light - bedroom
Sufficient natural light - bedroom
Sufficient natural light - bedroom
Sufficient natural light - bedroom
Sufficient natural light - bedroom
Room condition according to function - Sufficient natural light: 1. Bedroom
64610
2145
1
2
1.099
1
Yes
2
No
Sysmiss
Total - living room
Total - living room
Total - living room
Total - living room
Total - living room
Room condition according to function - Total: 2. Living room
66755
4
0.298
1
2
3
4
Mostly ventilated - living room
Mostly ventilated - living room
Mostly ventilated - living room
Mostly ventilated - living room
Mostly ventilated - living room
Room condition according to function - Mostly ventilated: 2. Living room
19419
47336
1
2
1.083
1
Yes
2
No
Sysmiss
Sufficient natural light - living room
Sufficient natural light - living room
Sufficient natural light - living room
Sufficient natural light - living room
Sufficient natural light - living room
Room condition according to function - Sufficient natural light: 2. Living room
19419
47336
1
2
1.078
1
Yes
2
No
Sysmiss
Total - parlor
Total - parlor
Total - parlor
Total - parlor
Total - parlor
Room condition according to function - Total: 3. Parlor
66755
3
0.671
1
2
3
Mostly ventilated - parlor
Mostly ventilated - parlor
Mostly ventilated - parlor
Mostly ventilated - parlor
Mostly ventilated - parlor
Room condition according to function - Mostly ventilated: 3. Parlor
44430
22325
1
2
1.046
1
Yes
2
No
Sysmiss
Sufficient natural light - parlor
Sufficient natural light - parlor
Sufficient natural light - parlor
Sufficient natural light - parlor
Sufficient natural light - parlor
Room condition according to function - Sufficient natural light: 3. Parlor
44430
22325
1
2
1.036
1
Yes
2
No
Sysmiss
Total - dining room
Total - dining room
Total - dining room
Total - dining room
Total - dining room
Room condition according to function - Total: 4. Dining room
66755
3
0.245
1
2
3
Mostly ventilated - dining room
Mostly ventilated - dining room
Mostly ventilated - dining room
Mostly ventilated - dining room
Mostly ventilated - dining room
Room condition according to function - Mostly ventilated: 4. Dining room
16088
50667
1
2
1.113
1
Yes
2
No
Sysmiss
Sufficient natural light - dining room
Sufficient natural light - dining room
Sufficient natural light - dining room
Sufficient natural light - dining room
Sufficient natural light - dining room
Room condition according to function - Sufficient natural light: 4. Dining room
16088
50667
1
2
1.096
1
Yes
2
No
Sysmiss
Total - mixed-use room
Total - mixed-use room
Total - mixed-use room
Total - mixed-use room
Total - mixed-use room
Room condition according to function - Total: 5. Mixed-use room
66755
8
0.675
1
2
3
4
8
Mostly ventilated - mixed-use room
Mostly ventilated - mixed-use room
Mostly ventilated - mixed-use room
Mostly ventilated - mixed-use room
Mostly ventilated - mixed-use room
Room condition according to function - Mostly ventilated: 5. Mixed-use room
43561
23194
1
2
1.105
1
Yes
2
No
Sysmiss
Sufficient natural light - mixed-use room
Sufficient natural light - mixed-use room
Sufficient natural light - mixed-use room
Sufficient natural light - mixed-use room
Sufficient natural light - mixed-use room
Room condition according to function - Sufficient natural light: 5. Mixed-use room
43561
23194
1
2
1.094
1
Yes
2
No
Sysmiss
Total - kitchen
Total - kitchen
Total - kitchen
Total - kitchen
Total - kitchen
Room condition according to function - Total: 6. Kitchen
66755
7
0.925
1
2
3
4
5
7
Mostly ventilated - kitchen
Mostly ventilated - kitchen
Mostly ventilated - kitchen
Mostly ventilated - kitchen
Mostly ventilated - kitchen
Room condition according to function - Mostly ventilated: 6. Kitchen
61535
5220
1
2
1.118
1
Yes
2
No
Sysmiss
Sufficient natural light - kitchen
Sufficient natural light - kitchen
Sufficient natural light - kitchen
Sufficient natural light - kitchen
Sufficient natural light - kitchen
Room condition according to function - Sufficient natural light: 6. Kitchen
61535
5220
1
2
1.094
1
Yes
2
No
Sysmiss
Has bathroom?
Has bathroom?
Has bathroom?
Has bathroom?
Has bathroom?
Has bathroom?
66755
1
2
1.351
1
Yes
2
No
Total time required to obtain drinking/clean water
Total time required to obtain drinking/clean water
Total time required to obtain drinking/clean water
Total time required to obtain drinking/clean water
Total time required to obtain drinking/clean water
Total time required to obtain drinking/clean water
66755
1
5
1.388
1
< 5 minutes
2
5-29 minutes
3
30-59 minutes
4
60-89 minutes
5
>= 90 minutes
Drinking water - clear/limpid
Drinking water - clear/limpid
Drinking water - clear/limpid
Drinking water - clear/limpid
Drinking water - clear/limpid
Drinking water quality: a. Clear/limpid
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66755
1
2
1.034
1
Yes
2
No
Drinking water - colored/not clear
Drinking water - colored/not clear
Drinking water - colored/not clear
Drinking water - colored/not clear
Drinking water - colored/not clear
Drinking water quality: b. Colored/not clear
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66755
1
2
1.96
1
Yes
2
No
Drinking water - bad taste
Drinking water - bad taste
Drinking water - bad taste
Drinking water - bad taste
Drinking water - bad taste
Drinking water quality: c. Bad taste
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66755
1
2
1.977
1
Yes
2
No
Drinking water - foamy
Drinking water - foamy
Drinking water - foamy
Drinking water - foamy
Drinking water - foamy
Drinking water quality: d. Foamy
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66755
1
2
1.993
1
Yes
2
No
Drinking water - bad odor
Drinking water - bad odor
Drinking water - bad odor
Drinking water - bad odor
Drinking water - bad odor
Drinking water quality: e. Bad odor
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66755
1
2
1.987
1
Yes
2
No
Is water available in the household, no less than 20 liters per household member per day for bath, wash, drink and cooking?
Is water available in the household, no less than 20 liters per household member per day for bath, wash, drink and cooking?
Is water available in the household, no less than 20 liters per household member per day for bath, wash, drink and cooking?
Is water available in the household, no less than 20 liters per household member per day for bath, wash, drink and cooking?
Is water available in the household, no less than 20 liters per household member per day for bath, wash, drink and cooking?
Is water available in the household, no less than 20 liters per household member per day for bath, wash, drink and cooking?
66755
1
2
1.143
1
Yes
2
No
Is the household use wood as fuel in the past month?
Is the household use wood as fuel in the past month?
Is the household use wood as fuel in the past month?
Is the household use wood as fuel in the past month?
Is the household use wood as fuel in the past month?
Is the household use wood as fuel in the past month?
66755
1
2
1.534
1
Yes
2
No
Since when the household use wood as fuel? (Month)
Since when the household use wood as fuel? (Month)
Since when the household use wood as fuel? (Month)
Since when the household use wood as fuel? (Month)
Since when the household use wood as fuel? (Month)
Since when the household use wood as fuel? (Month)
31109
35646
1
12
3.663
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Since when the household use wood as fuel? (Year)
Since when the household use wood as fuel? (Year)
Since when the household use wood as fuel? (Year)
Since when the household use wood as fuel? (Year)
Since when the household use wood as fuel? (Year)
Since when the household use wood as fuel? (Year)
31109
35646
1917
2004
1980.99
Method to obtain wood for fuel:
Method to obtain wood for fuel:
Method to obtain wood for fuel:
Method to obtain wood for fuel:
Method to obtain wood for fuel:
Method to obtain wood for fuel:
31109
35646
1
15
2.487
1
Buy
2
Go looking
3
Buy and go looking
4
Given
5
Buy and given
6
Go looking and given
7
Buy, go looking and given
8
Other
9
Buy and other
10
Go looking and other
11
Buy, go looking and other
12
Given and other
13
Buy, given and other
14
Go looking, given and other
15
Buy, go looking, given and other
Sysmiss
Is the household planning to replace wood with other type of fuel?
Is the household planning to replace wood with other type of fuel?
Is the household planning to replace wood with other type of fuel?
Is the household planning to replace wood with other type of fuel?
Is the household planning to replace wood with other type of fuel?
Is the household planning to replace wood with other type of fuel?
31109
35646
1
2
1.72
1
Yes
2
No
Sysmiss
Type of replacement fuel:
Type of replacement fuel:
Type of replacement fuel:
Type of replacement fuel:
Type of replacement fuel:
If m516a = 1
Type of replacement fuel:
8712
58043
1
5
2.752
1
Electricity
2
Gas/LPG
3
Kerosene
4
Wood/shell charcoal
5
Other
Sysmiss
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting (in line with VSEN2004.K, Block VI R.11):
66755
1
2
1.189
1
PLN Electricity
2
Other than PLN
How much is the installed capacity?
How much is the installed capacity?
How much is the installed capacity?
How much is the installed capacity?
How much is the installed capacity?
If source of lighting is from PLN electricity (m5r17a = 1)
How much is the installed capacity?
54161
12594
1
6
1.887
1
450 watt
2
900 watt
3
1,300 watt
4
2,200 watt
5
> 2,200 watt
6
Without indicator
Sysmiss
Owned - gas stove
Owned - gas stove
Owned - gas stove
Owned - gas stove
Owned - gas stove
Goods owned by the household: a. Gas stove
66755
1
2
1.852
1
Yes
2
No
Owned - radio/tape
Owned - radio/tape
Owned - radio/tape
Owned - radio/tape
Owned - radio/tape
Goods owned by the household: b. Radio/tape
66755
1
2
1.32
1
Yes
2
No
Owned - television/video
Owned - television/video
Owned - television/video
Owned - television/video
Owned - television/video
Goods owned by the household: c. Television/video
66755
1
2
1.367
1
Yes
2
No
Owned - refrigerator
Owned - refrigerator
Owned - refrigerator
Owned - refrigerator
Owned - refrigerator
Goods owned by the household: d. Refrigerator
66755
1
2
1.801
1
Yes
2
No
Owned - telephone/cellphone
Owned - telephone/cellphone
Owned - telephone/cellphone
Owned - telephone/cellphone
Owned - telephone/cellphone
Goods owned by the household: e. Telephone/cellphone
66755
1
2
1.845
1
Yes
2
No
Owned - computer
Owned - computer
Owned - computer
Owned - computer
Owned - computer
Goods owned by the household: f. Computer
66755
1
2
1.969
1
Yes
2
No
Owned - motorcycle/outboard motor boat
Owned - motorcycle/outboard motor boat
Owned - motorcycle/outboard motor boat
Owned - motorcycle/outboard motor boat
Owned - motorcycle/outboard motor boat
Goods owned by the household: g. Motorcycle/outboard motor boat
66755
1
2
1.718
1
Yes
2
No
Owned - car/motorboat
Owned - car/motorboat
Owned - car/motorboat
Owned - car/motorboat
Owned - car/motorboat
Goods owned by the household: h. Car/motorboat
66755
1
2
1.953
1
Yes
2
No
Owned - parabolic antennae
Owned - parabolic antennae
Owned - parabolic antennae
Owned - parabolic antennae
Owned - parabolic antennae
Goods owned by the household: i. Parabolic antennae
66755
1
2
1.948
1
Yes
2
No
Location of house/residential building
Location of house/residential building
Location of house/residential building
Location of house/residential building
Location of house/residential building
Location of house/residential building
66755
1
3
2.087
1
New residential area
2
Old residential area
3
Other
Is the house located on riverbank/on river/lake/ocean?
Is the house located on riverbank/on river/lake/ocean?
Is the house located on riverbank/on river/lake/ocean?
Is the house located on riverbank/on river/lake/ocean?
Is the house located on riverbank/on river/lake/ocean?
Is the house located on riverbank/on river/lake/ocean?
66755
1
2
1.918
1
Yes
2
No
Is the house located on the edge of forest/in forest?
Is the house located on the edge of forest/in forest?
Is the house located on the edge of forest/in forest?
Is the house located on the edge of forest/in forest?
Is the house located on the edge of forest/in forest?
Is the house located on the edge of forest/in forest?
66755
1
2
1.929
1
Yes
2
No
Is the house located on disaster-prone area?
Is the house located on disaster-prone area?
Is the house located on disaster-prone area?
Is the house located on disaster-prone area?
Is the house located on disaster-prone area?
Is the house located on disaster-prone area?
66755
1
2
1.915
1
Yes
2
No
Type of disaster that occurred the most:
Type of disaster that occurred the most:
Type of disaster that occurred the most:
Type of disaster that occurred the most:
Type of disaster that occurred the most:
If m5r20c = 1
Type of disaster that occurred the most:
5670
61085
1
7
1.962
1
Flood
2
Landslide
3
Fire
4
Earthquake
5
Tornado/tsunami
6
Volcano eruption
7
Other
Sysmiss
Is the house located on roadside/in alley/lane?
Is the house located on roadside/in alley/lane?
Is the house located on roadside/in alley/lane?
Is the house located on roadside/in alley/lane?
Is the house located on roadside/in alley/lane?
Is the house located on roadside/in alley/lane?
66755
1
2
1.215
1
Yes
2
No
Width of road/alley/lane: (meter)
Width of road/alley/lane: (meter)
Width of road/alley/lane: (meter)
Width of road/alley/lane: (meter)
Width of road/alley/lane: (meter)
Width of road/alley/lane: (meter)
52391
14364
9
3.39
1
2
3
4
5
6
7
8
9
Sysmiss
Type of ground surface of road/alley/lane
Type of ground surface of road/alley/lane
Type of ground surface of road/alley/lane
Type of ground surface of road/alley/lane
Type of ground surface of road/alley/lane
Type of ground surface of road/alley/lane
52391
14364
1
6
2.649
1
Asphalt
2
Cement/conblock
3
Gravel/hardened
4
Wood/bamboo
5
Soil/sand
6
Other
Sysmiss
Any electric street lamp in your neighborhood?
Any electric street lamp in your neighborhood?
Any electric street lamp in your neighborhood?
Any electric street lamp in your neighborhood?
Any electric street lamp in your neighborhood?
Any electric street lamp in your neighborhood?
66755
1
2
1.485
1
Yes
2
No
Container/tank for wastewater from bath/kitchen/wash:
Container/tank for wastewater from bath/kitchen/wash:
Container/tank for wastewater from bath/kitchen/wash:
Container/tank for wastewater from bath/kitchen/wash:
Container/tank for wastewater from bath/kitchen/wash:
Container/tank for wastewater from bath/kitchen/wash:
66755
1
4
2.99
1
Closed container in yard
2
Open container in yard
3
Container outside of yard
4
No container/directly to sewer/river
Channel for wastewater from bath/kitchen/wash:
Channel for wastewater from bath/kitchen/wash:
Channel for wastewater from bath/kitchen/wash:
Channel for wastewater from bath/kitchen/wash:
Channel for wastewater from bath/kitchen/wash:
Channel for wastewater from bath/kitchen/wash:
66755
1
3
1.846
1
With open channel
2
With closed channel/pipe
3
No channel
Condition of drain/canal around the house:
Condition of drain/canal around the house:
Condition of drain/canal around the house:
Condition of drain/canal around the house:
Condition of drain/canal around the house:
Condition of drain/canal around the house:
66755
1
4
2.154
1
Flowing
2
Flowing very slowly
3
Clogged
4
No drain
Garbage disposal method
Garbage disposal method
Garbage disposal method
Garbage disposal method
Garbage disposal method
Garbage disposal method
66755
1
7
3.688
1
Collected by garbage man
2
Dumped
3
Converted to compost
4
Burnt
5
Throw to river/drain
6
Carelessly discarded
7
Other
Used - air freshener (spray)
Used - air freshener (spray)
Used - air freshener (spray)
Used - air freshener (spray)
Used - air freshener (spray)
The household use the following in the past month: a. Air freshener (spray)
66755
1
2
1.869
1
Yes
2
No
Used - hair/deodorant spray
Used - hair/deodorant spray
Used - hair/deodorant spray
Used - hair/deodorant spray
Used - hair/deodorant spray
The household use the following in the past month: b. Hair/deodorant spray
66755
1
2
1.805
1
Yes
2
No
Used - floor cleaner
Used - floor cleaner
Used - floor cleaner
Used - floor cleaner
Used - floor cleaner
The household use the following in the past month: c. Floor cleaner
66755
1
2
1.779
1
Yes
2
No
Used - mirror/wood/metal polisher
Used - mirror/wood/metal polisher
Used - mirror/wood/metal polisher
Used - mirror/wood/metal polisher
Used - mirror/wood/metal polisher
The household use the following in the past month: d. Mirror/wood/metal polisher
66755
1
2
1.919
1
Yes
2
No
Used - cloth stain remover
Used - cloth stain remover
Used - cloth stain remover
Used - cloth stain remover
Used - cloth stain remover
The household use the following in the past month: e. Cloth stain remover
66755
1
2
1.589
1
Yes
2
No
Used - battery
Used - battery
Used - battery
Used - battery
Used - battery
The household use the following in the past month: f. Battery
66755
1
2
1.885
1
Yes
2
No
Used - paint
Used - paint
Used - paint
Used - paint
Used - paint
The household use the following in the past month: g. Paint
66755
1
2
1.939
1
Yes
2
No
Used - bug spray/pesticide
Used - bug spray/pesticide
Used - bug spray/pesticide
Used - bug spray/pesticide
Used - bug spray/pesticide
The household use the following in the past month: h. Bug spray/pesticide
66755
1
2
1.613
1
Yes
2
No
Type of pollution - smoke/odor/noise from factory
Type of pollution - smoke/odor/noise from factory
Type of pollution - smoke/odor/noise from factory
Type of pollution - smoke/odor/noise from factory
Type of pollution - smoke/odor/noise from factory
Any household member feel disturbed by the type of following pollution? a. Smoke/odor/noise from factory
Any household member feel disturbed by the type of following pollution? a. Smoke/odor/noise from factory
66755
1
2
1.964
1
Yes
2
No
Type of pollution - smoke/odor/noise from workshop
Type of pollution - smoke/odor/noise from workshop
Type of pollution - smoke/odor/noise from workshop
Type of pollution - smoke/odor/noise from workshop
Type of pollution - smoke/odor/noise from workshop
Any household member feel disturbed by the type of following pollution? b. Smoke/odor/noise from workshop
66755
1
2
1.981
1
Yes
2
No
Type of pollution - continuous noise from neighbor
Type of pollution - continuous noise from neighbor
Type of pollution - continuous noise from neighbor
Type of pollution - continuous noise from neighbor
Type of pollution - continuous noise from neighbor
Any household member feel disturbed by the type of following pollution? c. Continuous noise from neighbor
66755
1
2
1.966
1
Yes
2
No
Type of pollution - noise from motor vehicles
Type of pollution - noise from motor vehicles
Type of pollution - noise from motor vehicles
Type of pollution - noise from motor vehicles
Type of pollution - noise from motor vehicles
Any household member feel disturbed by the type of following pollution? d. Noise from motor vehicles
66755
1
2
1.914
1
Yes
2
No
Type of pollution - smell from garbage
Type of pollution - smell from garbage
Type of pollution - smell from garbage
Type of pollution - smell from garbage
Type of pollution - smell from garbage
Any household member feel disturbed by the type of following pollution? e. Smell from garbage
66755
1
2
1.958
1
Yes
2
No
Type of pollution - smell from drain/sewer/river
Type of pollution - smell from drain/sewer/river
Type of pollution - smell from drain/sewer/river
Type of pollution - smell from drain/sewer/river
Type of pollution - smell from drain/sewer/river
Any household member feel disturbed by the type of following pollution? f. Smell from drain/sewer/river
66755
1
2
1.949
1
Yes
2
No
FS in sub-district - transport route
FS in sub-district - transport route
FS in sub-district - transport route
FS in sub-district - transport route
FS in sub-district - transport route
Access to public facilities (FS): FS in sub-district a. Transport route
66755
1
2
1.127
1
Yes
2
No
Shortest distance from home (km)- transport route
Shortest distance from home (km)- transport route
Shortest distance from home (km)- transport route
Shortest distance from home (km)- transport route
Shortest distance from home (km)- transport route
Access to public facilities (FS): Shortest distance from home (km) a. Transport route
66755
99
4.341
Available Public Transportation - transport route
Available Public Transportation - transport route
Available Public Transportation - transport route
Available Public Transportation - transport route
Available Public Transportation - transport route
Access to public facilities (FS): Available Public Transportation a. Transport route
66755
1
3
1.479
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - public clinic
FS in sub-district - public clinic
FS in sub-district - public clinic
FS in sub-district - public clinic
FS in sub-district - public clinic
Access to public facilities (FS): FS in sub-district b. Public clinic
66755
1
2
1.025
1
Yes
2
No
Shortest distance from home (km)- public clinic
Shortest distance from home (km)- public clinic
Shortest distance from home (km)- public clinic
Shortest distance from home (km)- public clinic
Shortest distance from home (km)- public clinic
Access to public facilities (FS): Shortest distance from home (km) b. Public clinic
66755
99
3.669
Available Public Transportation - public clinic
Available Public Transportation - public clinic
Available Public Transportation - public clinic
Available Public Transportation - public clinic
Available Public Transportation - public clinic
Access to public facilities (FS): Available Public Transportation b. Public clinic
66755
1
3
1.428
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - post office
FS in sub-district - post office
FS in sub-district - post office
FS in sub-district - post office
FS in sub-district - post office
Access to public facilities (FS): FS in sub-district c. Post office
66755
1
2
1.227
1
Yes
2
No
Shortest distance from home (km)- post office
Shortest distance from home (km)- post office
Shortest distance from home (km)- post office
Shortest distance from home (km)- post office
Shortest distance from home (km)- post office
Access to public facilities (FS): Shortest distance from home (km) c. Post office
66755
99
8.182
Available Public Transportation - post office
Available Public Transportation - post office
Available Public Transportation - post office
Available Public Transportation - post office
Available Public Transportation - post office
Access to public facilities (FS): Available Public Transportation c. Post office
66755
1
3
1.286
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - police station
FS in sub-district - police station
FS in sub-district - police station
FS in sub-district - police station
FS in sub-district - police station
Access to public facilities (FS): FS in sub-district d. Police station
66755
1
2
1.099
1
Yes
2
No
Shortest distance from home (km)- police station
Shortest distance from home (km)- police station
Shortest distance from home (km)- police station
Shortest distance from home (km)- police station
Shortest distance from home (km)- police station
Access to public facilities (FS): Shortest distance from home (km) d. Police station
66755
99
6.181
Available Public Transportation - police station
Available Public Transportation - police station
Available Public Transportation - police station
Available Public Transportation - police station
Available Public Transportation - police station
Access to public facilities (FS): Available Public Transportation d. Police station
66755
1
3
1.295
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - traditional market
FS in sub-district - traditional market
FS in sub-district - traditional market
FS in sub-district - traditional market
FS in sub-district - traditional market
Access to public facilities (FS): FS in sub-district e. Traditional market
66755
1
2
1.137
1
Yes
2
No
Shortest distance from home (km)- traditional market
Shortest distance from home (km)- traditional market
Shortest distance from home (km)- traditional market
Shortest distance from home (km)- traditional market
Shortest distance from home (km)- traditional market
Access to public facilities (FS): Shortest distance from home (km) e. Traditional market
66755
99
5.046
Available Public Transportation - traditional market
Available Public Transportation - traditional market
Available Public Transportation - traditional market
Available Public Transportation - traditional market
Available Public Transportation - traditional market
Access to public facilities (FS): Available Public Transportation e. Traditional market
66755
1
3
1.451
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - public telephone/kiosk
FS in sub-district - public telephone/kiosk
FS in sub-district - public telephone/kiosk
FS in sub-district - public telephone/kiosk
FS in sub-district - public telephone/kiosk
Access to public facilities (FS): FS in sub-district f. Public telephone/kiosk
66755
1
2
1.081
1
Yes
2
No
Shortest distance from home (km)- public telephone/kiosk
Shortest distance from home (km)- public telephone/kiosk
Shortest distance from home (km)- public telephone/kiosk
Shortest distance from home (km)- public telephone/kiosk
Shortest distance from home (km)- public telephone/kiosk
Access to public facilities (FS): Shortest distance from home (km) f. Public telephone/kiosk
66755
99
4.631
Available Public Transportation - public telephone/kiosk
Available Public Transportation - public telephone/kiosk
Available Public Transportation - public telephone/kiosk
Available Public Transportation - public telephone/kiosk
Available Public Transportation - public telephone/kiosk
Access to public facilities (FS): Available Public Transportation f. Public telephone/kiosk
66755
1
3
1.624
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - elementary school/equal
FS in sub-district - elementary school/equal
FS in sub-district - elementary school/equal
FS in sub-district - elementary school/equal
FS in sub-district - elementary school/equal
Access to public facilities (FS): FS in sub-district g. Elementary school/equal
66755
1
2
1.007
1
Yes
2
No
Shortest distance from home (km)- elementary school/equal
Shortest distance from home (km)- elementary school/equal
Shortest distance from home (km)- elementary school/equal
Shortest distance from home (km)- elementary school/equal
Shortest distance from home (km)- elementary school/equal
Access to public facilities (FS): Shortest distance from home (km) g. Elementary school/equal
66755
99
1.059
Available Public Transportation - elementary school/equal
Available Public Transportation - elementary school/equal
Available Public Transportation - elementary school/equal
Available Public Transportation - elementary school/equal
Available Public Transportation - elementary school/equal
Access to public facilities (FS): Available Public Transportation g. Elementary school/equal
66755
1
3
1.863
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - junior high/ equal
FS in sub-district - junior high/ equal
FS in sub-district - junior high/ equal
FS in sub-district - junior high/ equal
FS in sub-district - junior high/ equal
Access to public facilities (FS): FS in sub-district h. Junior high/ equal
66755
1
2
1.039
1
Yes
2
No
Shortest distance from home (km)- junior high/ equal
Shortest distance from home (km)- junior high/ equal
Shortest distance from home (km)- junior high/ equal
Shortest distance from home (km)- junior high/ equal
Shortest distance from home (km)- junior high/ equal
Access to public facilities (FS): Shortest distance from home (km) h. Junior high/ equal
66755
99
3.586
Available Public Transportation - junior high/ equal
Available Public Transportation - junior high/ equal
Available Public Transportation - junior high/ equal
Available Public Transportation - junior high/ equal
Available Public Transportation - junior high/ equal
Access to public facilities (FS): Available Public Transportation h. Junior high/ equal
66755
1
3
1.481
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - senior high/ equal
FS in sub-district - senior high/ equal
FS in sub-district - senior high/ equal
FS in sub-district - senior high/ equal
FS in sub-district - senior high/ equal
Access to public facilities (FS): FS in sub-district i. Senior high/ equal
66755
1
2
1.144
1
Yes
2
No
Shortest distance from home (km)- senior high/ equal
Shortest distance from home (km)- senior high/ equal
Shortest distance from home (km)- senior high/ equal
Shortest distance from home (km)- senior high/ equal
Shortest distance from home (km)- senior high/ equal
Access to public facilities (FS): Shortest distance from home (km) i. Senior high/ equal
66755
99
6.685
Available Public Transportation - senior high/ equal
Available Public Transportation - senior high/ equal
Available Public Transportation - senior high/ equal
Available Public Transportation - senior high/ equal
Available Public Transportation - senior high/ equal
Access to public facilities (FS): Available Public Transportation i. Senior high/ equal
66755
1
3
1.378
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - place of worship
FS in sub-district - place of worship
FS in sub-district - place of worship
FS in sub-district - place of worship
FS in sub-district - place of worship
Access to public facilities (FS): FS in sub-district j. Place of worship
66755
1
2
1.008
1
Yes
2
No
Shortest distance from home (km)- place of worship
Shortest distance from home (km)- place of worship
Shortest distance from home (km)- place of worship
Shortest distance from home (km)- place of worship
Shortest distance from home (km)- place of worship
Access to public facilities (FS): Shortest distance from home (km) j. Place of worship
66755
99
0.865
Available Public Transportation - place of worship
Available Public Transportation - place of worship
Available Public Transportation - place of worship
Available Public Transportation - place of worship
Available Public Transportation - place of worship
Access to public facilities (FS): Available Public Transportation j. Place of worship
66755
1
3
1.992
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - sub-district office
FS in sub-district - sub-district office
FS in sub-district - sub-district office
FS in sub-district - sub-district office
FS in sub-district - sub-district office
Access to public facilities (FS): FS in sub-district k. Sub-district office
66755
1
2
1.043
1
Yes
2
No
Shortest distance from home (km)- sub-district office
Shortest distance from home (km)- sub-district office
Shortest distance from home (km)- sub-district office
Shortest distance from home (km)- sub-district office
Shortest distance from home (km)- sub-district office
Access to public facilities (FS): Shortest distance from home (km) k. Sub-district office
66755
99
6.61
Available Public Transportation - sub-district office
Available Public Transportation - sub-district office
Available Public Transportation - sub-district office
Available Public Transportation - sub-district office
Available Public Transportation - sub-district office
Access to public facilities (FS): Available Public Transportation k. Sub-district office
66755
1
3
1.288
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
FS in sub-district - place of work for HM/spouse
FS in sub-district - place of work for HM/spouse
FS in sub-district - place of work for HM/spouse
FS in sub-district - place of work for HM/spouse
FS in sub-district - place of work for HM/spouse
Access to public facilities (FS): FS in sub-district l. Place of work for HM/spouse
66755
1
Yes
2
No
Sysmiss
Shortest distance from home (km)- place of work for HM/spouse
Shortest distance from home (km)- place of work for HM/spouse
Shortest distance from home (km)- place of work for HM/spouse
Shortest distance from home (km)- place of work for HM/spouse
Shortest distance from home (km)- place of work for HM/spouse
Access to public facilities (FS): Shortest distance from home (km) l. Place of work for HM/spouse
66755
99
4.201
Available Public Transportation - place of work for HM/spouse
Available Public Transportation - place of work for HM/spouse
Available Public Transportation - place of work for HM/spouse
Available Public Transportation - place of work for HM/spouse
Available Public Transportation - place of work for HM/spouse
Access to public facilities (FS): Available Public Transportation l. Place of work for HM/spouse
66755
1
9
2.261
1
Motorized public transportation
2
Non-motorized public transportation
3
No public transportation
9
Expenditure - inpatient service by health facility: (Rp)
Expenditure - inpatient service by health facility: (Rp)
Expenditure - inpatient service by health facility: (Rp)
Expenditure - inpatient service by health facility: (Rp)
Expenditure - inpatient service by health facility: (Rp)
Cost incurred by household (excluding payment from insurance or other party) for the past month for: a. Inpatient service by health facility: (Rp)
66755
40000000
15695.062
Expenditure - outpatient service by health facility/worker: (Rp)
Expenditure - outpatient service by health facility/worker: (Rp)
Expenditure - outpatient service by health facility/worker: (Rp)
Expenditure - outpatient service by health facility/worker: (Rp)
Expenditure - outpatient service by health facility/worker: (Rp)
Cost incurred by household (excluding payment from insurance or other party) for the past month for: b. Outpatient service by health facility/worker: (Rp)
66755
35000000
16088.901
Expenditure - traditional medication (in- & outpatient): (Rp)
Expenditure - traditional medication (in- & outpatient): (Rp)
Expenditure - traditional medication (in- & outpatient): (Rp)
Expenditure - traditional medication (in- & outpatient): (Rp)
Expenditure - traditional medication (in- & outpatient): (Rp)
Cost incurred by household (excluding payment from insurance or other party) for the past month for: c. Traditional medication (in- & outpatient): (Rp)
66755
5000000
2283.274
Expenditure - self-treatment: (Rp)
Expenditure - self-treatment: (Rp)
Expenditure - self-treatment: (Rp)
Expenditure - self-treatment: (Rp)
Expenditure - self-treatment: (Rp)
Cost incurred by household (excluding payment from insurance or other party) for the past month for: d. Self-treatment: (Rp)
66755
650000000
15561.03
Expenditure - other health products and services
Expenditure - other health products and services
Expenditure - other health products and services
Expenditure - other health products and services
Expenditure - other health products and services
Cost incurred by household (excluding payment from insurance or other party) for the past month for: e. Other health products and services (beside R.1a-R.1d) (consultation, pregnancy test, circumcision, eyeglasses, false teeth etc.): (Rp)
66755
6000000
2230.479
How many household member received inpatient service in the past one year?
How many household member received inpatient service in the past one year?
How many household member received inpatient service in the past one year?
How many household member received inpatient service in the past one year?
How many household member received inpatient service in the past one year?
How many household member received inpatient service in the past one year? [Total for every household member, if no, use “00”] (times)
66755
99
0.0812
Cost incurred by household to pay for inpatient service in the past one year?
Cost incurred by household to pay for inpatient service in the past one year?
Cost incurred by household to pay for inpatient service in the past one year?
Cost incurred by household to pay for inpatient service in the past one year?
Cost incurred by household to pay for inpatient service in the past one year?
Cost incurred by household to pay for inpatient service in the past one year? (Excluding payment from insurance or other party): (Rp)
3519
63236
999999999
2341133.434
Source of fund to finance household health needs - Household income
Source of fund to finance household health needs - Household income
Source of fund to finance household health needs - Household income
Source of fund to finance household health needs - Household income
Source of fund to finance household health needs - Household income
Source of fund to finance household health needs for the past one year: a. Household income
66755
1
2
1.134
1
Yes
2
No
Source of fund to finance household health needs - Savings
Source of fund to finance household health needs - Savings
Source of fund to finance household health needs - Savings
Source of fund to finance household health needs - Savings
Source of fund to finance household health needs - Savings
Source of fund to finance household health needs for the past one year: b. Savings
66755
1
2
1.858
1
Yes
2
No
Source of fund to finance household health needs - Sell assets/goods
Source of fund to finance household health needs - Sell assets/goods
Source of fund to finance household health needs - Sell assets/goods
Source of fund to finance household health needs - Sell assets/goods
Source of fund to finance household health needs - Sell assets/goods
Source of fund to finance household health needs for the past one year: c. Sell assets/goods
66755
1
2
1.954
1
Yes
2
No
Source of fund to finance household health needs - Borrow/pawn goods
Source of fund to finance household health needs - Borrow/pawn goods
Source of fund to finance household health needs - Borrow/pawn goods
Source of fund to finance household health needs - Borrow/pawn goods
Source of fund to finance household health needs - Borrow/pawn goods
Source of fund to finance household health needs for the past one year: d. Borrow/pawn goods
66755
1
2
1.945
1
Yes
2
No
Source of fund to finance household health needs - Assistance from family member or friend
Source of fund to finance household health needs - Assistance from family member or friend
Source of fund to finance household health needs - Assistance from family member or friend
Source of fund to finance household health needs - Assistance from family member or friend
Source of fund to finance household health needs - Assistance from family member or friend
Source of fund to finance household health needs for the past one year: e. Assistance from family member or friend
66755
1
2
1.885
1
Yes
2
No
Source of fund to finance household health needs - Insurance or company/office claim
Source of fund to finance household health needs - Insurance or company/office claim
Source of fund to finance household health needs - Insurance or company/office claim
Source of fund to finance household health needs - Insurance or company/office claim
Source of fund to finance household health needs - Insurance or company/office claim
Source of fund to finance household health needs for the past one year: f. Insurance or company/office claim
66755
1
2
1.947
1
Yes
2
No
Source of fund to finance household health needs - JPKM, health card, poverty statement letter and health fund
Source of fund to finance household health needs - JPKM, health card, poverty statement letter and health fund
Source of fund to finance household health needs - JPKM, health card, poverty statement letter and health fund
Source of fund to finance household health needs - JPKM, health card, poverty statement letter and health fund
Source of fund to finance household health needs - JPKM, health card, poverty statement letter and health fund
Source of fund to finance household health needs for the past one year: g. JPKM, health card, poverty statement letter and health fund
66755
1
2
1.932
1
Yes
2
No
Source of fund to finance household health needs - Other
Source of fund to finance household health needs - Other
Source of fund to finance household health needs - Other
Source of fund to finance household health needs - Other
Source of fund to finance household health needs - Other
Source of fund to finance household health needs for the past one year: h. Other
66755
1
2
1.933
1
Yes
2
No
Household weight
Household weight
Household weight
Household weight
Household weight
66755
159
1616
821.898
Individual weight
Individual weight
Individual weight
Individual weight
Individual weight
66755
230
1580
820.765
Race of the head of household
Race of the head of household
Race of the head of household
Race of the head of household
Race of the head of household
66563
192
31
8.673
Number of children aged 0-4 years
Number of children aged 0-4 years
Number of children aged 0-4 years
Number of children aged 0-4 years
Number of children aged 0-4 years
66565
190
10
0.391
1
2
3
4
5
6
7
8
9
10
Sysmiss
Total HM who died since January 2001:
Total HM who died since January 2001:
Total HM who died since January 2001:
Total HM who died since January 2001:
Total HM who died since January 2001:
66565
190
4
0.0368
1
2
3
4
Sysmiss
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
Name and NIP of Census Taker:
66565
190
99999
13252.921
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
Census Taker Position:
66565
190
99999
19.637
1
Provincial BPS Staff
2
District/City BPS Staff
3
Statistics Clerk
4
Partner
Census date:
Census date:
Census date:
Census date:
Census date:
66563
192
1
31
15.884
Census date:
Census date:
Census date:
Census date:
Census date:
66565
190
1
31
11.95
Census month:
Census month:
Census month:
Census month:
Census month:
66565
190
1
30
1.979
Census year:
Census year:
Census year:
Census year:
Census year:
66565
190
1
2004
2000.571
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
Name and NIP of Supervisor/Checker:
66565
190
99999
12189.648
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
Supervisor/Checker Position:
66565
190
1
16869
22.08
1
Provincial BPS Staff
2
District/City BPS Staff
3
Statistics Clerk
4
Partner
Supervising/checking date:
Supervising/checking date:
Supervising/checking date:
Supervising/checking date:
Supervising/checking date:
66563
192
1
31
12.933
Supervising/checking date:
Supervising/checking date:
Supervising/checking date:
Supervising/checking date:
Supervising/checking date:
66565
190
1
31
14.754
Supervising/checking month:
Supervising/checking month:
Supervising/checking month:
Supervising/checking month:
Supervising/checking month:
66565
190
1
30
2.726
Supervising/checking year:
Supervising/checking year:
Supervising/checking year:
Supervising/checking year:
Supervising/checking year:
66565
190
1
2004
2000.573
-
-
-
-
-
66565
190
1
2004
4.443
Building status:
Building status:
Building status:
Building status:
Building status:
Building status:
Circle one of codes 1 to 7 according to respondent’s answer, and fill it in the provided box.
66565
190
1
7
1.68
1
Own house
2
Lease
3
Rent
4
Free lease
5
Company house
6
Owned by parents/sibling/family
7
Other
Sysmiss
1. Own housed residence,if during the census,the residence is legally owned by the household head or member. Residence obtained by credit through banks or under the status of buying lease,is considered personally owned.
2. Leased residence,if the residence is leased by the household head/member for a certain period based on an agrement between tenant and landlord,for example for 1 or 2 years lease. Payment method is usually totally in advance,or in installment that is mutually agreed upon. At the end of the lease,the tenant should leave the residence and if mutually agreen it is possible to renew the lease agreement.
3. Rented residence,if the residence is rented by the household head or one of the members with regular payment continuously without a certain time limit.
4. Rent-free residence,owned by other people,if the residence is provided by other people (not family/parents) and can be occupied/resided in without having to make any kind of payment.
5. Company’s housed Residence,is the residence is owned and provided by an institution/company where the household head/member works,whether by paying rents or not.
6. Parent/relative’s housed,if the residence is not personally owned but belongs to either parents/family/relatives and is free to live in,where the owner of the house does not live there and is not a member of the household.
7. Others,if the residence cannot be included in any of the above categories,such as group owned residence,custom house.
Building condition:
Building condition:
Building condition:
Building condition:
Building condition:
Building condition:
66565
190
1
3
2.879
1
New building, finished construction by 2003
2
Newly renovated/repaired in 2003
3
Old building
Sysmiss
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Type of most roof material :
Circle one of the codes of widest roof type of the physical building where the household of respondent resides,then write it down in the box provided.
66565
190
1
7
3.051
1
Concrete
2
Roof tile
3
Shingle
4
Iron sheet
5
Asbestos
6
Fiber/palm
7
Other
Sysmiss
Roof is the top cover of a building,so that household head/members live in under is protected from the sun heat,rain etc. For multi storeys building,the referred roof is the very top part of the building.
1. Concrete is roof made of a mixture of cement,corals and sand with water.
2. Roof tile is made of clay that is molded and then burned. Including here is concrete roof tile (tiles made of a mixture of cement and sand),fiber cement tile,and ceramic tile.
3. Shingle is roof layered with wooden tiles,usually made of ironwood,or ulin wood (ironwood from Borneo).
4. Iron sheeting is roof made of zinc. Zinc roof shape can be flat or wavy,including zinc roof called decrabond (zinc roof layered with epoxy and acrylic).
5. Asbestos is roof made of asbestos fiber and cement. Generally comes in wavy shapes.
6. Palm is roof made of palm tree fiber or other of the the same type,generally is black in color.
7. Others for all other roof types aside from the above,such as bamboo,plywood,leaves,etc.
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Type of most wall material :
Circle one of the codes of the widest wall type in the physical building where the respondent lives,and then write it down in the provided box.
66565
190
1
4
1.558
1
Concrete
2
Wood
3
Bamboo
4
Other
Sysmiss
Wall is the outer side/border in a building or the separator to other building. If the building has more than one type of wall of the same floor size.the one considered the widest wall is the more costly wall(smallet code).
1. Concrete is wall made of red brick or hollow brick layers plasterd with cement. Including in this category is wall made of red brick layers and plastered, but using wooden beam installed in usually 1 – 1.5 meter distance.
2. Wood is wall made of wood.
3. Bamboo/fiber is wall made of bamboo or fiber. Including in this category is wall made of bamboo weave with size less than 1 m X 1 m.framed in wooden beam and plastered with cement and sand.
4. Others for other types not included in category 1-3.
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Type of most flooring material :
Circle one of the codes of the widest floor type of the physical building where the household members reside,and write it down to the provided box.
66565
190
1
2
1.135
1
Non soil
2
Soil
Sysmiss
Definition of floor in this survey is the bottom part/base of a room,whether earthen floor or tiled floor, such as ceramic, marble, wood, and cement.
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Floor area:(square meter)
Fill in the floor size of the residence of the respondent’s household and write down in the provided box (in m 2 ).
66565
190
3
998
67.515
Floor size means the size of the floor occupied and used for daily needs(limited to the roof). Any part of the building that is not occupied or used for daily needs is not included in the floor size calculation such as rice storage, live stock farm,service area for drying clothes(cemented floor) and specific space for business(such as stall/store). The floor size of a multi storeys is the total of the entire floors occupied.
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
Source of drinking water:
1. If b6r6a the answer is coded 1,2, or 4 skip to b6r8
2. If b6r6a the answer is coded 3,10, or 11 skip to b6r7
Please ask the main source of drinking water used by the respondent’s household. Circle one of the codes and write it down in the provided box.
66565
190
9
4.137
Other
1
Bottled water
2
Pipe
3
Pump
4
Protected/covered well
5
Unprotected/uncovered well
6
Protected spring
7
Unprotected/uncovered spring
8
River
9
Rainwater
Sysmiss
Please be cautious in determining drinking water source,because in several regions,some people channel river water or mountain spring water to houses using bamboo or plastic pipes. In this case,the drinking water source should still be written as river water or springs,instead of tap water.
1. Branded bottled water is bottled water produced and distributed by a company in various bottles(500 ml,1L,12 L,or 19 L) and in glass/cups packaging; e.g. water from the following brands: Aqua,Moya,2Tang,VIT.
2. Recycled bottled water is water produced through purification process and is not branded.
3. Pipe, retail payment is water produced through purification and sanitation process(PAM water),although it distributed by retail/mobile water sellers
4. Pipe with meter is water produced throuh purification and sanitation process before distributing it to consumers through water piping. This source of water is produced by PAM(Drinking Water Company) and PDAM(Regional Drinking Water Company) or BPAM(Drinking Water Management Agency),whether they managed by the government or private companies.
5. Terrestrial well/pump is ground water obtained by manual pump,electric pump,or windmill including artesis well(drilled well).
6. Protected/covered well is ground water that is dug up,which surrounding is enforced with wall of minimum 0.8 meters above ground and 3 meters under ground,with 1 meter cemented floor around the well.
7. Unprotected/uncovered well is ground water that is dug up,but the surrounding of the well is not protected with wall or 1 meter cemented floor.The method to get water from covered or uncovered water well is with a bucket,whether using pulley or not.
8. Protected spring is surface water source,where water already pooled naturally,protected from waste such as used water,waste from bathing or washing,etc.
9. Unprotected spring is surface water,where water already pooled naturally,but is unprotected from waste,such as used water,waste from bathing,washing,etc.
10. Other water sources are other source of drinking water,such as from dam/lake.
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
Distance to the closest feces containment:
If b6r7a = 3 to 7 (pump/well/spring)
Distance to the closest feces containment:
Ask the distance of pump/well/springs to the closest animal waste tank, septic tank or liquid waste whether located in the household or neighbor's surroundings. Circle the answer and write it down in the provided box.
66464
291
3
1.336
1
<10 m
2
>= 10 m
3
Don’t know
Sysmiss
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Method to obtain drinking water:
Circle one of the codes according to respondent’s answer and write it down in the provided box.
66565
190
1
3
2.558
1
Subscription
2
Retail buying
3
Not buy
Sysmiss
1. Subscribe by buying water to drink on a subscription basis (tap of PAM / taps / BPAM), including also subscribe bottled water (aqua, etc.).
2. Buy retail when respondents were randomly buy water.
3. Not buying if drinking water is obtained with their own efforts for free.
Explanation: Asking a neighbor to get water from the dam by paying for his effort is considered buying drinking water.
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
The use of drinking water facilities:
If b6r6a not equal to 3,5 to 12
The use of drinking water facilities:
Circle one of the codes according to the answer and write it down in the provided box.
66565
190
1
4
1.88
1
Personal
2
Mutual
3
Public
4
None
Sysmiss
Included in drinking water facilities are drinking water installation managed by PAM/PDAM, or non PAM/PDAM,including water from drilled well and pump. The approach used is the amount of water used in the last one month.
1. Personal,if the water facility is only used by respondent's household.
2. Mutual,if the water facility is used by the respondent's household jointly with several certain households.
3. Public,if the water facility is used by every households,including the resident's household.
4. None,if the distance of drinking water facility to the respondent's household is > 2.5 Km or by taking water directly from river/lake/rain without purification process by machine,or by purchasing the water.
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
Defecation facility use:
If the answer is coded 4, skip to b6r10c
Circle one of the codes accordingly, then fill in the answer in the provided box.
66565
190
1
4
1.914
1
Personal
2
Mutual
3
Public
4
None
Sysmiss
Defecation facility means the availability of latrine to be used by respondent’s household.
1. Personal,if the defecation facility is only used by the respondent's household.
2. Mutual,if the defecation facility is used by the respondent's household together with several certain households.
3. Public,if the defecation facility is used by evry households,including respondent's household.
4. None,if respondent's household does not have defecation facility
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Type of toilet:
Circle one of the codes accordingly, and fill it in the provided box,
66564
191
4
1.243
1
Goose neck/leher angsa
2
Pit toilet/plengsengan
3
Squat toilet/cemplung
4
None
Sysmiss
Type of toilet is sitting/squatting latrine used in the toilet.
1. Goose neck/leher angsa is a closet under which seat there is a U shaped pipe(like a duck’s neck) to be filled with water to prevent the odor from going out.
2. Pit toilet/plengsengan is a closet/latrine under which seat there is a flat pipe installed in slightly inclined position towards the final disposal.
3. Squat toilet/cemplung a closet under which seat there is no pipe,so that the waste went directly to its final disposal place.
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Final disposal location:
Circle one of the codes accordingly, and fill it in the provided box.
66565
190
1
6
2.567
1
Tank/septic tank
2
Pool/field
3
River/lake/sea
4
Pit hole
5
Beach/open field/farm
6
Other
Sysmiss
Tanks are the waste final disposal place in the form of reservoirs,usually made of brick/stone or concrete whether or not having an absorption tub.Included in this category is housing complex that has integrated Liquid Waste Disposal System (SPAL),managed by the municipal government.
1. Septic tank are the waste final disposal place in the form of reservoirs,usually made of brick/stone or concrete whether or not having an absorption tub.
2. Pool/field,if the waste is disposed to the pond/paddy field.
3. River/lake/sea,if the waste is disposed to the river/lake/sea.
4. Pit hole,if the waste is disposed to the Underground hole(large hole in the ground) without separators/walls(not water tight).
5. Beach/open ground/garden,if the waste is disposed to the beach areas or fields,including disposed to the yards.
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Source of lighting:
Circle one of the codes for lighting source used in respondent’s household,then write it down in the provided box.
66565
190
1
5
1.448
1
PLN electricity
2
Non-PLN electricity
3
Paraffin lamp/petromak
4
Oil lamp/torch
5
Other
Sysmiss
1. PLN Electricity is electricity source managed by PLN(National Electricity Company).
2. Non-PLN Electricity is electricity source managed by other institutions/parties aside from PLN. Including in this category are power source from accumulator/battery storage,generator,and solar power plant(that are not managed by PLN).
3. Petromak/aladin lamp such as multi-fuel lantern and gas lantern is categorized in code 3,while other oil lamps such as (sentir,pelita and other of the same type) are categorized in code 4. Carbide lamp,candle,castor oir lamp,and candlenut lamp are included in code 5.
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the past one week: (Rp)
Expenditure for Grains [rice, corn, wheat, flour, cornflour etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66564
191
875000
21700.836
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in the past one week: (Rp)
Expenditure for Tubers [cassava, sweet potato, potato, yam, sago, etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
100000
1815.754
Yang termasuk umbi-umbian dalam yaitu ketela pohon,ketela rambat,kentang,gaplek,talas,sagu, dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the past one week: (Rp)
Expenditure for Fish [fresh fish, salted/preserved fish, prawn etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
300000
12120.691
200
250
300
350
400
450
500
525
600
650
700
750
800
850
875
900
950
1000
1050
1100
1150
1200
1250
1275
1300
1350
1400
1450
1500
1550
1600
1650
1700
1725
1750
1800
1850
1900
1915
1950
1960
2000
2100
2150
2200
2250
2275
2300
2350
2400
2450
2500
2550
2600
2650
2700
2750
2800
2850
2900
2950
3000
3010
3050
3100
3150
3200
3250
3300
3325
3350
3400
3415
3450
3500
3550
3600
3610
3650
3700
3750
3800
3850
3900
3950
4000
4050
4075
4100
4150
4200
4225
4250
4300
4350
4400
4450
4500
4525
4550
4600
4650
4700
4750
4800
4810
4850
4900
4950
5000
5100
5150
5200
5250
5300
5350
5400
5450
5500
5550
5600
5650
5700
5725
5750
5800
5850
5900
5975
6000
6100
6150
6195
6200
6250
6300
6350
6375
6400
6425
6450
6500
6550
6600
6650
6700
6750
6800
6850
6900
6950
6975
7000
7100
7150
7200
7240
7250
7300
7350
7400
7450
7500
7525
7550
7600
7650
7700
7720
7750
7800
7825
7850
7900
7950
7975
8000
8100
8125
8150
8200
8225
8250
8300
8350
8400
8450
8500
8550
8600
8650
8700
8750
8800
8850
8900
9000
9100
9200
9250
9270
9300
9350
9400
9450
9500
9550
9575
9600
9700
9750
9800
9850
9950
10000
10100
10125
10150
10200
10250
10300
10350
10400
10500
10600
10650
10700
10750
10800
10850
10900
11000
11100
11150
11195
11200
11250
11300
11350
11400
11500
11550
11600
11650
11700
11750
11800
11825
11900
12000
12100
12185
12200
12250
12300
12400
12450
12500
12550
12600
12650
12675
12700
12750
12800
12900
12950
13000
13100
13150
13200
13250
13300
13350
13400
13500
13600
13650
13700
13750
13800
13850
13900
14000
14080
14100
14150
14200
14225
14250
14300
14350
14400
14480
14500
14600
14625
14650
14700
14750
14800
14850
14900
14925
15000
15100
15150
15200
15250
15300
15375
15400
15500
15600
15700
15750
15800
15900
16000
16100
16200
16225
16250
16300
16400
16500
16600
16625
16700
16750
16800
16850
16900
17000
17100
17150
17200
17250
17300
17350
17400
17500
17600
17650
17700
17750
17800
17850
17875
17900
18000
18100
18200
18250
18275
18300
18400
18450
18500
18600
18625
18700
18750
18760
18800
18900
18950
19000
19200
19250
19300
19350
19375
19400
19500
19600
19700
19750
19800
19850
19975
20000
20100
20200
20300
20400
20500
20590
20600
20700
20750
20800
20900
21000
21150
21200
21230
21250
21300
21400
21425
21500
21600
21700
21750
21800
21850
21875
22000
22200
22250
22300
22400
22500
22600
22700
22750
23000
23150
23200
23250
23400
23420
23500
23600
23700
23750
23800
24000
24100
24200
24300
24400
24500
24600
24700
24750
24800
24875
25000
25200
25300
25400
25500
25600
25700
25750
25800
26000
26200
26250
26300
26350
26450
26500
26600
26700
26750
26800
26865
27000
27200
27250
27400
27500
27600
27620
27650
27700
27750
27800
27850
28000
28100
28300
28400
28500
28600
28700
28750
28800
28900
28950
29000
29100
29225
29300
29400
29500
29600
29650
29700
29750
29850
30000
30125
30300
30500
30725
30800
30850
30950
31000
31200
31250
31500
31600
31750
32000
32150
32200
32310
32500
32600
32700
32720
32750
32800
33000
33250
33500
33600
33750
33800
34000
34200
34400
34450
34500
34600
34900
35000
35100
35150
35200
35250
35500
35750
35800
35900
36000
36500
36700
36750
36800
37000
37250
37500
37650
37750
37900
38000
38150
38400
38500
38600
38700
38900
39000
39200
39500
39700
39750
39800
40000
40200
40250
40500
41000
41300
41500
41700
41750
41800
42000
42250
42300
42500
42600
43000
43500
43750
44000
44325
44500
45000
45500
46000
46300
46500
47000
47500
48000
48500
48700
49000
49500
50000
50500
51000
52000
52500
53000
53200
53500
54000
54500
55000
55500
56000
56250
57000
57500
58000
58500
58600
59000
59500
59750
60000
60500
62000
62500
63000
63200
63500
64000
65000
65500
66000
66500
67000
67500
68000
69000
70000
70500
71200
72000
72750
73000
73500
73700
74000
75000
76000
77000
77300
78000
79000
80000
82000
83000
84000
84200
85000
86000
86500
87500
88000
89000
90000
91000
94500
95500
96800
97500
98000
100000
105000
110000
112000
112500
115000
116000
117000
119000
120000
122500
124000
125000
135000
140000
150000
155000
156000
175000
210000
231000
240500
245000
300000
Sysmiss
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] - in the past one week: (Rp)
Expenditure for Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, liver, spleen, floss, jerky etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
250000
5678.079
Yang termasuk daging yaitu daging sapi/kerbau/kambing/domba/babi/ayam,jeroan,hati,limpa,abon,dendeng,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] - in the past one week: (Rp)
Expenditure for Egg and milk (chicken egg, duck egg, quail egg, fresh milk, evaporated milk, milk powder etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
366000
6796.285
300
400
450
500
550
600
625
650
700
750
800
850
900
950
975
1000
1050
1100
1150
1200
1225
1250
1300
1350
1375
1400
1425
1450
1500
1525
1550
1575
1600
1625
1650
1675
1700
1725
1750
1800
1810
1825
1850
1870
1875
1900
1920
1950
2000
2050
2100
2125
2150
2200
2210
2225
2250
2300
2350
2375
2400
2410
2425
2430
2450
2475
2500
2550
2570
2575
2600
2650
2675
2700
2710
2750
2770
2775
2800
2810
2850
2875
2900
2950
2975
3000
3050
3100
3150
3200
3250
3300
3315
3320
3325
3350
3360
3400
3425
3450
3475
3500
3550
3600
3625
3650
3700
3735
3750
3800
3840
3850
3895
3900
3925
3950
4000
4050
4100
4125
4150
4200
4250
4300
4320
4350
4375
4400
4450
4500
4550
4600
4625
4650
4700
4720
4725
4750
4800
4820
4850
4860
4875
4900
4925
4950
5000
5050
5100
5150
5175
5200
5225
5250
5300
5350
5400
5450
5500
5550
5575
5600
5625
5650
5700
5750
5760
5800
5850
5900
5950
6000
6050
6100
6150
6200
6225
6250
6300
6325
6350
6375
6400
6450
6500
6550
6600
6625
6650
6700
6750
6780
6800
6850
6875
6900
6950
7000
7050
7100
7150
7200
7225
7250
7300
7350
7400
7450
7500
7550
7600
7650
7700
7750
7800
7850
7900
7950
8000
8050
8100
8150
8200
8225
8250
8300
8350
8400
8450
8475
8500
8550
8575
8600
8650
8700
8750
8800
8850
8900
8915
8950
8975
9000
9050
9100
9145
9150
9200
9250
9300
9350
9375
9400
9450
9500
9525
9600
9625
9650
9700
9750
9800
9850
9875
9900
9975
10000
10050
10100
10125
10150
10200
10250
10300
10325
10400
10500
10600
10625
10700
10750
10800
10850
10900
10950
11000
11100
11150
11200
11250
11300
11350
11400
11450
11500
11550
11600
11650
11660
11700
11750
11800
11850
11875
11900
11925
11950
12000
12050
12100
12150
12200
12250
12300
12350
12375
12400
12450
12500
12550
12570
12600
12650
12700
12745
12750
12775
12780
12800
12850
12900
12925
13000
13050
13100
13150
13200
13250
13300
13350
13400
13450
13500
13600
13650
13700
13750
13800
13850
13900
13925
13950
14000
14100
14150
14200
14250
14300
14375
14400
14500
14550
14600
14625
14645
14700
14750
14800
14850
14900
14950
15000
15100
15150
15200
15250
15300
15400
15450
15500
15600
15700
15750
15800
15900
16000
16100
16150
16200
16250
16300
16325
16350
16400
16500
16600
16650
16700
16725
16750
16800
16825
16850
16900
16950
17000
17100
17200
17250
17300
17400
17450
17500
17525
17600
17650
17700
17725
17750
17800
17850
17900
17950
18000
18100
18150
18200
18250
18300
18350
18375
18400
18450
18500
18575
18600
18650
18700
18750
18800
18900
19000
19100
19200
19250
19300
19350
19400
19450
19500
19550
19600
19650
19700
19750
19800
19850
19900
20000
20100
20150
20175
20200
20250
20300
20400
20450
20500
20600
20625
20700
20750
20800
20900
21000
21100
21200
21250
21300
21400
21450
21500
21600
21700
21750
21800
21900
22000
22100
22200
22250
22300
22375
22400
22500
22600
22650
22700
22750
22800
22900
23000
23100
23200
23250
23300
23400
23500
23550
23600
23610
23700
23750
23800
23850
23900
24000
24100
24150
24200
24250
24300
24400
24500
24555
24600
24700
24750
24800
24850
25000
25100
25200
25250
25350
25500
25600
25700
25750
25800
25850
25900
25950
26000
26250
26300
26500
26550
26600
26700
26800
26900
27000
27100
27150
27200
27250
27300
27375
27400
27500
27600
27700
27800
28000
28100
28300
28375
28400
28500
28750
28800
29000
29100
29200
29250
29400
29425
29500
29600
29750
29850
30000
30100
30200
30250
30300
30400
30500
30700
30950
31000
31100
31400
31500
31600
31700
31750
31800
31900
32000
32100
32200
32250
32400
32500
32525
32550
32700
32750
32900
33000
33500
33600
33750
33800
33950
34000
34300
34400
34500
34535
34750
34900
35000
35100
35200
35300
35400
35500
35600
35700
35750
35800
36000
36250
36400
36500
36600
36800
36875
36900
36975
37000
37200
37300
37500
37600
37750
37900
38000
38150
38400
38500
38600
38650
38700
38750
38800
38875
39000
39125
39250
39400
39500
39600
39650
39700
39750
40000
40250
40500
40600
40950
41000
41100
41500
42000
42200
42300
42500
42600
42700
42750
42900
43000
43200
43500
43600
43700
43750
43800
44000
45000
45200
45500
45800
46000
46200
46350
46500
46670
46700
46750
47000
47100
47500
47600
47750
47800
47950
48000
48250
48500
49000
49500
49950
50000
50150
50400
50600
50700
50750
51000
51200
51500
52000
52450
52500
52800
52900
53000
53450
53700
54000
54300
54500
54600
54750
54800
54900
55000
55500
55950
56000
56200
56500
56750
57000
57200
57500
57750
58000
58150
58400
58600
58900
59000
59200
59400
59500
59600
60000
60250
60750
61000
61200
61250
61500
61600
62000
62500
62800
63000
64000
64300
64500
65000
65100
65200
65500
65700
66000
66500
66600
67000
67500
68000
70000
70500
71000
71250
71375
71750
72000
72800
73000
73100
74000
74300
74500
75000
75500
76000
76800
78000
80000
80500
81000
81500
82000
82250
83000
84000
84500
84600
85000
85200
86000
87500
88000
90000
90875
91000
91250
91500
92000
92400
93000
95000
95200
96000
96500
97000
98000
98500
98900
100000
100500
102000
104000
104500
105000
106000
106150
110000
110500
111000
113000
114000
116500
119500
120000
124000
125000
126000
126200
126500
127000
128000
130000
133000
135000
139000
140000
141000
142000
143000
144000
144375
145000
150000
150750
160000
161000
165500
166000
170000
180000
182000
188000
200000
226000
230000
232000
240125
250000
350000
366000
Sysmiss
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] - in the past one week: (Rp)
Expenditure for Vegetables [spinach, water spinach, cucumber, carrot, bean, snaps, onion, chili, tomato etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
140000
8306.327
Yang termasuk sayur-sayuran yaitu sayur bayam,kangkung,ketimun,wortel,kacang panjang,buncis,bawang,cabe,tomat,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] - in the past one week: (Rp)
Expenditure for Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nut, tofu, tempeh etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
105000
4077.156
Yang termasuk kacang-kacangan yaitu kacang tanah/hijau/kedele/merah/ tunggak/mete,tahu,tempe,tauco,oncom,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] - in the past one week: (Rp)
Expenditure for Fruits [orange, mango, apple, durian, rambutan, salak, duku, pineapple, watermelon, banana, papaya etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
250000
5081.141
Yang termasuk buah-buahan yaitu jeruk,mangga,apel,durian,rambutan,salak,duku,nanas,semangka,pisang,pepaya,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] - in the past one week: (Rp)
Expenditure for Oil and fat [coconut oil, cooking oil, coconut, margarine etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
175000
5188.579
Yang termasuk minyak dan lemak yaitu minyak kelapa/goreng,kelapa,mentega,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] - in the past one week: (Rp)
Expenditure for Beverage supplements [sugar, brown sugar, tea, coffee, chocolate, syrup, etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
100000
5886.208
Yang termasuk bahan minuman yaitu gula pasir,gula merah,teh,kopi,coklat,sirup,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] - in the past one week: (Rp)
Expenditure for Spices [salt, hazelnut, coriander, pepper, fish paste, soybean sauce, MSG etc.] from purchase, self-producation and present in the past one week: (Rp))
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
180000
3163.939
Yang termasuk bumbu-bumbuan yaitu garam,kemiri,ketumbar,merica,terasi,kecap,vetsin,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] - in the past one week: (Rp)
Expenditure for Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
450000
2966.214
Mie instant,mie basah,bihun,makaroni/mie kering termasuk jenis konsunsi rumah tangga lainnya
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] - in the past one week: (Rp)
Expenditure for Delicatessen [bread, biscuit, porridge, meatball, ice, lemonade, salad etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66563
192
935000
15273.458
Yang termasuk makanan jadi yaitu roti,biskuit,kue basah,bubur,bakso,gado-gado,nasi rames,dll.
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Expenditure for Alcoholic beverages [beer, wine, other]from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
400000
274.635
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] - in the past one week: (Rp)
Expenditure for Tobacco and betel [clove cigarette, white cigarette, cigar, tobacco, betel, areca nut etc.] from purchase, self-producation and present in the past one week: (Rp)
Write down in Column (2) food expenditure from purchases, self produced, and gifts for rice in the past one week :(Rp)
66565
190
343000
16195.643
Consumption/expenditure is the value of expenditures for household consumption in the last one week that comes from purchases, own productions or gifts.
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Total Foodstuff [Details 1 to 15]
Write down in Column (2) total expenditures [Details 1 to 15]
66553
202
6600
999500
114368.073
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the past month:(Rp)
Non-food expenditure for house lease, rent, rent expectation (owned, free lease, company house) etc. from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house maintenance and minor repairs :(Rp)
66087
668
100
900000
92265.021
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure - house lease, rent, rent expectation (owned, free lease, company house) etc. in the 12 months :(Rp)
Non-food expenditure for house lease, rent, rent expectation (owned, free lease, company house) etc. from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for house lease,rent,rent expectation :(Rp)
43549
23206
100
999960
460162.999
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the past month:(Rp)
Non-food expenditure for electricity bill, telephone bill, gas, kerosene, water, firewood etc. from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house maintenance and minor repairs :(Rp)
66483
272
995000
80361.03
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure - electricity bill, telephone bill, gas, kerosene, water, firewood etc. in the 12 months :(Rp)
Non-food expenditure for electricity bill, telephone bill, gas, kerosene, water, firewood etc. from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for house maintenance and minor repairs :(Rp)
48254
18501
999600
508435.804
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure - house maintenance and minor repair in the past month:(Rp)
Non-food expenditure for house maintenance and minor repair from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for electricity bill,telephone bill, gas, kerosene, water, firewood etc. :(Rp)
66463
292
974500
3159.207
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure - house maintenance and minor repair in the 12 months :(Rp)
Non-food expenditure for house maintenance and minor repair from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for electricity bill,telephone bill, gas, kerosene, water, firewood etc. :(Rp)
65390
1365
999500
38857.383
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure - various goods and services in the past month:(Rp)
Non-food expenditure for various goods and services (soap, cosmetics, transportation, reading, ID card/driver license processing fee, recreation, telephone card, postal fee etc.) from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for various goods and services :(Rp)
66461
294
986000
47819.159
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure - various goods and services in the past 12 month:(Rp)
Non-food expenditure fo various goods and services (soap, cosmetics, transportation, reading, ID card/driver license processing fee, recreation, telephone card, postal fee etc.) from purchase, self-producation and present, in the past 12 month:(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for various goods and services:(Rp)
56778
9977
999600
257702.446
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure - education cost in the past month:(Rp)
Non-food expenditure for education cost (registration fee, monthly educational fee, re-registration fee, boy/girl scout, craft, course etc.) from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for clothes,footwear and headgear :(Rp)
66376
379
960000
25128.293
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure - education cost in the 12 months :(Rp)
Non-food expenditure for education cost (registration fee, monthly educational fee, re-registration fee, boy/girl scout, craft, course etc.) from purchase, self-producation and present, in the 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for clothes,footwear and headgear :(Rp)
61051
5704
999600
141990.339
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure - health cost in the past month:(Rp)
Non-food expenditure for health cost (hospital, public clinic, doctor practice, healer, medicine etc.) from purchase, self-producation and present, in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for durable goods :(Rp)
66248
507
995000
23808.741
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure - health cost in the past 12 months :(Rp)
Non-food expenditure for health cost (hospital, public clinic, doctor practice, healer, medicine etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for durable goods :(Rp)
64137
2618
997000
125638.791
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure - clothes, footwear and headgear in the past month:(Rp)
Non-food expenditure for clothes, footwear and headgear (clothes, apparel, shoes, hat, detergent etc.) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for party and ceremony excluding food :(Rp)
66487
268
993300
28575.546
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors’ household food expenditure.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure - clothes, footwear and headgear in the past 12 months :(Rp)
Non-food expenditure for clothes, footwear and headgear (clothes, apparel, shoes, hat, detergent etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
62009
4746
998500
320475.93
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors' household food expenditure.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure - durable goods in the past month:(Rp)
Non-food expenditure for durable goods (household equipment, tools, kitchen equipment, entertainment [electronics], sports equipment, genuine/imitation jewelry, vehicles, umbrella, watch, camera, telephone installation, power installation, electronic goods etc.) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
66263
492
997000
12224.254
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors’ household food expenditure.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure - durable goods in the past 12 months :(Rp)
Non-food expenditure for durable goods (household equipment, tools, kitchen equipment, entertainment [electronics], sports equipment, genuine/imitation jewelry, vehicles, umbrella, watch, camera, telephone installation, power installation, electronic goods etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
63199
3556
999100
103984.177
The expenditure recorded in this detail is expenses for wedding party, birthday party, circumcision event, religious event, etc., excluding food (food consumption for party/event should be recorded in each of the visitors' household food expenditure.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past month:(Rp)
Non-food expenditure for tax (Land and building tax, vehicle tax) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
66551
204
991665
5420.774
Rumah tangga yang tidak membayar PBB tidak perlu diperkirakan nilainya,tetapi bagi rumah tangga yang biasa membayar iuran PBB maka nilainya harus dicantumkan meskipun rumah tangga tersebut belum membayar.
Isian PBB sebulan yang lalu dapat diperoleh dari PBB tahunan dibagi 12.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure - tax (Land and building tax, vehicle tax) in the past 12 months :(Rp)
Non-food expenditure for tax (Land and building tax, vehicle tax) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
66066
689
998500
53632.071
Rumah tangga yang tidak membayar PBB tidak perlu diperkirakan nilainya,tetapi bagi rumah tangga yang biasa membayar iuran PBB maka nilainya harus dicantumkan meskipun rumah tangga tersebut belum membayar.
Isian PBB sebulan yang lalu dapat diperoleh dari PBB tahunan dibagi 12.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure - health insurance in the past month:(Rp)
Non-food expenditure health insurance from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
66559
196
833330
684.333
Contohnya pungutan RT/RW, biaya parkir, dan sebagainya.
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure - health insurance in the past 12 months :(Rp)
Non-food expenditure for fee/retribution from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
66418
337
972000
4104.097
Contohnya pungutan RT/RW, biaya parkir, dan sebagainya.
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure - other insurance in the past month:(Rp)
Non-food expenditure for other insurance from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
66560
195
608200
924.003
Pengeluaran yang dicatat di sini adalah pengeluaran untuk asuransi kesehatan yang hanya bisa diklaim bila pemegang polis mengalami kejadian seperti yang ada dalam perjanjian asuransi tersebut. Bila tidak terjadi sesuatu(seperti dalam perjanjian asuransi) dalam jangka waktu yang telah ditentukan,maka asuransi tersebut tidak dapat di klaim dan akan hilang(sifatnya bukan tabungan).
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure - other insurance in the past 12 months :(Rp)
Non-food expenditure for other insurance from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
66474
281
980000
8045.502
Pengeluaran yang dicatat di sini adalah pengeluaran untuk asuransi kesehatan yang hanya bisa diklaim bila pemegang polis mengalami kejadian seperti yang ada dalam perjanjian asuransi tersebut. Bila tidak terjadi sesuatu(seperti dalam perjanjian asuransi) dalam jangka waktu yang telah ditentukan,maka asuransi tersebut tidak dapat di klaim dan akan hilang(sifatnya bukan tabungan).
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure - party and ceremony in the past month:(Rp)
Non-food expenditure for party and ceremony (wedding, circumcision, birthday, religious holiday, traditional ceremony etc.) from purchase, self-producation and present in the past month:(Rp)
Write down in Column (2) non-food expenditure from purchases, self produced, and gifts in one past month for house lease,rent,rent expectation :(Rp)
66446
309
983850
13881.695
Pengeluaran yang dicatat di sini adalah pengeluaran untuk pesta perkawinan, ulang tahun, khitanan, upacara keagamaan, upacara adat,dan lainnya, tidak termasuk makanan untuk pesta atau untuk khitanan (konsumsi makanan untuk pesta akan tercatat dalam konsumsi makanan di rumah tangga masing-masing tamu yang datang ke pesta tersebut).
Expenditure in the last one month should be the amount really spent in the last one month, not the average monthly amount of the last 12 months.
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure - party and ceremony in the past 12 months :(Rp)
Non-food expenditure for party and ceremony (wedding, circumcision, birthday, religious holiday, traditional ceremony etc.) from purchase, self-producation and present in the past 12 months :(Rp)
Write down in Column (3) non-food expenditure from purchases, self produced, and gifts in past 12 months for party and ceremony excluding food :(Rp)
64895
1860
995000
84254.697
Pengeluaran yang dicatat di sini adalah pengeluaran untuk pesta perkawinan, ulang tahun, khitanan, upacara keagamaan, upacara adat,dan lainnya, tidak termasuk makanan untuk pesta atau untuk khitanan (konsumsi makanan untuk pesta akan tercatat dalam konsumsi makanan di rumah tangga masing-masing tamu yang datang ke pesta tersebut).
The expenditure in the last 12 months should be the amount trully spent in the last 12 months that ends one day before the census date, 12 calendar months.
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Total non-food (details 17 to 24) in the past month:(Rp)
Write down in Column (2) total non-food (details 17 to 24) from purchases, self produced, and gifts in one past month:(Rp)
62152
4603
100
999835
270862.786
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Total non-food (details 17 to 24) in the past 12 months :(Rp)
Write down in Column (3) total non-food (details 17 to 24) from purchases, self produced, and gifts in the past 12 months:(Rp)
5415
61340
49560
999600
752498.672
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
The average food expenditure a month (Details 16 x 30/7)
Write down in Column (3) average food expenditure a month (Details 16 x 30/7)
63349
3406
28285
999857
447735.793
The entry is the total sum of Detail 23 and 24, which is the average household expense per month.
The entry is the total sum of Detail 23 and 24, which is the average household expense per month.
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
The average non-food expenditure a month (Details 25 column 3 / 12)
Write down in Column (2) average non-food expenditure a month (Details 25 column 3 / 12)
62777
3978
4130
999916
274104.174
Isiannya adalah hasil pembagian Rincian 22 Kolom (3) dengan 12.
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
The average household expenditure a month (Details 26 + Details 27)
Write down in Column (2) average household expenditure a month (Details 26 + Details 27)
49683
17072
55708
999987
579779.152
Main source of household income:
Main source of household income:
Main source of household income:
Main source of household income:
Main source of household income:
Write down completely the main source of household income in the empty space provided.
66565
190
111
9502
2855.199
Average expenditure per capita
Average expenditure per capita
Average expenditure per capita
Average expenditure per capita
Average expenditure per capita
65913
842
22167
998273
221814.385
-
-
-
-
-
66261
494
Sysmiss
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Is the household use fuel/ energy - kerosene
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? a. Kerosene
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66565
190
1
2
1.115
1
Yes
2
No
Sysmiss
Amount (lier)- Kerosene
Amount (lier)- Kerosene
Amount (lier)- Kerosene
Amount (lier)- Kerosene
Amount (lier)- Kerosene
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (lier): a. Kerosene
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
66439
316
750
14.715
Value (Rp) - Kerosene
Value (Rp) - Kerosene
Value (Rp) - Kerosene
Value (Rp) - Kerosene
Value (Rp) - Kerosene
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): a. Kerosene
Fill in column (5) value (in rupiah) usage for a month ago.
66439
316
900000
18746.259
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Is the household use fuel/ energy - gas (LPG)
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? b. Gas (LPG)
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66565
190
1
2
1.881
1
Yes
2
No
Sysmiss
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
Amount (kg) - Gas (LPG)
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (kg): b. Gas (LPG)
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
66330
425
380
1.657
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
Value (Rp) - Gas (LPG)
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): b. Gas (LPG)
Fill in column (5) value (in rupiah) usage for a month ago.
66330
425
638000
4436.767
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Is the household use fuel/ energy - gasoline
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? c. Gasoline
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66565
190
1
2
1.733
1
Yes
2
No
Sysmiss
Amount (liter) - Gasoline
Amount (liter) - Gasoline
Amount (liter) - Gasoline
Amount (liter) - Gasoline
Amount (liter) - Gasoline
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (liter): c. Gasoline
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
66400
355
660
8.621
Value (Rp) - Gasoline
Value (Rp) - Gasoline
Value (Rp) - Gasoline
Value (Rp) - Gasoline
Value (Rp) - Gasoline
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): c. Gasoline
Fill in column (5) value (in rupiah) usage for a month ago.
66400
355
999900
17316.857
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Is the household use fuel/ energy - diesel fuel
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? d. Diesel fuel
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66565
190
1
2
1.989
1
Yes
2
No
Sysmiss
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
Amount (liter) - Diesel fuel
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (liter): d. Diesel fuel
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
66263
492
660
0.545
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
Value (Rp) - Diesel fuel
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): d. Diesel fuel
Fill in column (5) value (in rupiah) usage for a month ago.
66263
492
999000
1051.695
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Is the household use fuel/ energy - PLN electricity
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? e. PLN electricity
Jika b.9.r.1=2 (tidak) maka tidak berlanjut(selesai)
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66565
190
1
2
1.172
1
Yes
2
No
Sysmiss
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
Amount (kwh) - PLN electricity
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount (kwh): e. PLN electricity
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
66565
190
1000
63.44
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
Value (Rp) - PLN electricity
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): e. PLN electricity
Fill in column (5) value (in rupiah) usage for a month ago.
66565
190
999995
33380.83
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Is the household use fuel/ energy - Firewood
Household fuel/energy consumption for cooking, lighting and transportation, is the household use fuel/ energy in the past one month? f. Firewood
Enter code 1 if the answer is "Yes" or code 2 for "No" in the box provided.
66565
190
1
2
1.517
1
Yes
2
No
Sysmiss
Amount - Firewood
Amount - Firewood
Amount - Firewood
Amount - Firewood
Amount - Firewood
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Amount: f. Firewood
Fill in column (4) the number / quantity of use during a month ago (two digits after comma).
66265
490
100
17.801
Value (Rp): - Firewood
Value (Rp): - Firewood
Value (Rp): - Firewood
Value (Rp): - Firewood
Value (Rp): - Firewood
If column (2) =1
Household fuel/energy consumption for cooking, lighting and transportation, Value (Rp): f. Firewood
Fill in column (5) value (in rupiah) usage for a month ago.
66265
490
750000
9339.692