SAGE Well-Being of Older People Study-2013
DDI_UGA_2013_SAGE-WOPS_v01_M
Nirmala Naidoo
HUANG, Yunpeng
2014-11-11
Nesstar Publisher
Version 01 (October 2019). This version is identical to a documentation available at WHO Microdata Catalog (UGA-WHO-SAGE-WOPS-2013-v02) except for the following fields that were edited by the World Bank: Document ID and Study ID.
SAGE Well-Being of Older People Study 2013
Wave 2
SAGE-WOPS 2013
UGA_2013_SAGE-WOPS_v01_M
Professor Janet Seeley
Dr Richard Suzman
Joseph Mugisha
© World Health Organization 2016
Nesstar Publisher
US National Institute on Aging
R01AG044917
Nirmala Naidoo
Other Household Health Survey [hh/hea]
The Well-Being of Older People Study is the second round of the survey. WOPS surveys are designed by the World Health Organization and the Medical Research Council of Uganda and implemented by the Medical Research Council of Uganda.
Ageing, Alcohol, Antiretroviral therapy, Asthma, Blindness, Cancer, Cataract, Cervical cancer, Chronic diseases, COPD, Depression, Diabetes, Diet, Disabilities, Epidemiology, Health financing, Health services, Health surveys, Health systems, Heart disease, HIV/AIDS, Indoor air pollution, Injuries traffic, Mapping, Noncommunicable diseases, Nutrition, Obesity, Oral Health, Passive smoking, Physical activity, Poverty, Primary health care, Risk factors, Sanitation, Social determinants of health, Statistics, Stroke, Suicide, Tobacco, Visual impairment, Water
Well-Being of Older People Study (WOPS)
Uganda
Rural Masaka district and urban Wakiso district in Uganda.
Individuals
Sample survey data [ssd]
Uganda Virus Research Unit
Face-to-face [f2f]
In total 471 people were interviewed in the quantitative component: 193 in the rural district, 169 in the urban district and 109 in Masaka.
Nirmala Naidoo
Publications based on WOPS data should use the following acknowledgement: "This paper uses data from the WHO Well-being of Older People Study (WOPS) a Study on Global AGEing and Adult Health (SAGE) sub-study. Research reported in this publication was supported by the National Institute On Aging of the National Institutes of Health under Award Number R01AG044917. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.”
The data is being distributed without warranty of any kind. The responsibility for the use of the data lies with the user. In no event shall the World Health Organization be liable for damages arising from its use.
WOPSIIUgandaData.NSDstat
0
915
Nesstar 200801
WOPSIIUgandaAccelData.NSDstat
0
39
Nesstar 200801
Household case id
Household case id
0
0
q001: wops id number
WOPS ID NUMBER
0
0
001 This is the pre-assigned 4 digit Study Numbers. This this a unique ID; range 3001 are new participants from TASO Masaka
q002: study group
0
0
1
OP adult child died of AIDS
2
OP with adult child on ART
3
comp gr: no child infected/died of HIV
4
OP HIV +ve on ART
5
OP HIV +ve not on ART
q004a: interviewer 1 initials and code
q004a: interviewer 1 initials and code
0
0
q004b: interviewer 2 initials and code
q004b: interviewer 2 initials and code
0
0
q005: date of interview
Date of interview
0
q006: time start interview part1
Time start interview
0
0
q007: time end interview part1
Time ends interview
0
0
q008: residence-urban/rural
Residence-urban/rural
IF THE RESPONDENT OF WAVE 1 HAS DIED CMPLETE THE VERBAL AUTOPSY QUESTIONNAIRE
0
0
1
Urban
2
Rural
3
Masaka
q009a: respondent still living here
Respondent still living here
0
0
q009: where did respondent move to
Where did (NAME) move to?
0
0
q101:sex
Sex
0
0
1
Male
2
Female
q102:age
Age
0
0
q103a:year of birth
In what year were you born?
0
0
q103b:date of birth
Date of birth
IF KNOWN INCLUDE DATE OF BIRTH; CORRECT INCONSISTENCIES WITH AGE
0
q104:current marital status
What is current marital status?
0
0
1
Never married
2
Married/Cohabitating
3
Divorced/Separated
4
Widowed
q105:years ago did your spouse die
How many years ago did your spouse die?
0
0
-8
dk
q106:number of wives
0
0
-8
dk
q107_1:house work
What is / was your spouse's occupation? house work?
0
0
1
yes
2
no
q107_2:farming
What is / was your spouse's occupation? farming?
0
0
1
yes
2
no
q107_3:fishing
What is / was your spouse's occupation? fishing?
0
0
1
yes
2
no
q107_4:labouring
0
0
1
yes
2
no
q107_5:tailoring
What is / was your spouse's occupation? Tailoring ?
0
0
1
yes
2
no
q107_6:teacher/nurse
What is / was your spouse's occupation? Teacher / nurse ?
0
0
1
yes
2
no
q107_7:government administration
What is / was your spouse's occupation? Government administration ?
0
0
1
yes
2
no
q107_8:shop attendant
What is / was your spouse's occupation? Shop attendant ?
0
0
1
yes
2
no
q107_9:Other
What is / was your spouse's occupation? Other?
0
0
1
yes
2
no
q107a:other spouse occupation
Other spouse occupation ?
0
0
q108_1:house work
What is / was your occupation?
0
0
1
yes
2
no
q108_2:farming
What is / was your occupation?
0
0
1
yes
2
no
q108_3:fishing
What is / was your occupation?
0
0
1
yes
2
no
q108_4:labouring
What is / was your occupation?
0
0
1
yes
2
no
q108_5:tailoring
What is / was your occupation?
0
0
1
yes
2
no
q108_6:teacher/nurse
What is / was your occupation?
0
0
1
yes
2
no
q108_7:government administration
What is / was your occupation?
0
0
1
yes
2
no
q108_8:shop attendent
What is / was your occupation?
0
0
1
yes
2
no
q108_9:other
What is / was your occupation?
0
0
1
yes
2
no
q108a:other respondent occupation
Any other?
0
0
q109:still working?
Are you still working?
0
0
1
yes
2
no
q110:head of household
Who is the head* of this household?
*head of the HH we mean the main decision maker in the HH, the head can be either male or female. If two people are equal decision -makers, take the older person
0
0
1
respondent
2
spouse of respondent
3
son of respondent
4
daughter of respondent
5
grandchild of respondent
6
other family member
7
not family related
q111:education level
What is your highest level of education?
0
0
1
No formal education
2
Less than primary (incomplete) school
3
Completed primary school
4
Incompleted secondary school (junior)
5
Completed secondary school
6
Higher education than secondary school
7
Adult education only
8
College/University or more
88
Don't know
q112:religion
Do you belong to a religious denomination? Which one?
0
0
1
Catholic
2
Protestant
3
Islam
4
Hinduism
5
No, none
87
Other
q112a:other religion
Other religion SPECIFY
0
0
q113:have children
Did you bare any children?
IF NONE SKIP TO 117
0
0
1
yes
2
no
q114:number of children
How many did you have?
0
0
q116:number of children alive
How many children are alive?
0
0
q117:number of children live near
How many of these children live near to you?
0
0
q118:total number of people who live in this household?
What is the total number of people who live in this household?
0
0
q118c: relationship to hh head-01
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-01
Sex-01
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-01
Age in years-01
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-01
Needs care?-01
0
0
1
yes
2
no
q118c: relationship to hh head-02
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-02
Sex_02
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-02
Age in years_02
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-02
Needs care? _02
0
0
1
yes
2
no
q118c: relationship to hh head-03
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-03
Sex_03
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-03
Age in years_03
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-03
Needs care? _03
0
0
1
yes
2
no
q118c: relationship to hh head-04
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-04
Sex_04
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-04
Age in years _04
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-04
Needs care? _04
0
0
1
yes
2
no
q118c: relationship to hh head-05
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-05
Sex_05
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-05
Age in years _05
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-05
Needs care?_05
0
0
1
yes
2
no
q118c: relationship to hh head-06
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-06
Sex_06
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-06
Age in years _06
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-06
Needs care?_06
0
0
1
yes
2
no
q118c: relationship to hh head-07
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-07
Sex _07
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-07
Age in years _07
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-07
Needs care? _07
0
0
1
yes
2
no
q118c: relationship to hh head-08
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-08
Sex _08
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-08
Age in years _08
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-08
Needs care?_08
0
0
1
yes
2
no
q118c: relationship to hh head-09
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-09
Sex _09
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-09
Age in years _09
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-09
Needs care? _09
0
0
1
yes
2
no
q118c: relationship to hh head-10
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-10
Sex _10
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-10
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-10
Needs care? _10
0
0
1
yes
2
no
q118c: relationship to hh head-11
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-11
Sex_11
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-11
Age in years _11
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-11
Needs care?_11
0
0
1
yes
2
no
q118c: relationship to hh head-12
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-12
Sex_12
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-12
Age in years _12
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-12
Needs care?_12
0
0
1
yes
2
no
q118c: relationship to hh head-13
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-13
Sex_13
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-13
Age in years _13
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-13
Needs care?_13
0
0
1
yes
2
no
q118c: relationship to hh head-14
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-14
Sex_14
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-14
Age in years _14
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-14
Needs care?_14
0
0
1
yes
2
no
q118c: relationship to hh head-15
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-15
Sex_15
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-15
Age in years _15
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-15
Needs care?_15
0
0
1
yes
2
no
q118c: relationship to hh head-16
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
respondent
2
spouse
3
son/daughter
4
son/daughter in law
5
grandchild
6
great-grandchild
7
parent
8
parent-in-law
9
brother/sister
10
co-wife
11
grandparent
12
other relative
13
not related
88
don't know
q118d: sex-16
Sex
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
1
male
2
female
q118e: age-16
Age in years
We want to start with the person who is the head of the household. By head of the household we mean the main decision maker in the household. The head can be either male or female. If two people are equal decision-makers, take the older person.
0
0
q118f: needs care-16
Needs care?
0
0
1
yes
2
no
q121:material used for roofing
What is the predominant material used for roofing?
0
0
1
thatch
2
tile
3
iron sheets
4
plastic sheeting
5
mixed iron/tile
q122:state of the roof
What is the state of the roof?
0
0
1
very good
2
good
3
moderate
4
bad
5
very bad
q123:walls of the house made of
What are the walls of the house made of?
0
0
1
burned brick
2
unburned brick
3
mud
q124:house floor made of
hat is the house floor made of?
0
0
1
mud
2
cement
3
tile
q125:owner of the house
Who owns the house?
0
0
1
self
2
spouse
3
respondent's children
4
someone else in the household
5
renting (landlord)
87
other
q125a: specify the other person owns the house
Other person owns the house SPECIFY
0
0
q126:main source of drinking water
At is the main source of drinking water for members of this household?
0
0
1
piped into house/yard
2
public standpipe
3
borehole
4
protected source (well, spring)
5
unprotected well or spring, pond, lake, pool
6
river, stream
7
rain catchment
8
tanker truck, vendor
q127:do you fetch water
Do you fetch water?
0
0
1
never
2
sometimes
3
everyday
4
water is on premises
q128:time to get there, get water and come back
How long does it take to get there, get water and come back?
0
0
1
less than 15 minutes
2
15 minutes to half hour
3
more than half an hour, but less than 1 hour
4
one hour or more
q129:type of toilet facilities mainly used by members of your household
What type of toilet facilities do members of your household mainly use?
0
0
1
flush with piped sewage system
2
flush to septic tank
3
latrine
4
bucket
5
no facility (bush)
6
neighbourhood latrine
q130:type of fuel mainly used for cooking
What type of fuel does your household mainly use for cooking?
0
0
1
gas
2
electricity
3
kerosene/paraffin
4
coal/charcoal
5
fire wood
6
agriculture/crop
7
animal dung
8
shrubs/grass
q131:type of cooking stove used in your house
What type of cooking stove is used in your house?
0
0
1
open fire/stove without chimney/hood
2
open fire/stove with chimney/hood
3
close stove with chimney
4
cook outside
q132:place where cooking is usually done
Where is cooking usually done?
0
0
1
in a room used for living or sleeping
2
in a separate room used as kitchen
3
in a separate building used as kitchen
4
outdoor
q141:asset#1-number of chairs
How many chairs are there in your home?
No chairs 00
0
0
q142:asset#2-number of tables
How many tables are there in your home?
No table 00
0
0
q143:asset#3-do you have electricity
Do you have electricity in the household?
0
0
1
yes
2
no
q144_1:asset#4-bicycle
Does anyone in your household have a bicycle.(in working condition)?
Record the number of each (record only the items which are in a working condition)
0
0
q144_2:asset#5-clock
Does anyone in your household have a clock.(in working condition)?
Record the number of each (record only the items which are in a working condition)
0
0
q144_3:asset#6-radio
Does anyone in your household have a radio.(in working condition)?
Record the number of each (record only the items which are in a working condition)
0
0
q144_4:asset#7-refrigeratior
Does anyone in your household have a refrigeratior(in working condition)?
Record the number of each (record only the items which are in a working condition)
0
0
q144_5:asset#8-mobile/cellular telephone
Does anyone in your household have a mobile/cellular telephone.(in working condition)?
Record the number of each (record only the items which are in a working condition)
0
0
q144_6:asset#9-TV
Does anyone in your household have a TV.(in working condition)?
Record the number of each (record only the items which are in a working condition)
0
0
q145_1:asset#10-cows
Record the number of each
0
0
q145_2:asset#11-goats
Record the number of each
0
0
q145_3:asset#12-pigs
Does your household have domestic animals/fowl? How many? pigs
Record the number of each
0
0
q145_4:asset#13-chickens/ducks
Does your household have domestic animals/fowl? How many? chickens/ducks
Record the number of each
0
0
q145_5:asset#14-rabbits
Does your household have domestic animals/fowl? How many? rabbits
Record the number of each
0
0
q145_6:asset#15-other domestic animals
Does your household have domestic animals/fowl? How many? other domestic animals
Record the number of each
0
0
q145a:specify other domestic animals
Other domestic animals specify
0
0
q146_1:have a plot for farming
Tick all that apply
0
0
1
yes
2
no
q146_2:yes, in walking distance
Tick all that apply
0
0
1
yes
2
no
q146_3:yes, not a walking distance
Tick all that apply
0
0
1
yes
2
no
q146_4:don't have a plot
1. Yes
Tick all that apply
0
0
1
yes
q147:regular source of income
Does your household have a regular source of income?
0
0
1
yes
2
no
8
don't know
q148_1:salary
What sources of income does your household have? salary
0
0
1
yes
2
no
q148_2:earning from agricultural products
What sources of income does your household have?
0
0
1
yes
2
no
q148_3:earning from selling or hawking
What sources of income does your household have?
0
0
1
yes
2
no
q148_4:remittances from children abroad or in the country
What sources of income does your household have?
0
0
1
yes
2
no
q148_5:income from rental of property
What sources of income does your household have?
0
0
1
yes
2
no
q148_6:other income
What sources of income does your household have?
0
0
1
yes
2
no
q148a:specify other income
Other income Specify
0
0
q149:main source of income
Please tell me which of these sources is your main source of household income, by that I mean from which source does most of your money come?
0
0
1
earnings from selling trading or hawking products
2
selling agricultural products
3
income from rental property
4
wages, salary from job
5
remittances from children abroad or in the country
6
pension
87
others
q149a:specify other main source of income
Other main source of income SPECIFY
0
0
q150:financial situation at present
0
0
1
very good
2
good
3
moderate
4
bad
5
very bad
8
don't know
97
refused
q151:is financial situation better or worse
Since last visit / compared to 3 years ago would you say your financial situation is …?
READ THE FIVE CATEGORIES
0
0
1
much better
2
better
3
about the same
4
worse
5
much worse
q152_1:worse because of expensive food
Is your situation now worse because: Food is more expensive now
0
0
1
yes
2
no
q152_2:worse because of more mouths to feed
Is your situation now worse because: More mouths to feed
0
0
1
yes
2
no
q152_3:worse because more school fees to pay
Is your situation now worse because: More school fees to pay
0
0
1
yes
2
no
q152_4:worse because more medicines and treatments to pay
Is your situation now worse because: More medicines and treatments to pay.
0
0
1
yes
2
no
q152_5:worse because of less money support
Is your situation now worse because: Less money support
0
0
1
yes
2
no
q152_6:worse because fewer goods to sell
Is your situation now worse because: Fewer goods to sell
0
0
1
yes
2
no
q152_7:worse because less time to work and care giving
Is your situation now worse because: Less time to work because of care giving responsibilities
0
0
1
yes
2
no
q152_8:worse because work becomes hard
Is your situation now worse because: Less or don't work anymore because of physical work has become too hard
0
0
1
yes
2
no
q152_9:worse because of other reasons
Is your situation now worse because: Other
0
0
1
yes
2
no
q152a:other reason situation worse
Other reason situation WORSE
0
0
q153_1:better because food is cheaper
Is your situation now better because: Food is cheaper now
0
0
1
yes
2
no
q153_2:better because few mouths to feed
0
0
1
yes
2
no
q153_3:better because less school fees to pay
0
0
1
yes
2
no
q153_4:better because less medicines and treatments to pay
0
0
1
yes
2
no
q153_5:better because more money support
0
0
1
yes
2
no
q153_6:better because more goods to sell
0
0
1
yes
2
no
q153_7:better because more time to work and care giving
0
0
1
yes
2
no
q153_8:better because of better own health
Is your situation now better because: More work because of better own health
0
0
1
yes
2
no
q153_9:better because of other reasons
0
0
1
yes
2
no
q153a:other reason situation better
Other reason situation Better
0
0
q161:did hh receive assistance from family and relatives
In the last 12 months did your HH receive money, goods or assistance from family and relatives (other kin) who do not live with you?
We would like to ask you about the different ways in which family and friends and others help you and your household. We would like to know about assistance you or others in the household might receive.
0
0
1
yes
2
no
8
don't know
q162_1:receive money:
0
0
1
yes
2
no
q162_2:receive money for school fees/supplies
0
0
1
yes
2
no
q162_3:receive food
0
0
1
yes
2
no
q162_4:receive payment for medical bills
0
0
1
yes
2
no
q162_5:receive clothing or provisions
0
0
1
yes
2
no
q162_6:receive help with housework
0
0
1
yes
2
no
q162_7:receive help with medicines/care
0
0
1
yes
2
no
q162_8:receive transportation
0
0
1
yes
2
no
q162_9:receive goods
0
0
1
yes
2
no
q162_10:receive social/emotional
0
0
1
yes
2
no
q162_11:other assistance received in the last l2 months
0
0
1
yes
99
no
q163:did hh receive assistance
In the last 12months did your HH receive money, goods or assistance from friends who do not live with you?
0
0
1
yes
2
no
8
don't know
q164_1:receive money
0
0
1
yes
q164_2:receive money for school fees/supplies
0
0
1
yes
q164_3:receive food
0
0
1
yes
q164_4:receive payment for medical bills
0
0
1
yes
q164_5:receive clothing or provisions
0
0
1
yes
q164_6:receive help with housework
0
0
1
yes
q164_7:receive help with medicines/care
0
0
1
yes
q164_8:receive transportation
0
0
1
yes
q164_9:receive goods
0
0
1
yes
q164_10:receive social/emotional
0
0
1
yes
q164_11:other assistance received in the last 12 months
0
0
1
yes
q164a:other assistance received specify
Other assistance received specify
0
0
q165:did hh receive assistance from community
In the last 12 months did your HH receive money, goods or assistance from any clubs or groups in your community including religious community?
0
0
1
yes
2
no
8
don't know
q166_1:receive money
0
0
1
yes
q166_2:receive money for school fees/supplies
0
0
1
yes
q166_3:receive food
0
0
1
yes
q166_4:receive payment for medical bills
0
0
1
yes
q166_5:receive clothing or provisions
0
0
1
yes
q166_6:receive help with housework
0
0
1
yes
q166_7:receive help with medicines/care
0
0
1
yes
q166_8:receive transportation
0
0
1
yes
q166_9:receive goods
0
0
1
yes
q166_10:receive social/emotional
0
0
1
yes
q166_11:other assistance received in the last 12 months
0
0
1
yes
q166a:other assistance received specify
Other assistance received specify
0
0
q167:did hh receive assistance from the government
In the last 12 months did your HH receive money, goods or assistance from the government?
0
0
1
yes
2
no
8
don't know
q168_1: receive money
0
0
1
yes
q168_2:receive money for school fees/supplies
0
0
1
yes
q168_3:receive food
0
0
1
yes
q168_4:receive payment for medical bills
0
0
1
yes
q168_5:receive clothing or provisions
0
0
1
yes
q168_6:receive help with housework
0
0
1
yes
q168_7:receive help with medicines/care
0
0
1
yes
q168_8:receive transportation
0
0
1
yes
q168_9:receive goods
0
0
1
yes
q168_10:receive social/emotional
0
0
1
yes
q168_11:other assistance received in the last 12 months
0
0
1
yes
q168a:other assistance received specify
Other assistance received specify
0
0
q169:did hh give assistance to family and/or other family
In the last 12 months did your HH give money, goods or assistance to family (children, grandchildren) and /or other family (and those of your spouse) who do not live here?
Now we would like to talk about the kind of assistance that your household provided to others who do not live with you, in the last year.
0
0
1
yes
2
no
8
don't know
q170_1: give money
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_2:give money for school fees/supplies
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_3:give food
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_4:give payment for medical bills
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_5:give clothing or provisions
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_6:give help with housework
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_7:give help with medicines/care
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_8:give transportation
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_9:give goods
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_10:give social/emotional
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170_11:other assistance given in the last 12 months
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q170a:other assistance given specify
Other type of assistance given SPECIFY
0
0
q171:did hh give assistance to friends
In the last 12 months did your HH give money, goods or assistance to friends who do not live with you?
0
0
1
yes
2
no
8
don't know
q172_1:give money
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_2:give money for school fees/supplies
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_3:give food
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_4:give payment for medical bills
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_5:give clothing or provisions
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_6:give help with housework
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_7:give help with medicines/care
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_8:give transportation
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_9:give goods
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_10:give social/emotional
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172_11:other assistance given in the last 12 months
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q172a:other assistance given specify
Other type of assistance given specify
0
0
q173:did hh give assistance to community
In the last 12months did your HH give money or goods to support any other kin, neighbours, community or other?
0
0
1
yes
2
no
8
don't know
q174_1:give money
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_2:give money for school fees/supplies
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_3:give food
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_4:give payment for medical bills
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_5:give clothing or provisions
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_6:give help with housework
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_7:give help with medicines/care
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_8:give transportation
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_9:give goods
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_10:give social/emotional
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174_11:other
READ TICK ALL ANSWERS THAT THE RESPONDENT MENTIONS
0
0
1
yes
q174a:other assistance given specify
Other assistance given specify
0
0
q181:participate any groups
Do you participate in any groups such as religious, social, public service or community groups?
Now I would like to ask questions about yourself, especially about what you have been doing in your spare time. We would like to know more about your social life, which is an important part of people's lives.
0
0
1
yes
2
no
97
refused
About how often do you go to religious meetings or services?
0
0
1
never/almost
2
once or twice a year
3
every few months
4
once or twice a month
5
once a week
6
more than once a week
97
refused
q183:number of children feel very close to
How many of your children do you feel very close to?
0
0
88
don't know
q183a:number of these children live near you
How many of these children live near to you?
0
0
q184:number of relatives feel very close to
(In general, apart from your children-), how many other relatives do you have that you feel very close to? (people that you feel at ease with, can talk to about private matters, and call on for help?)
0
0
q184a:number of these relatives live near you
How many of these relatives live near to you?
0
0
q185:number of friends feel very close to
In general, how many very close friends do you have? (People that you feel at ease with, can talk to about private matters, and call on for help?)
0
0
q185a:number of these friends feel very close to
How many of these friends live near to you?
0
0
q186a:attending social visits
In the last two weeks, how often have you been out of the house/ dwelling to attend social meetings, activities, weddings, events?
0
0
1
not at all
2
once or twice
3
more than or twice
4
daily
q186b:visiting
In the last two weeks, how often have you gotten out of the house/ dwelling to visit a relative, neighbour or friend?
0
0
1
not at all
2
once or twice
3
more than or twice
4
daily
q186c:had visitors
In the last two weeks, how often have you had visitors to your house, such as friends, neighbours, and relatives?
0
0
1
not at all
2
once or twice
3
more than or twice
4
daily
q186d:attended religious service
In the last two weeks, how often have you attended religious services?
0
0
1
not at all
2
once or twice
3
more than or twice
4
daily
q187:how often do you go out
Would you like to go out more often or are you satisfied with how much you get out of the house?
0
0
1
would like to go out more often
2
satisfied
3
would like to go out less often
q188:like to have more visitors
Would you like to have more visitors or are you satisfied?
0
0
1
would like to have more visitors
2
satisfied
3
would like to fewer visitors
q201:health rating
In general, how would you rate your health today?
Now we will ask questions specifically about your health. The first questions are about your overall health, including both your physical and your mental health.
0
0
1
very good
2
good
3
moderate
4
bad
5
very bad
q202:work or household activities
Overall in the last 30 days/month, how much difficulty did you have with work or household activities?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q203:difficulty with moving around
Overall, in the last 30 days/ month, how much difficulty did you have with moving around?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q204:difficulty with vigorous activities
Overall, in the last month, how much difficulty did you have in vigorous activities (digging in the garden, lifting heavy objects such as a bunch of Matooke, a basket of cassava, or millet or potatoes). (Vigorous activities require hard physical effort and cause large increases in breathing or heart rate)
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q205:difficulty with self-care
Overall, in the last 30 days/month, how much difficulty did you have with self-care, such as bathing/washing or dressing yourself?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q206:difficulty with taking care of and maintaining your general apppearance
Overall, in the last month, how much difficulty did you have in taking care of and maintaining your general appearance (for example grooming, looking neat and tidy)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
difficulty in taking care of and maintaining your general appearance in the last one month
q207: difficulty staying by yourself for a few days
In the last month, how much difficulty did you have in staying by yourself for a few days (3 to 7 days)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q208:bodily aches or pain
Overall, in the last 30 days/1 month, how much of bodily aches or pains did you have?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q209:bodily discomfort
In the last 30 days /month, how much bodily discomfort did you have?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q210:difficulty because of your aches pains or discomfort
In the last 30 days /month, how much difficulty did you have in your daily life because of your aches, pain or discomfort?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q211:difficulty concentrating or remembering
Overall, in the last 30 days /month, how much difficulty did you have with concentrating or remembering things? (for example, remembering things that you usually remember such as completing household chores, working)
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q212:difficulty with learning a new task
Overall, in the last 30 days /month, how much difficulty did you have in learning a new task (for example, learning how to get to a new place)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q213:difficulty with personal relationship or participation in the community
Overall in the last 30 days /month, how much difficulty did you have with personal relationships or participation in the community?(eg attending ceremonies, meetings)
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q214:difficulty with dealing with conflicts and tensions with others
In the last 30 days /month, how much difficulty did you have in dealing with conflicts and tensions with others (e.g. family/community matters)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q214a:difficulty in making new friendships or maintaining current friendships
In the last 30 days /month, how much difficulty did you have with making new friendships or maintaining current friendships?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q214b:difficulty in dealing with strangers
In the last 30 days /month, how much difficulty did you have with dealing with strangers?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q215:difficulty with sleep
Overall, in the last 30 days /month, how much of a problem did you have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning or sleeping too much?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q216:difficulty with energy
Overall, in the last 30 days /month, how much of a problem did you have due to not feeling rested and refreshed during the day?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q217:difficulty with sad, low or unhappy
Overall, in the last 30 days /month, how much of a problem did you have with feeling sad, low or unhappy?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q218:difficulty with worry or anxiety
In the last 30 days /month, how much of a problem did you have with worry or anxiety? (having the experience of receiving bad news and having fast heart beating)
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q219:last time eyes examined by a medical professional
When was the last time you had your eyes examined by a medical professional?
ENTER YEARS AGO. ENTER "00" IF LESS THAN 1 YEAR.
0
0
88
don't know
98
never
q220:use eyeglasses to see faraway
Do you use eyeglasses to see far away (for example, across the street / from a distance of about 20 metres)?
0
0
1
yes
2
no
q221:use eyeglasses to see up close
Do you use eyeglasses to see up close (for example at arms length, like when you are reading)?
0
0
1
yes
2
no
q222:difficulty with seeing and recognising across the road
In the last 30 days/month, how much difficulty did you have in seeing and recognizing an object or a person you know across the road (from a distance of about 20 metres)?
INTERVIEWER: INDICATE A SPOT THAT IS SIMILAR DISTANCE FOR EACH RESPONDENT
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q223:difficulty in seeing and recognising arm'slength
In the last 30 days/month, how much difficulty did you have in seeing and recognizing an object at arm's length (for example, sorting beans, groundnuts or rice)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q224:difficulty with fulfilling daily tasks
How much difficulty do you have fulfilling daily tasks because of not seeing properly? (e.g. cooking, washing)
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
q225:enough energy
Do you have enough energy for everyday life?
0
0
1
completely
2
mostly
3
moderate
4
a little
5
none at all
q226:enough money
Do you have enough money to meet your needs?
0
0
1
completely
2
mostly
3
moderate
4
a little
5
none at all
q227a:how satisfied with your health
How satisfied are you with your health?
Please tell us how satisfied you are with the following issues.
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
5
very dissatisfied
q227b:how satisfied with your self
How satisfied are you with your self
Please tell us how satisfied you are with the following issues.
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
5
very dissatisfied
q227c:how satisfied with your ability to perform your daily living activities
How satisfied are you with your ability to perform your daily living activities
Please tell us how satisfied you are with the following issues.
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
5
very dissatisfied
q227d:how satisfied with your personal relationships
How satisfied are you with your personal relationships
Please tell us how satisfied you are with the following issues.
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
5
very dissatisfied
q227e:how satisfied with conditions of your living place
How satisfied are you with conditions of your living place
Please tell us how satisfied you are with the following issues.
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
5
very dissatisfied
q227f:how satisfied with your life as a whole
How satisfied are you with your life as a whole these days?
Please tell us how satisfied you are with the following issues.
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
5
very dissatisfied
q228:how often were you unable to control the important things in life
How often have you felt that you were unable to control the important things in your life?
0
0
1
never
2
almost never
3
sometimes
4
fairly often
5
very often
q229:how often could you not cope with all the things that you had to do
How often have you found that you could not cope with all the things that you had to do?
0
0
1
never
2
almost never
3
sometimes
4
fairly often
5
very often
q230:rate your overall quality of life
How would you rate your overall quality of life?
0
0
1
very good
2
good
3
moderate
4
bad
5
very bad
8
don't know
q234:difficulty with standing for long periods
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have in standing for long periods?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q238:difficulty with taking care of your HH responsibilities
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have in taking care of your household responsibilities?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
difficulty with taking care of your household responsibilities in the last one month
q239:difficulty with joining in community activities
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q241:difficulty with concentrating on doing something for 10 minutes
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have concentrating on doing something for 10 minutes?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q242:difficulty with walking a long distance such as a kilometer
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have in walking a long distance such as a kilometer?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q243:difficulty with bathing/washing your whole body
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have in bathing/washing your whole body?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q244:difficulty with getting dressed
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have in getting dressed?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q245:difficulty with your day to day work
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have in your day to day work?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q246:difficulty in carrying things
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have with carrying things?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q248:difficulty with eating
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have with eating (including cutting up your food)?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q249:difficulty with getting up from lying down
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have with getting up from lying down?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have with getting to and using the toilet?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q250a:difficulty with control of your bowel or bladder functions
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have with control of your bowel or bladder functions?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have with getting where you want to go, using private or public transport if needed?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q252:difficulty with getting out of your home
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much difficulty did you have getting out of your home?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q253:emotionally affected by your health conditions
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
In the last 30 days/month, how much have you been emotionally affected by your health condition(s)?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q254:difficulties ingterfere with your life
Please think back over the last 30 days/month and answer these questions thinking about how much difficulty you had doing the following activities. Some of these questions may seem repetitive, but we do need your attention and it is important to give us answers to each question.
Overall, how much did these difficulties interfere with your life?
0
0
These next questions ask about difficulties due to health conditions.
1
none
2
mild
3
moderate
4
severe
5
extreme/cannot do
98
not applicable
q255:overall, ... on how many days were these difficulties present
Overall, in the past 30 days, on how many days were these difficulties present?
0
0
-8
don't know
98
never
q301:arthritis diagnosed
Have you ever been diagnosed with/told you have arthritis (a disease of the joints or by other names rheumatism or osteoarthritis)?(enyingo)
Now I would like to read you questions about some health problems or health care needs that you may have experienced, and the treatment or medical care that you may have received.
0
0
1
yes
2
no
q302:medications or other treatment last 2 weeks
Have you been taking medications or other treatment for arthritis during the last 2 weeks?
0
0
1
yes
2
no
q303:medications or other treatment last 12 months
Have you been taking medications or other treatment for arthritis during the last 12 months?
0
0
1
yes
2
no
q304:experienced pain, itching, stiffness than lasted for more than a month
During the last 12 months/year, have you experienced, pain, aching, stiffness or swelling in or around the joints (like elbows, wrists, finger joints, knees, ankles) which were not related to an injury and lasted for more than a month?
0
0
1
yes
2
no
q305:experienced stiffness in the joint in the morning during tha last 12 months
During the last 12 months/year, have you experienced, stiffness in the joint in the morning after getting up from bed, or after a long rest of the joint without movement?
0
0
1
yes
2
no
q306:duration of stiffness
How long does this stiffness last?
0
0
1
30 minutes or less
2
more than 30 minutes
q307:did the stiffness go away after exercise
Did this stiffness go away after exercise or movement in the joint?
0
0
1
yes
2
no
q308:last 12 months symptoms in the last 2 weeks
These symptoms that you have said you experienced in the last 12 months, have you experienced them in the last 2 weeks?
0
0
1
yes
2
no
q309:back pain last month
Have you experienced back pain during the last month?
IF 2 (NO) READ INSTRUCTION ABOVE Q 311
0
0
1
yes
2
no
q310:number of days back pain last month
On how many days did you have this back pain during the last month?
0
0
q311:seeing a doctor because of these symptoms
Have you been seeing a doctor or other health worker because of these symptoms?
0
0
1
yes
2
no
q312:seeing traditional healer because of these symptoms
During the last 12 months have you seen a traditional healer because of these symptoms?
0
0
1
yes
2
no
q313:taking herbal or traditional remedy for symptoms
Are you currently taking any herbal or traditional remedy for your symptoms?
0
0
1
yes
2
no
q314:stroke diagnosed
Have you ever been told by a health professional that you have had a stroke?
If 2 SKIP TO 317
0
0
1
yes
2
no
q315:medication or other treatment last 2 weeks
Have you been taking any medications or other treatment for it during the last 2 weeks?
0
0
1
yes
2
no
q316:medication or other treatment last 12 months
Have you been taking any medications or other treatment for it during the last 12 months/ one year?
0
0
1
yes
2
no
q317:experienced paralysis
Have you ever suffered from sudden onset of paralysis or any weakness in your arms or legs on one side of your body for more than 24 hours?
0
0
1
yes
2
no
q318:experienced loss of feeling
Have you ever had, for more than 24 hours, sudden onset of loss of feeling on one side of your body, without anything having happened to you immediately before?
0
0
1
yes
2
no
q319:hypertension diagnosed
Have you ever been told by a doctor or other health worker that you have raised or high blood pressure (hypertension)(puressa)
IF NO SKIP TO 323
0
0
1
yes
2
no
q320:medication or other treatment last 2 weeks
Have you been taking any medications or other treatment for it during the last 2 weeks?
0
0
1
yes
2
no
q321:medication or other treatment last 12 months
Have you been taking any medications or other treatment for it during the last 12 months?
0
0
1
yes
2
no
q322:seeing traditional healer because of blood pressure
During the last 12 months/ one year, have you seen a traditional healer for raised blood pressure (hypertension)?
0
0
1
yes
2
no
q323:taking herbal or traditional remedy for blood pressure
Are you currently taking any herbal or traditional remedy or food for your bloodpressure?
0
0
1
yes
2
no
q324:eating special food for blood pressure
Do you currently eat any special food for your blood pressure?
0
0
1
yes
2
no
q324a:name of special food
If special food eaten, name food
0
0
q325:chronic lung disease diagnosed
Have you ever been diagnosed with chronic lung disease?(emphysema, bronchitis, COPD?)
IF 2 SKIP TO 328
0
0
1
yes
2
no
q326:medications or other treatment last 2 weeks
Have you been taking any medications or other treatment (like oxygen) for it during the last 2 weeks?
0
0
1
yes
2
no
q327:medication or other treatment last 12 months
Have you been taking any medications or other treatment (like oxygen) for it during the last 12 months?
0
0
1
yes
2
no
q328:experienced shortness of breath
During the last 12 months/one year, have you experienced any shortness of breath at rest? (While awake)?
0
0
1
yes
2
no
q329:experienced coughing or wheezing for 10 minutes or more
During the last 12 months/one year, have you experienced any coughing or wheezing for 10 minutes or more at a time?
0
0
1
yes
2
no
q330:coughing up sputum or phlegm
During the last 1year, have you experienced any coughing up sputum or phlegm for most days of the month for at least 3 months?
IF NO SKIP TO 336
0
0
1
yes
2
no
q331:last 12 months symptoms in the last 2 weeks
These symptoms that you said you experienced in the last 12 months/one year, have you experienced them in the last 2 weeks?
0
0
1
yes
2
no
q332:TB test
In the last 12 months, have you had a tuberculosis (TB) test? (Kafubba). I mean, has a doctor examined your sputum (taken a sample of the substance spit out from a deep cough and sent it to a laboratory for analysis) or made an x-ray of your chest?
0
0
1
yes
2
no
q333:medications or other treatment last 2 weeks
Have you been taking any medications or other treatment for it during the last 2 weeks?
0
0
1
yes
2
no
q334:medications or other treatment last 12 months
Have you been taking any medications or other treatment for it during the last 12 months?
0
0
1
yes
2
no
q335:blood in phlegm or coughed blood
Have you had blood in your phlegm or have you coughed blood?
0
0
1
yes
2
no
q336:asthma diagnosed
Have you ever been diagnosed with asthma (kuziyira) (an allergic respiratory disease)?
IF 2 SKIP TO 340
0
0
1
yes
2
no
q337:medications or other treatment last 2 weeks
Have you been taking any medications or other treatment for it in the last 2 weeks?
0
0
1
yes
2
no
q338:medications or other treatment last 12 months
Have you been taking any medications or other treatment for it in the last 12 months/one year?
0
0
1
yes
2
no
q339:traditional medication
Have you ever taken any traditional medication for this disease?
0
0
1
yes
2
no
q340:wheezing or whistling
During the last 12 months/one year, have you experienced any of the following?
Attacks of wheezing or whistling breathing?
0
0
1
yes
2
no
q341:wheezing after stopped physical activity
During the last 12 months/one year, have you experienced any of the following?
Attacks of wheezing that came on after you stopped exercising or some other physical activity?
0
0
1
yes
2
no
q342:tightness in your chest
During the last 12 months/one year, have you experienced any of the following?
A feeling of tightness in your chest?
0
0
1
yes
2
no
q343:woken up and feeling of tightness in the morning
During the last 12 months/one year, have you experienced any of the following?
Have you woken up with a feeling of tightness in your chest in the morning or any other time?
0
0
1
yes
2
no
q344:shortness of breath without physical activity
During the last 12 months/one year, have you experienced any of the following?
Have you had an attack of shortness of breath that came on without obvious cause when you were not exercising or not doing some physical activity?
0
0
1
yes
2
no
q345:last 12 months symptoms in the last 2 weeks
These symptoms that you said you experienced in the last 12 months/one year, have you experienced them in the last 2 weeks?
0
0
1
yes
2
no
q346:clinic because of symptoms
Have you ever gone to the clinic because of these symptoms?
0
0
1
yes
2
no
q347:seeing traditional healer because of these symptoms
During the past 12 months/one year have you seen a traditional healer for these symptoms?
0
0
1
yes
2
no
q348:taking herbal or traditional remedy for symptoms
Are you currently taking any herbal or traditional remedy for these symptoms?
0
0
1
yes
2
no
q349:angina diagnosed
Have you ever been diagnosed with angina or angina pectoris (a heart disease)?
IF NO SKIP TO 352
0
0
1
yes
2
no
q350:medications or other treatment last 2 weeks
Have you been taking any medications or other treatment for it during the last 2 weeks?
0
0
1
yes
2
no
q351:medications or other treatment last 12 months
Have you been taking any medications or other treatment for it during the last 12 months/one year?
0
0
1
yes
2
no
q352:chest pain walk uphill in the 12 months
During the last 12 months/ one year, have you experienced any pain or discomfort in your chest when you walk uphill or hurry?
0
0
1
yes
2
no
q353:chest pain walk ordinary pace on level ground in the last 12 months
During the last 12 months/one year, have you experienced any pain or discomfort in your chest when you walk at an ordinary pace on level ground?
IF NO SKIP TO 361
0
0
1
yes
2
no
q354:what do you do if pain when walking
What do you do if you get the pain or discomfort when you are walking?
0
0
1
stop or slow down
2
carry on after pain relieving medicine
3
carry on walking
q355:what happens to the pain or discomfort if stand still
If you stand still, what happens to the pain or discomfort?
0
0
1
relieved
2
not relieved
q356:last 12 months symptoms in the last 2 weeks
These symptoms that you have said you experienced in the last 1year, have you experienced them in the last 2 weeks?
0
0
1
yes
2
no
q357_01: location of pain
Record all the numbers
0
0
q357_02: location of pain
Record all the numbers
0
0
q357_03: location of pain
Record all the numbers
0
0
q357_04: location of pain
Record all the numbers
0
0
q357_05: location of pain
Record all the numbers
0
0
q357_06: location of pain
Record all the numbers
0
0
q357_07: location of pain
Record all the numbers
0
0
q357_08: location of pain
Record all the numbers
0
0
q357_09: location of pain
Record all the numbers
0
0
q357_10: location of pain
Record all the numbers
0
0
q357_11: location of pain
Record all the numbers
0
0
q357_12: location of pain
Record all the numbers
0
0
q357_13: location of pain
Record all the numbers
0
0
q357_14: location of pain
Record all the numbers
0
0
q357_15: location of pain
Record all the numbers
0
0
q357_16: location of pain
Record all the numbers
0
0
q357_17: location of pain
Record all the numbers
0
0
q357_18: location of pain
Record all the numbers
0
0
q358: seeing doctor because of these symptoms
Have you been seeing a doctor or other health worker because of these symptoms?
0
0
1
yes
2
no
q359: seeing traditional healer because of these symptoms
During the last 12 months/ one year have you seen a traditional healer because of these symptoms?
0
0
1
yes
2
no
q360: taking herbal or traditional remedy for symptoms
Are you currently taking any herbal or traditional remedy for your symptoms?
0
0
1
yes
2
no
q361: depression diagnosed
Have you ever been diagnosed with depression?
IF NO SKIP TO 364
0
0
1
yes
2
no
q362: medications or other treatment last 2 weeks
0
0
1
yes
2
no
q363: medications or other treatment last 12 months
0
0
1
yes
2
no
q364: feeling sad, empty or depressed lasting several days
During the last 12 months/one year, have you had a period lasting several days when you felt sad, empty or depressed?
0
0
1
yes
2
no
q365: lost interest lasting several days
During the last 12 months/ one year, have you had a period lasting several days when you lost interest in most things you usually enjoy such as personal relationships, work or hobbies/recreation?
0
0
1
yes
2
no
q366: energy decreased or tired lasting several days
During the last 12 months/one year, have you had a period lasting several days when you have been feeling your energy decreased or that you are tired all the time?
0
0
1
yes
2
no
q367: depressed period for more than 2 weeks
Was this period [of sadness/loss of interest/low energy] for more than 2 weeks?
0
0
1
yes
2
no
q368: depressed period for most of the day, nearly every day
Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day?
0
0
1
yes
2
no
q369: lose your appetite
During this period, did you lose your appetite?
0
0
1
yes
2
no
q370: slowing down in your thinking
Did you notice any slowing down in your thinking?
0
0
1
yes
2
no
q371:falling asleep
Did you notice any problems falling asleep?
0
0
1
yes
2
no
q372:waking up too early
Did you notice any problems waking up too early?
0
0
1
yes
2
no
q373:difficulties in concentrating
During this period, did you have any difficulties concentrating; for example, listening to others, working, watching TV, listening to the radio?
0
0
1
yes
2
no
q374:slowing down in your moving around
Did you notice any slowing down in your moving around?
0
0
1
yes
2
no
q375:anxious and worried
During this period, did you feel anxious and worried most days?
0
0
1
yes
2
no
q376:restless or jittery
During this period, were you so restless or jittery nearly every day that you paced up and down and couldn't sit still?
0
0
1
yes
2
no
q377:negative or lost confidence
During this period, did you feel negative about yourself or like you had lost confidence?
0
0
1
yes
2
no
q378:hopeless
Did you frequently feel hopeless - that there was no way to improve things?
0
0
1
yes
2
no
q379:interest in sex
During this period, did your interest in sex decrease?
0
0
1
yes
2
no
q380:think of death or wish you were dead
Did you think of death, or wish you were dead
0
0
1
yes
2
no
q381:try to end your life
During this period, did you ever try to end your life?
0
0
1
yes
2
no
q381a:for the past 2 weeks depressed nearly every day
For the past two weeks, were you depressed or down, most of the day, nearly every day?
0
0
1
yes
2
no
q381b:for the past 2 weeks less interested in things
In the past two weeks, were you much less interested in most things or much less able to enjoy the things you used to enjoy, most of the time?
IS 380 OR 381 CODED YES?
0
0
1
yes
2
no
q381c:did your weight increase or decrease unintentionally
0
0
1
yes
2
no
q381d:did you have trouble sleeping
0
0
1
yes
2
no
q381e:did you talk or move more slowly
0
0
1
yes
2
no
q381f:did you feel tired or without energy
0
0
1
yes
2
no
q381g:do you feel worthless or guilty
0
0
1
yes
2
no
q381h:did you have difficulty concentrating or making decisions
0
0
1
yes
2
no
q381i:attempt or plan suicide
0
0
1
yes
2
no
q381j:did any of these symptoms cause significant problems
0
0
1
yes
2
no
q382:diagnosed diabetes
Have you ever been diagnosed with diabetes (high blood sugar)?
IF NO SKIP TO 386
0
0
1
yes
2
no
q383:insulin or medication last 2 weeks
Have you been taking insulin or other blood sugar lowering medication in the last 2 weeks?
0
0
1
yes
2
no
q384:insulin or medication last 12 months
Have you been taking insulin or other blood sugar lowering medication in the last 12 months/year?
0
0
1
yes
2
no
q385:diet, exrcise or weight control last 2 weeks
0
0
1
yes
2
no
q386:diagnosed cataract
In the last 5 years, were you diagnosed with a cataract in one or both of your eyes (cloudiness in the lens of the eye)?
If NO SKIP to 388
0
0
1
yes
2
no
q387:eye surgery last 5 years
In the last 5 years, have you had eye surgery to remove this cataract(s)?
0
0
1
yes
2
no
q388:cloudy and blurry vision
In the last 12 months/one year have you experienced cloudy or blurry vision?
0
0
1
yes
2
no
q389:vision problem with light
In the last 12 months/one year have you experienced vision problems with light, such as glare from bright lights or rings around lights?
0
0
1
yes
2
no
q390:gone to the clinic because of eye problems
Have you ever gone to the clinic because of eye problems?
IF 388 AND 389 ARE NO SKIP 391
0
0
1
yes
2
no
q391:number of teeth
Now I would like you to tell me about the condition of your mouth and teeth.
How many teeth do you have?
0
0
1
I have all my teeth
2
I have lost a few
3
I have lost almost all my teeth
4
I lost all
q392:troubles with mouth or teeth
During the last 12 months/one year have you had any troubles with your mouth and/or teeth (this includes problems with swallowing)?
IF NO SKIP TO 396
0
0
1
yes
2
no
Have you received any medication and or treatment from a dentist during the last 12 months/one year? (including current treatment)
0
0
1
yes
2
no
q394:seeing traditional healer because of teeth
During the past 12 months/one year have you seen a traditional healer for troubles with your mouth and/or teeth (this includes problems with swallowing)?
0
0
1
yes
2
no
q395:taking herbal or traditional remedy for teeth
Are you currently taking any herbal or traditional remedy for troubles with your mouth and/ or teeth (this includes problems with swallowing)?
0
0
1
yes
2
no
q396:injury
In the last 12 months/one year did you have an injury such as a…….?
IF 4 SKIP to next section 400
0
0
1
an accident(unintentional)
2
someone else did it to you deliberately (intentionally)
3
i did it to myself deliberately (inflicted)
4
no
q397:seek treatment
Did you seek medical treatment for the injuries?
0
0
1
yes
2
no
q398:physical disability
Did you suffer a physical disability as a result of being injured?
INTERVIEWER: Disability is any restriction or lack of ability to perform an activity as before the injury.
0
0
1
yes
2
no
q399_1:unable to use hand or arms
In what ways were you physically disabled?
1= Unable to use hand or arms
0
0
1
yes
2
no
q399_2: Difficulty to use hand or arms
In what ways were you physically disabled?
Difficulty to use hand or arms
0
0
1
yes
2
no
q399_3: walk with a limp
In what ways were you physically disabled?
walk with a limp
0
0
1
yes
2
no
q399_4: loss of hearing
In what ways were you physically disabled?
loss of hearing
0
0
1
yes
2
no
q399_5: loss of vision
In what ways were you physically disabled?
loss of vision
0
0
1
yes
2
no
q399_6: weakness or shortness of breath
In what ways were you physically disabled?
Weakness or shortness of breath
0
0
1
yes
2
no
q399_7: inability to remember things
In what ways were you physically disabled?
Inability to remember things
0
0
1
yes
2
no
q399_8:inability to chew
In what ways were you physically disabled?
Inability to chew
0
0
1
yes
2
no
q399_9: other
In what ways were you physically disabled?
Other
0
0
1
yes
2
no
q399_10:in what ways were you physically disabled, specify
In what ways were you physically disabled?
What ways were you physically disabled, specify
0
0
q399a:cause of injury
What was the cause of this injury?
0
0
1
fall
2
struck by person or object
3
stabbed
4
gun shot
5
burn
6
near drowning
7
poisoning
8
animal bite
9
electric shock
87
other
q401m:months ago
When was the last time you needed health care? Months ago?
0
0
q401y:years ago
0
0
q401:never/dk
When was the last time you needed health care?
0
0
0
Never
88
dont know
q401a:more than 3 years ago
0
0
1
yes
2
no
q402:get health care last time you needed
The last time you needed health care, did you get health care?
If "yes" Skip to 404
0
0
1
yes
2
no
q403a:main reason
What was the main reason you needed care, even if you did not get care?
0
0
1
communicable diseases, infections, malaria, TB, HIV
2
nutritio nal deficiencies
3
acute conditions (diarrhea, flu, headaches, fever, cough and others)
4
injury
5
surgery
6
sleep problem
7
occupational/work related conditions/injury
8
chronic pain i joints/arthritis (joints, back, neck)
9
diabetes or related complications
10
problems with heart including unexplained pain in chest
11
problems with mouth, teeth, swallowing
12
problem with breathing
13
high blood pressure, hypertensio
14
stroke/sudden paralysis of one side of the body
15
generalised pain (stomach, muscles or other nonspecific pain)
16
depression, anxiety
18
cancer
87
other
99
na
q403a:other main reason specify
Other main reason SPECIFY
0
0
q403b_1:could not afford
Which reason(s) best explains why you did not get health care?
Could not afford the cost of the visit
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_2:no transport
Which reason(s) best explains why you did not get health care?
No transport
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_3:could not afford
Which reason(s) best explains why you did not get health care?
Could not afford
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_4:previously badly treated
Which reason(s) best explains why you did not get health care?
Previously badly treated
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_5:could not make time off
Which reason(s) best explains why you did not get health care?
Could not make time off
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_6:drug or equipment inadequate
Which reason(s) best explains why you did not get health care?
Drug or equipment inadequate.
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_7:skills inadequate
Which reason(s) best explains why you did not get health care?
Skills inadequate.
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_8:did not know where to go
Which reason(s) best explains why you did not get health care?
Did not know where to go
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_9:tried but were denied
Which reason(s) best explains why you did not get health care?
Tried but were denied
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_10:thought not sick enough
Which reason(s) best explains why you did not get health care?
Thought not sick enough
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_11:other
Which reason(s) best explains why you did not get health care?
Others
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
1
yes
q403b_12:other, specify
Which reason(s) best explains why you did not get health care?
Other, specify
Record all the numbers that respondent mentions spontaneously. If needed you can read the categories to the respondent Use showcard
0
0
q404:place go to most often for sickness
Thinking about health care you needed in the last 3 years, where did you go most often when you felt sick or needed to consult someone about your health?
0
0
1
private doctor
2
private clinic
3
private hospital
4
govt health centre
5
govt hospital
6
church clinci
7
church hospital
8
traditional healer
9
pharmacy
10
faith healer
11
complementary practitioner
87
other
q404a: other health care specify
Other health care specify
0
0
q405:pay fee for consultation or drugs
Did you have to pay fees for consultation and/or drugs?
If no skip to 407
0
0
1
yes
2
no
q406_1:self paid
0
0
1
yes
2
no
q406_2:spouse paid
Who paid for this visit? Spouse
0
0
1
yes
q406_3:son/daughter paid
Who paid for this visit? Son/daughter
0
0
1
yes
q406_4:other relative paid
Who paid for this visit? Other relative
0
0
1
yes
q406_5:other not relative paid
Who paid for this visit? Other not relative
0
0
1
yes
q406_6:insurance
Who paid for this visit? Insurance
0
0
1
yes
q406_7:was free
Who paid for this visit? Was free?
0
0
1
yes
q407:how long wait
When you visit the health facilities, how long do you usually have to wait before it is your turn to be seen by a nurse or doctor?
0
0
1
not long
2
quite long
3
long
4
very long
q408:time to explain given
When you visit the health facilities, do the health professionals usually give you the time to explain to them what your health problem is?
0
0
1
always
2
most of the time
3
sometimes
4
not usually
5
never
q409:time to explain health problem
When you visit the health facilities, do the health professionals usually take the time to explain your health problem and treatment in a way that you understand?
0
0
1
always
2
most of the time
3
sometimes
4
not usually
5
never
q410:satisfied with services
Overall, are you satisfied with the services?
0
0
1
very satisfied
2
satisfied
3
neither satisfied nor dissatisfied
4
dissatisfied
q411_1:closer distance
If needed, you can read the responses
0
0
1
yes
q411_2:traditional healer cheaper
If needed, you can read the responses
0
0
1
yes
q411_3:traditional healer allow pay in goods
If needed, you can read the responses
0
0
1
yes
q411_4:traditional healer wait for payment
If needed, you can read the responses
0
0
1
yes
q411_5:traditional healer give better treatment
If needed, you can read the responses
0
0
1
yes
2
no
q411_6:if other, specify
If needed, you can read the responses
0
q411a:visited traditional healer
Have you visited a traditional healer for treatment?
If no skip to 412
0
0
1
yes
2
no
q411b:how often visited traditional healer
During the last 12 months/one year, how often have you visited a traditional healer?
0
0
1
once or twice
2
three to six times
3
more than six times
8
don't know
q412:stayed overnight in health centre
Since last visit / in the last 3 years have you stayed an overnight in a health centre/ health clinic/hospital?
IF NO SKIP TO 420
0
0
1
yes
2
no
q414:how many times hospitalised
How many times have you been hospitalized in since last visit /in the last 3 years?
0
0
99
na
q415:type of hospital
What type of hospital was it the last time you were hospitalized? Public, private or church run?
0
0
1
public hospital
2
private hospital
3
charity or church run hospital
87
other specify
99
na
q415a:if other, specify
If other SPECIFY
0
0
q416:best reason hospitalised
Which reason best describes why you were last hospitalized?
0
0
1
communicable diseases, infections, malaria, TB, HIV
2
nutritional deficiencies
3
acute conditions (diarrhea, flu, headaches, fever, cough and others)
4
injury
5
surgery
6
sleep problem
7
occupational/work related conditions/injury
8
chronic pain i joints/arthritis (joints, back, neck)
9
diabetes or related complications
10
proble mms with heart including unexplained pain in chest
11
problems with mouth, teeth, swallowing
12
problem with breathing
13
high blood pressure, hypertensio
14
stroke/sudden paralysis of one side of the body
15
generalised pain (stomach, muscles or other nonspecific pain)
16
depression, anxiety
18
other
87
cancer
99
na
q416a:best reason hospitalised
Other best reason respondent was hospitalized
0
0
q417:who paid-self
0
0
1
yes
99
na
q417:who paid-spouse
0
0
1
yes
99
na
q417:who paid-son/daughter
0
0
1
yes
99
na
q417:who paid-other relative
0
0
1
yes
99
na
q417:who paid-insurance
0
0
1
yes
99
na
q417:who paid-free
0
0
1
yes
99
na
q417:who paid-other
0
0
1
yes
99
na
q417a:other paid hospitalization specify
Other paid hospitalization specify
0
0
q418:outcome of stay
What was the outcome or result of your stay in the health centre/ health clinic/hospital? Did your condition…
0
0
1
get much better
2
get better
3
no change
4
get worse
5
get much worse
99
na
q419:outcome expected
Was this the outcome or results you had expected?
0
0
1
yes
2
no
99
na
q420:blood tested for AIDS
Have you ever had your blood tested for the disease AIDS?
IF 2 or 88 go to section 450
0
0
1
yes
2
no
88
don't know
q421:when AIDS blood tested
When was the last time that your blood was tested for the disease AIDS?
0
0
1
less than 3 months ago
2
3-6 months ago
3
6-12 monthes ago
4
more than a year ago
88
don't know
99
na
q422:did you receive results
Did you receive your results from this testing?
0
0
1
yes
2
no
99
na
q423:reason not to receive results
Could you tell me why you didn't receive the results?
0
0
1
I am not interested in knowing my status
2
I do not know where to get these results
3
other
99
na
q423a:other reason not to receive results
Other reason why not receiving the results
0
q451:smoke tobacco
Have you ever smoked tobacco or used smokeless tobacco?
0
0
1
yes
2
no
q452:use tobacco
Do you currently use (smoke, sniff or chew) any tobacco products such as cigarettes, cigars, pipes, chewing tobacco or snuff?
IF 2 OR 3 SKIP TO 455
0
0
1
yes, daily
2
yes, but not daily
3
no, not at all
88
dk
99
na
q453:smoking-months
For how long have you been smoking or using tobacco daily? Smoking-months
If less than one month enter 00
0
0
88
dk
99
na
q453:smoking-years
For how long have you been smoking or using tobacco daily? Smoking-year
If less than one month enter 00
0
0
88
dk
99
na
q454_1:manufactured cigarettes
0
0
88
dk
99
na
q454_2:hand-rolled cigarettes
0
0
88
dk
99
na
q454_3:pipefuls of tobacco
0
0
88
dk
99
na
q454_4:smokeless tobacco
0
0
88
dk
99
na
q454_5:chewing
0
0
q454_6:other specify
0
0
88
dk
99
na
q455:smoking daily in the past
In the past, did you ever smoke tobacco or use smokeless tobacco daily?
If NO skip to 458
0
0
1
yes
2
no
88
dk
99
na
q456:age when stop smoking
How old were you when you stopped smoking or using smokeless tobacco (sniffing or schewing daily?
0
0
88
dk
99
na
q457m:months ago
If less than one month enter oo
0
0
88
dk
99
na
q457y:years ago
If less than one month enter oo
0
0
88
dk
99
na
q458: never consumed alcohol
Have you ever consumed a drink that contains alcohol (such as beer, spirits (super waragi), wine, etc.)?
0
0
1
yes
2
no, never
88
dk
99
na
q459: months ago
Have you consumed alcohol in the last 30 days/1 month?
IF 2 SKIP TO 461
0
0
1
yes
2
no
88
dk
99
na
q460_1: monday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q460_2: tuesday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q460_3: wednesday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q460_4: thursday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q460_5: friday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q460_6: saturday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q460_7: sunday
0
0
88
dk
99
na
During the past 7 days, how many standard drinks of any alcoholic beverage did you have each day?
q461: frequency at least one drink
In the last 12 months, how frequently [on how many days] on average have you had at least one alcoholic drink?
If 6 skip to 463
0
0
1
daily
2
5-6 days per week
3
1-4 days per week
4
1-3 days per month
5
less than once a month
6
had no alcohol drink in the last 12 months
88
dk
99
na
q462: number of drinks
In the last 12 months, on the days you drank alcoholic beverages, how many drinks did you have on average?
0
0
88
dk
99
na
q463: number of fruit servings
How many servings of fruit do you eat on a typical day?
0
0
q464: number of vegetable servings
In the last 12 months, were you ever hungry, but didn't eat because you couldn't afford enough food?
IF NO SKIP TO NEXT SECTION 500
0
0
q465: hungry did not eat/can't afford
In the last 12 months, how often did you eat less than you felt you should because there wasn't enough food?
0
0
1
yes
2
no
q466: eat less than you should because of not enough food
In the last 12 months, how often did you eat less than you felt you should because there wasn't enough food?
0
0
1
every month
2
almost every month
3
some months, but not every month
4
only in 1 or 2 months
5
never
88
dk
99
na
q501_1: systolic
Systolic
Now we would like to ask you to participate in a few tests to determine your health status. We would like to measure a few things, like your blood pressure, your weight and height. We will start with taking your blood pressure.
0
0
q501_2: diastolic
Diastolic
0
0
q501a: pulse rate
pulse rate
0
0
q502_1: systolic
Systolic
0
0
q502_2: diastolic
Diastolic
0
0
q502a: pulse rate
Pulse rate
0
0
q503_1: systolic
Systolic
0
0
q503_2: diastolic
Diastolic
0
0
q503a: pulse rate
Pulse rate
0
0
q504_1: systolic
Systolic
0
0
q504_2: diastolic
Diastolic
0
0
q504a: pulse rate
Pulse rate
0
0
can respondent stand up?
Can respondent stand up ?
0
0
1
yes
2
no
q505: height
I would now like to measure how tall you are. To measure your height I need you to please take off your shoes. Put your feet and heels close together, stand straight and look forward standing with your back, head and heels touching the wall. Look straight ahead
Measured height in centimeters
0
0
1
refused
2
not able
q506: waist
I would now like to measure how tall you are. To measure your height I need you to please take off your shoes. Put your feet and heels close together, stand straight and look forward standing with your back, head and heels touching the wall. Look straight ahead
Waist circumference
INTERVIEWER: identify the top of the hip bone - and make sure the tape measure is parallel to the floor all the way around the body
0
0
1
refused
2
not able
q507: hip
I would now like to measure how tall you are. To measure your height I need you to please take off your shoes. Put your feet and heels close together, stand straight and look forward standing with your back, head and heels touching the wall. Look straight ahead
Hip circumference
INTERVIEWER: measure at the midpoint of the hips - and make sure the tape measure is parallel to the floor all the way around the body
0
0
1
refused
2
not able
q508: weight
Now we want to measure your weight - could you please keep your shoes off and step on the scale.
Measured weight in kilograms
0
0
1
refused
2
not able
q509: complete walk usual pace
Did respondent complete the walk at usual pace?
0
0
1
yes
2
no, refused
3
no, cannot walk, even with support
q509a: time at 4 metres
Time at 4 metres
0
0
q510: complete walk rapid pace
Did respondent complete the walk at rapid pace?
0
0
1
yes
2
no, refused
3
no, cannot walk, even with support
q510a: time at 4 metres
Time at 4 metres
0
0
q511: wear glasses of distant vision
We will start with your distance vision - and with your left eye. Would you please cover your right eye with the palm of your right hand. Please read…
Wear glasses for distance during the test
INTERVIEWER: Start with the distance vision chart - using the 4 meters. If the respondent makes two errors or more in one row, the result is read as the previous row.
0
0
1
yes, wears glasses during test
2
no - has glasses, but cannot find them
3
no - has glasses, but never uses them
4
no - does not have glasses
q511a: distance vision-left eye
Distance Vision-Left Eye
0
0
q511b: distance vision-right eye
Distance Vision -Right Eye
0
0
q512: wear glasses for near vision
Okay, now we would like to test your near vision - starting again with your left eye - please cover your right eye with your right hand. Indicate if the ―E‖ is facing Up, Down, Left or Right. Please read…..
Wear glasses for distance during the test
INTERVIEWER: Have the person place the end of the cord attached to the near vision chart between forefinger and middle finger. Then place the palm over the eye with the same hand. The free hand is used to hold the chart. Responses will be verbal (Up, Down, Left, Right).
0
0
1
yes, wears glasses during test
2
no - has glasses, but cannot find them
3
no - has glasses, but never uses them
4
no - does not have glasses
q512a: near vision-left eye
Near Vision-Left Eye
0
0
q512b: near vision-right eye
Near Vision-Right Eye
0
0
q513: surgery left
We are now going to test the strength in your hands.
0
0
1
yes
2
no
q514: surgery right
0
0
1
yes
2
no
q515: dominant hand
0
0
1
Left
2
Right
q516: first test left hand
0
0
q516a: second test left hand
0
0
q517: first test right hand
Okay, now let's do the same on the other side. Hold the device in your right hand, so we can test your strength on this side also.
INTERVIEWER: Check positioning and grip to make sure it is correct.
0
0
q517a: second test right hand
0
0
q518: numher of words recalled correctly T1
Number of words recalled correctly
0
0
q518a: number of words respondent failed T1
Number of words respondent failed
0
0
q518b: number of words respondent substituted T1
Number of words respondent substituted
0
0
q519: numher of words recalled correctly T2
Number of words recalled correctly
I will read the list to you again, and then again when I am done, repeat them after me.
0
0
q519a: number of words respondent failed T2
Number of words respondent failed
0
0
q519b: number of words respondent substituted T2
Number of words respondent substituted
0
0
q520: wnumher of words recalled correctly T3
Number of words recalled correctly
One final time - I will read the list and when I am done, you repeat as many as you can remember.
0
0
q520a: number of words respondent failed T3
Number of words respondent failed
0
0
q520b: number of words respondent substituted T3
Number of words respondent substituted
0
0
q521: forward digit span-total score
INTERVIEWER: mark the score in Q 521
0
0
q522: backward digit span-total score
INTERVIEWER: mark the score in Q 522
0
0
q523: verbal fluency-total score
Total score ( Interviewer number of animals named correctly)
0
0
q523a: verbal fluency-errors
Number of errors
(Interviewer errors include anything that is not an animal)
0
0
q524: blood sample agreement
0
0
1
yes
2
no
q524a: blood sample obtained
0
0
1
yes
2
no
99
na
q525: delayed recall-correct
Number of words recalled correctly
0
0
q525a: delayed recall-failed
Number of words respondent failed
0
0
q525b: delayed recall-substituted
Number of words respondent substituted
0
0
q601: Any adult needed care or support for >= 1 month
(interviewer: include only this person needs or needed care for more than a period of a month. This care could be provided on and off )
0
0
1
yes
2
no
q602:Number of adults needing care or support
Since last visit / in the last 3 years, how many adult household members have needed care or support?
0
0
q603:provided outside care to any adult
Since our last visit/ in the last 3 years have there been any adults living outside your household to whom you have provided care for any reason? This could include financial, physical, emotional, health or personal care or support.
0
0
1
yes
2
no
q604:how many adults provided with outside care
How many adults did this include?
0
0
q605:total number of adults provided with care
Please tell me about the adults needing and receiving care starting with those are still living in the household today, and then those who have lived in the HH and moved away or died, and then those who lives(d) outside the household .
0
0
q606a:residence and survival status of adult A receiving care and support
Residence and survival status of adult A receiving care and support
Interviewer: Complete the residence and survival status of the adult who needs/needed care and support:
0
0
1
alive and living in the household
2
3
died
4
live(d) outside of the household
q606b:residence and survival status of adult B receiving care and support
Residence and survival status of adult A receiving care and support
Interviewer: Complete the residence and survival status of the adult who needs/needed care and support:
0
0
1
2
3
died
4
live(d) outside of the household
q606c:residence and survival status of adult C receiving care and support
Residence and survival status of adult A receiving care and support
Interviewer: Complete the residence and survival status of the adult who needs/needed care and support:
0
0
1
2
3
died
4
live(d) outside of the household
q606d:residence and survival status of adult D receiving care and support
Residence and survival status of adult A receiving care and support
Interviewer: Complete the residence and survival status of the adult who needs/needed care and support:
0
0
1
2
3
died
4
live(d) outside of the household
q607a: Line number of respondent A if living in household now
If living in household now: Line number of respondent A if living in household now
0
0
q607b:Line number of respondent B if living in household now
If living in household now: Line number of respondent B if living in household now
0
0
q607c:Line number of respondent C if living in household now
If living in household now: Line number of respondent C if living in household now
0
0
q607d: Line number of respondent D if living in household now
If living in household now: Line number of respondent D if living in household now
0
0
q608a:what is your relationship to person A
What is your relationship to this person A? The person is/was your
0
0
1
spouse
2
son or daughter
3
son or daughter-in-law
4
grandchild/great grandchild
5
parent
6
parent-in-law
7
brother of sister
8
co-wife
10
other relative
11
not related (friend, servants, servants, boarders, logders, other)
88
don't know
q608b:what is your relationship to person B
What is your relationship to this person B? The person is/was your
0
0
1
spouse
2
son or daughter
3
son or daughter-in-law
4
grandchild/great grandchild
5
parent
6
parent-in-law
7
brother of sister
8
co-wife
10
other relative
11
not related (friend, servants, servants, boarders, logders, other)
88
don't know
q608c:what is your relationship to person C
What is your relationship to this person C? The person is/was your
0
0
1
spouse
2
son or daughter
3
son or daughter-in-law
4
grandchild/great grandchild
5
parent
6
parent-in-law
7
brother of sister
8
co-wife
10
other relative
11
not related (friend, servants, servants, boarders, logders, other)
88
don't know
q608d:what is your relationship to person D
What is your relationship to this person D? The person is/was your
0
0
1
spouse
2
son or daughter
3
son or daughter-in-law
4
grandchild/great grandchild
5
parent
6
parent-in-law
7
brother of sister
8
co-wife
10
other relative
11
not related (friend, servants, servants, boarders, logders, other)
88
don't know
q609a:why does A need care or support
Why does/did A this person need care or support?*
0
0
1
HIV related illness
2
other health-related reason
3
other reason (not health related)
88
don't know
q609b:why does B need care or support
Why does/did B this person need care or support?*
0
0
1
HIV related illness
2
other health-related reason
3
other reason (not health related)
88
don't know
q609c:why does C need care or support
Why does/did C this person need care or support?*
0
0
1
HIV related illness
2
other health-related reason
3
other reason (not health related)
88
don't know
q609d:why does D need care or support
Why does/did D this person need care or support?*
0
0
1
HIV related illness
2
other health-related reason
3
other reason (not health related)
88
don't know
q610a:main person providing care for adult A
Who is or was the main person providing care for this adult A? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
respondent
2
someone else in the household
3
someone outside the household
88
don't know
q610b:main person providing care for adult B
Who is or was the main person providing care for this adult B? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
respondent
2
someone else in the household
3
someone outside the household
88
don't know
q610c:main person providing care for adult C
Who is or was the main person providing care for this adult C? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
respondent
2
someone else in the household
3
someone outside the household
88
don't know
q610d:main person providing care for adult D
Who is or was the main person providing care for this adult D? Is it you yourself, someone else in this household, or someone outside of this household?
0
0
1
respondent
2
someone else in the household
3
someone outside the household
88
don't know
q611a: respondent provided some care for adult A
Even if you were not the main caregiver, did/do you provide care or support to this person?
0
0
1
yes
2
no
q611b: respondent provided some care for adult B
Even if you were not the main caregiver, did/do you provide care or support to this person?
0
0
1
yes
2
no
q611c: respondent provided some care for adult C
Even if you were not the main caregiver, did/do you provide care or support to this person?
0
0
1
yes
2
no
q611d: respondent provided some care for adult D
Even if you were not the main caregiver, did/do you provide care or support to this person?
0
0
1
yes
2
no
q612a:how long providing care for adult A
For how long have/had you been providing care for adult A? (since last visit / in the last 3 years)
0
0
1
more than 1 month but less than 3 months
2
more than 3 months but less than 6 months
3
6 months - year
4
more than 1 year
q612b:how long providing care for adult B
For how long have/had you been providing care adult B? (since last visit / in the last 3 years)
0
0
1
more than 1 month but less than 3 months
2
more than 3 months but less than 6 months
3
6 months - year
4
more than 1 year
q612c:how long providing care for adult C
For how long have/had you been providing care adult C? (since last visit / in the last 3 years)
0
0
1
more than 1 month but less than 3 months
2
more than 3 months but less than 6 months
3
6 months - year
4
more than 1 year
q612d:how long providing care for adult D
For how long have/had you been providing care adult D? (since last visit / in the last 3 years)
0
0
1
more than 1 month but less than 3 months
2
more than 3 months but less than 6 months
3
6 months - year
4
more than 1 year
q612aa:how much care does adult A need
How much care does/did adult A need/needed?
0
0
1
needs watching all the time
2
cannot be left for > 1 hour
3
needs accompaniment when leaving home
4
needs some help
q612ab:how much care does adult B need
How much care does/did adult B need/needed?
0
0
1
needs watching all the time
2
cannot be left for > 1 hour
3
needs accompaniment when leaving home
4
needs some help
q612ac:how much care does adult C need
How much care does/did adult C need/needed?
0
0
1
needs watching all the time
2
cannot be left for > 1 hour
3
needs accompaniment when leaving home
4
needs some help
q612ad:how much care does adult D need
How much care does/did adult D need/needed?
0
0
1
needs watching all the time
2
cannot be left for > 1 hour
3
needs accompaniment when leaving home
4
needs some help
q613a: adult A - provide financial support such as paying for food
Did you provide financial support such as paying for food, clothing, medicines or transportation? For Adult A
0
0
1
yes
2
no
q613b: adult B - provide financial support such as paying for food
Did you provide financial support such as paying for food, clothing, medicines or transportation? For Adult B
0
0
1
yes
2
no
q613c: adult C - provide financial support such as paying for food
Did you provide financial support such as paying for food, clothing, medicines or transportation? For Adult C
0
0
1
yes
2
no
q613d: adult D - provide financial support such as paying for food
Did you provide financial support such as paying for food, clothing, medicines or transportation? For Adult D
0
0
1
yes
2
no
q614a: adult A - provide physical care such as bringing food
Did you provide physical care such as bringing food, agricultural work, fetching water, cooking or taking to a clinic? For Adult A
0
0
1
yes
2
no
q614b: adult B - provide physical care such as bringing food
0
0
1
yes
2
no
q614c: adult C - provide physical care such as bringing food
0
0
1
yes
2
no
q614d: adult D - provide physical care such as bringing food
Did you provide physical care such as bringing food, agricultural work, fetching water, cooking or taking to a clinic? For Adult D
0
0
1
yes
2
no
q615a: adult A - provide personal or nursing care such bathing (washing)
Did you provide personal or nursing care such as bathing (washing), eating (not including cooking), dressing, toileting, moving around or hygiene problems (e.g. incontinence)? For Adult A
0
0
1
yes
2
no
q615a: adult B - provide personal or nursing care such bathing (washing)
Did you provide personal or nursing care such as bathing (washing), eating (not including cooking), dressing, toileting, moving around or hygiene problems (e.g. incontinence)? For Adult B
0
0
1
yes
2
no
q615c: adult C - provide personal or nursing care such bathing (washing)
Did you provide personal or nursing care such as bathing (washing), eating (not including cooking), dressing, toileting, moving around or hygiene problems (e.g. incontinence)? For Adult C
0
0
1
yes
2
no
q615d: adult D - provide personal or nursing care such bathing (washing)
Did you provide personal or nursing care such as bathing (washing), eating (not including cooking), dressing, toileting, moving around or hygiene problems (e.g. incontinence)? For Adult D
0
0
1
yes
2
no
q616a: adult A: how much difficulty did you have with care
Overall, how much difficulty did you have with providing this care/support? For Adult A
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q616b: adult B: how much difficulty did you have with care
Overall, how much difficulty did you have with providing this care/support? For Adult B
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q616c: adult C: how much difficulty did you have with care
Overall, how much difficulty did you have with providing this care/support? For Adult C
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q616d: adult D: how much difficulty did you have with care
Overall, how much difficulty did you have with providing this care/support? For Adult D
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q616aa: adult A: what did you find most difficult
What did you find most difficult? For Adult A
0
0
1
financial suppot
2
personal or sursing care
3
physical care/assistance
q616ab: adult B: what did you find most difficult
What did you find most difficult? For Adult B
0
0
1
financial suppot
2
personal or sursing care
3
physical care/assistance
q616ac: adult C: what did you find most difficult
What did you find most difficult? For Adult C
0
0
1
financial suppot
2
personal or sursing care
3
physical care/assistance
q616ad:adult D: what did you find most difficult
What did you find most difficult? For Adult D
0
0
1
financial suppot
2
personal or sursing care
3
physical care/assistance
q617: how many children have needed care and support for > 1 month?
The following questions ask about care you provide or have provided to children in the household since our last visit / in the last 3 years - specifically care provided to children younger than 18 years.. Care could include personal care, physical care, financial support or other forms of care, where you are responsible for the well-being of the child/children.
Since last visit / in the last 3 years, how many children have needed your care and support for more than a period of a month? IF no caregiving to children SKIP to Q 634
(read instruction before starting Q634)
0
0
q618:how many children in the household need care and support now for > 1 month
How many children in the household need your care and support now for more than a period of a month?
0
0
q618aa: enter child A line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child A line number from Question 118 (HH Roster)
0
0
q618ab: enter child B line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child B line number from Question 118 (HH Roster)
0
0
q618ac: enter child C line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child C line number from Question 118 (HH Roster)
0
0
q618ad: enter child D line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child D line number from Question 118 (HH Roster)
0
0
q618ae: enter child E line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child E line number from Question 118 (HH Roster)
0
0
q618af: enter child F line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child F line number from Question 118 (HH Roster)
0
0
q618ag: enter child G line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child G line number from Question 118 (HH Roster)
0
0
q618ah: enter child H line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child H line number from Question 118 (HH Roster)
0
0
q618ai: enter child I line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child I line number from Question 118 (HH Roster)
0
0
q618aj: enter child J line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child J line number from Question 118 (HH Roster)
0
0
q618ak: enter child K line number from question 118 (HH roster)
Please tell me about the children needing and receiving care now, starting with the youngest child. (INCLUDE ALL CHILDREN who needed care for more than a period of a month)
Enter child K line number from Question 118 (HH Roster)
0
0
q619a: how old is child A? (in years, 00 if less than 1 year)?
0
0
q619b: how old is child B? (in years, 00 if less than 1 year)?
0
0
q619c: how old is child C? (in years, 00 if less than 1 year)?
0
0
q619d: how old is child D? (in years, 00 if less than 1 year)?
0
0
q619e: how old is child E? (in years, 00 if less than 1 year)?
0
0
q619f: how old is child F? (in years, 00 if less than 1 year)?
0
0
q619g: how old is child G? (in years, 00 if less than 1 year)?
0
0
q619h: how old is child H? (in years, 00 if less than 1 year)?
How old is this child H ?(in years, 00 if less than one year)
0
0
q619i: how old is child I? (in years, 00 if less than 1 year)?
How old is this child I ?(in years, 00 if less than one year)
0
0
q619j: how old is child J? (in years, 00 if less than 1 year)?
0
0
q619k: how old is child K? (in years, 00 if less than 1 year)?
0
0
q620a: is the father of child A:
Is the Father of child A?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620b: is the father of child B:
Is the Father of child B?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620c: is the father of child C:
Is the Father of child C?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620d: is the father of child D:
Is the Father of child D?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620e: is the father of child E:
Is the Father of child E?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620f: is the father of child F:
Is the Father of child F?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620g: is the father of child G:
Is the Father of child G?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620h: is the father of child H:
Is the Father of child H?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620i: is the father of child I:
Is the Father of child I?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620j: is the father of child J:
Is the Father of child J?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q620k: is the father of child K:
Is the Father of child K?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621a: is the mother of child A:
Is the mother of child A?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621b: is the mother of child B:
Is the mother of child B?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621c: is the mother of child C:
Is the mother of child C?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621d: is the mother of child D:
Is the mother of child D?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621e: is the mother of child E:
Is the mother of child E?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621f: is the mother of child F:
Is the mother of child F?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621g: is the mother of child G:
Is the mother of child G?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621h: is the mother of child H:
Is the mother of child H?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621i: is the mother of child I:
Is the mother of child I?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621j: is the mother of child J:
Is the mother of child J?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q621k: is the mother of child K:
Is the mother of child K?
0
0
1
living in the same household
2
living outside the household
3
deceased
4
location/status unknown to caregiver
q622a: who is the person primarily responsible for the care of child A?
Who is the person primarily responsible for the care of this child A?
0
0
1
respondent
2
another household member
3
other
q622b: who is the person primarily responsible for the care of child B?
Who is the person primarily responsible for the care of this child B?
0
0
1
respondent
2
another household member
3
other
q622c: who is the person primarily responsible for the care of child C?
Who is the person primarily responsible for the care of this child C?
0
0
1
respondent
2
another household member
3
other
q622d: who is the person primarily responsible for the care of child D?
Who is the person primarily responsible for the care of this child D?
0
0
1
respondent
2
another household member
3
other
q622e: who is the person primarily responsible for the care of child E?
Who is the person primarily responsible for the care of this child E?
0
0
1
respondent
2
another household member
3
other
q622f: who is the person primarily responsible for the care of child F?
Who is the person primarily responsible for the care of this child F?
0
0
1
respondent
2
another household member
3
other
q622g: who is the person primarily responsible for the care of child G?
Who is the person primarily responsible for the care of this child G?
0
0
1
respondent
2
another household member
3
other
q622h: who is the person primarily responsible for the care of child H?
Who is the person primarily responsible for the care of this child H?
0
0
1
respondent
2
another household member
3
other
q622i: who is the person primarily responsible for the care of child I?
Who is the person primarily responsible for the care of this child I?
0
0
1
respondent
2
another household member
3
other
q622j: who is the person primarily responsible for the care of child J?
Who is the person primarily responsible for the care of this child J?
0
0
1
respondent
2
another household member
3
other
q622k: who is the person primarily responsible for the care of child K?
Who is the person primarily responsible for the care of this child K?
0
0
1
respondent
2
another household member
3
other
q623a: who dresses and washes child A?
Who dresses and washes this child A?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623b: who dresses and washes child B?
Who dresses and washes this child B?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623c: who dresses and washes child C?
Who dresses and washes this child C?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623d: who dresses and washes child D?
Who dresses and washes this child D?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623e: who dresses and washes child E?
Who dresses and washes this child E?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623f: who dresses and washes child F?
Who dresses and washes this child F?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623g: who dresses and washes child G?
Who dresses and washes this child G?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623h: who dresses and washes child H?
Who dresses and washes this child H?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623i: who dresses and washes child I?
Who dresses and washes this child I?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623j: who dresses and washes child J?
Who dresses and washes this child J?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q623k: who dresses and washes child K?
Who dresses and washes this child K?
0
0
1
respondent
2
another household member
3
child does it his/herself, needs no help
4
other
q624a: who provides food for child A (cooking and/or feeding)?
Who provides food for this child A (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624b: who provides food for child B (cooking and/or feeding)?
Who provides food for this child B (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624c: who provides food for child C (cooking and/or feeding)?
Who provides food for this child C (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624d: who provides food for child D (cooking and/or feeding)?
Who provides food for this child D (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624e: who provides food for child E (cooking and/or feeding)?
Who provides food for this child E (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624f: who provides food for child F (cooking and/or feeding)?
Who provides food for this child F (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624g: who provides food for child G (cooking and/or feeding)?
Who provides food for this child G (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624h: who provides food for child H (cooking and/or feeding)?
Who provides food for this child H (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624i: who provides food for child I (cooking and/or feeding)?
Who provides food for this child I (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624j: who provides food for child J (cooking and/or feeding)?
Who provides food for this child J (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q624k: who provides food for child K (cooking and/or feeding)?
Who provides food for this child K (cooking and/or feeding)?
0
0
1
respondent
2
another household member
3
child needs no help
4
other
q625a: who makes sure child A receives medical care, when needed?
Who makes sure this child A receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625b: who makes sure child B receives medical care, when needed?
Who makes sure this child B receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625c: who makes sure child C receives medical care, when needed?
Who makes sure this child C receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625d: who makes sure child D receives medical care, when needed?
Who makes sure this child D receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625e: who makes sure child E receives medical care, when needed?
Who makes sure this child E receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625f: who makes sure child F receives medical care, when needed?
Who makes sure this child F receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625g: who makes sure child G receives medical care, when needed?
Who makes sure this child G receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625h: who makes sure child H receives medical care, when needed?
Who makes sure this child H receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625i: who makes sure child I receives medical care, when needed?
Who makes sure this child I receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625j: who makes sure child J receives medical care, when needed?
Who makes sure this child J receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q625k: who makes sure child K receives medical care, when needed?
Who makes sure this child K receives medical care, when needed?
0
0
1
respondent
2
another household member
3
other
q626a: Does child A attend school?
0
0
1
yes
2
no
q626b: Does child B attend school?
0
0
1
yes
2
no
q626c: Does child C attend school?
0
0
1
yes
2
no
q626d: Does child D attend school?
0
0
1
yes
2
no
q626e: Does child E attend school?
0
0
1
yes
2
no
q626f: Does child F attend school?
0
0
1
yes
2
no
q626g: Does child G attend school?
0
0
1
yes
2
no
q626h: Does child H attend school?
0
0
1
yes
2
no
q626i: Does child I attend school?
0
0
1
yes
2
no
q626j: Does child J attend school?
0
0
1
yes
2
no
q626k: Does child K attend school?
0
0
1
yes
2
no
q627a: who provides school fees for child A?
Who provides school fees for this child A?
0
0
1
you
2
another household member
3
other
4
no one
q627b: who provides school fees for child B?
Who provides school fees for this child B?
0
0
1
you
2
another household member
3
other
4
no one
q627c: who provides school fees for child C?
Who provides school fees for this child C?
0
0
1
you
2
another household member
3
other
4
no one
q627a: who provides school fees for child D?
Who provides school fees for this child D?
0
0
1
you
2
another household member
3
other
4
no one
q627e: who provides school fees for child E?
Who provides school fees for this child E?
0
0
1
you
2
another household member
3
other
4
no one
q627f: who provides school fees for child F?
Who provides school fees for this child F?
0
0
1
you
2
another household member
3
other
4
no one
q627g: who provides school fees for child G?
Who provides school fees for this child G?
0
0
1
you
2
another household member
3
other
4
no one
q627h: who provides school fees for child H?
Who provides school fees for this child H?
0
0
1
you
2
another household member
3
other
4
no one
q627i: who provides school fees for child I?
Who provides school fees for this child I?
0
0
1
you
2
another household member
3
other
4
no one
q627j: who provides school fees for child J?
Who provides school fees for this child J?
0
0
1
you
2
another household member
3
other
4
no one
q627k: who provides school fees for child K?
Who provides school fees for this child K?
0
0
1
you
2
another household member
3
other
4
no one
q628a: who ensures that child A gets to/from school?
Who ensures that this child A gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628b: who ensures that child B gets to/from school?
Who ensures that this child B gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628c: who ensures that child C gets to/from school?
Who ensures that this child C gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628d: who ensures that child D gets to/from school?
Who ensures that this child D gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628e: who ensures that child E gets to/from school?
Who ensures that this child E gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628f: who ensures that child F gets to/from school?
Who ensures that this child F gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628g: who ensures that child G gets to/from school?
Who ensures that this child G gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628h: who ensures that child H gets to/from school?
Who ensures that this child H gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628i: who ensures that child I gets to/from school?
Who ensures that this child I gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628j: who ensures that child J gets to/from school?
Who ensures that this child J gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q628k: who ensures that child K gets to/from school?
Who ensures that this child K gets to/from school?
0
0
1
you
2
another household member
3
child needs no help
4
other
q629a: is child A often ill or needs some special treatment with medicines?
Is this child A often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629b: is child B often ill or needs some special treatment with medicines?
Is this child B often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629c: is child C often ill or needs some special treatment with medicines?
Is this child C often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629d: is child D often ill or needs some special treatment with medicines?
Is this child D often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629e: is child E often ill or needs some special treatment with medicines?
Is this child E often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629f: is child F often ill or needs some special treatment with medicines?
Is this child F often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629g: is child G often ill or needs some special treatment with medicines?
Is this child G often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629h: is child H often ill or needs some special treatment with medicines?
Is this child H often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629i: is child I often ill or needs some special treatment with medicines?
Is this child I often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629a: is child J often ill or needs some special treatment with medicines?
Is this child J often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q629k: is child K often ill or needs some special treatment with medicines?
Is this child K often ill or needs some special treatment with medicines?
0
0
1
yes
2
no
q630a: can you tell me what child A suffers from or needs treatment for?
Can you tell me what the child A suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630b: can you tell me what child B suffers from or needs treatment for?
Can you tell me what the child B suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630c: can you tell me what child C suffers from or needs treatment for?
Can you tell me what the child C suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630d: can you tell me what child D suffers from or needs treatment for?
Can you tell me what the child D suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630e: can you tell me what child E suffers from or needs treatment for?
Can you tell me what the child E suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630f: can you tell me what child F suffers from or needs treatment for?
Can you tell me what the child F suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630g: can you tell me what child G suffers from or needs treatment for?
Can you tell me what the child G suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630h: can you tell me what child H suffers from or needs treatment for?
Can you tell me what the child H suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630i: can you tell me what child I suffers from or needs treatment for?
Can you tell me what the child I suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630j: can you tell me what child J suffers from or needs treatment for?
Can you tell me what the child J suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q630k: can you tell me what child K suffers from or needs treatment for?
Can you tell me what the child K suffers from or needs treatment for?
Do not read the responses categories
0
0
1
HIV/AIDS
2
other health problem
3
no health related problem
8
don't know
q631a: if HIV: does child A need to take daily medication?
If HIV: Does this child A need to take daily medication?
0
0
1
yes
2
no
q631b: if HIV: does child B need to take daily medication?
If HIV: Does this child B need to take daily medication?
0
0
1
yes
2
no
q631c: if HIV: does child C need to take daily medication?
If HIV: Does this child C need to take daily medication?
0
0
1
yes
2
no
q631d: if HIV: does child D need to take daily medication?
If HIV: Does this child D need to take daily medication?
0
0
1
yes
2
no
q631e: if HIV: does child E need to take daily medication?
If HIV: Does this child E need to take daily medication?
0
0
1
yes
2
no
q631f: if HIV: does child F need to take daily medication?
If HIV: Does this child F need to take daily medication?
0
0
1
yes
2
no
q631g: if HIV: does child G need to take daily medication?
If HIV: Does this child G need to take daily medication?
0
0
1
yes
2
no
q631h: if HIV: does child H need to take daily medication?
If HIV: Does this child H need to take daily medication?
0
0
1
yes
2
no
q631i: if HIV: does child I need to take daily medication?
If HIV: Does this child I need to take daily medication?
0
0
1
yes
2
no
q631j: if HIV: does child J need to take daily medication?
If HIV: Does this child J need to take daily medication?
0
0
1
yes
2
no
q631k: if HIV: does child K need to take daily medication?
If HIV: Does this child K need to take daily medication?
0
0
1
yes
2
no
q632a: if HIV: is your responsibility to ensure that child A takes its medicatio
If HIV: Is it your responsibility to ensure that the child A takes its medication every day?
0
0
1
yes
2
no
q632b: if HIV: is your responsibility to ensure that child B takes its medicatio
If HIV: Is it your responsibility to ensure that the child B takes its medication every day?
0
0
1
yes
2
no
q632c: if HIV: is your responsibility to ensure that child C takes its medicatio
If HIV: Is it your responsibility to ensure that the child C takes its medication every day?
0
0
1
yes
2
no
q632d: if HIV: is your responsibility to ensure that child D takes its medicatio
If HIV: Is it your responsibility to ensure that the child D takes its medication every day?
0
0
1
yes
2
no
q632e: if HIV: is your responsibility to ensure that child E takes its medicatio
If HIV: Is it your responsibility to ensure that the child E takes its medication every day?
0
0
1
yes
2
no
q632f: if HIV: is your responsibility to ensure that child F takes its medicatio
If HIV: Is it your responsibility to ensure that the child F takes its medication every day?
0
0
1
yes
2
no
q632g: if HIV: is your responsibility to ensure that child G takes its medicatio
If HIV: Is it your responsibility to ensure that the child G takes its medication every day?
0
0
1
yes
2
no
q632h: if HIV: is your responsibility to ensure that child H takes its medicatio
If HIV: Is it your responsibility to ensure that the child H takes its medication every day?
0
0
1
yes
2
no
q632i: if HIV: is your responsibility to ensure that child I takes its medicatio
If HIV: Is it your responsibility to ensure that the child I takes its medication every day?
0
0
1
yes
2
no
q632j: if HIV: is your responsibility to ensure that child J takes its medicatio
If HIV: Is it your responsibility to ensure that the child J takes its medication every day?
0
0
1
yes
2
no
q632k: if HIV: is your responsibility to ensure that child K takes its medicatio
If HIV: Is it your responsibility to ensure that the child K takes its medication every day?
0
0
1
yes
2
no
q633a: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child A?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633b: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child B?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633c: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child C?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633d: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child D?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633e: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child E?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633f: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child F?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633g: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child G?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633h: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child H?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633i: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child I?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633j: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child J?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q633k: overall how much difficulty did you have with providing care and support
Overall, how much difficulty did you have with providing care and support for this child K?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme/could not do
q634a: difficulty as a result of caregiving: getting enough sleep?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with getting enough sleep?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634b: difficulty as a result of care giving: getting enough food?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with getting enough food?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634c: difficulty as a result of care giving: have enough energy?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with having enough energy to do the extra work?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634d: difficulty as a result of care giving: taking care of your health?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with taking care of your health, ailments or condition (if exist ) - including impact of caregiving on your own health (such as, stress, fatigue, muscle strains, insomnia, anxiety, grief)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634e: difficulty as a result of caregiving: paying for medication?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with paying for medication/treatments for your own ailments / chronic conditions?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634f: difficulty as a result of caregiving: visiting friends and relatives?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with visiting friends and relatives as much as before you were providing this level of care?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634g: difficulty as a result of caregiving: sharing feelings?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with sharing feelings about caregiving responsibility with others?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634h: difficulty as a result of caregiving: financial problems?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with financial problems due to loss of income, decreased time available for paid employment, or increased costs or expenses?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634i: difficulty as a result of caregiving: providing correct care?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with knowing about and providing the correct care for health problems for this person(s) ?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q634j: difficulty as a result of caregiving: experiencing stigma?
The next questions ask about the impact of providing care on you. I am going to ask whether you face some problems related to your health and well-being since you began providing care for any household members. We want to know how you and your health have been affected by your caregiving duties
As a result of providing care how much difficulty you have with experiencing stigma or problems as a result of or associated with the illness or death (that is, have you been treated differently or poorly by the community, friends or family members outside your household)?
0
0
1
none
2
mild
3
moderate
4
severe
5
extreme
q718a:chance to keep busy and occupied
Does /did the care you have / had given to your child or family members gave / or others (read that apply) give you the following a chance to keep busy and occupied?
We would like to continue asking questions about the care giving you did and (still do). This time is about asking if there is any satisfaction and more precisely the kind of satisfaction, you might have (had) giving care to the child (ren)/ adults.
0
0
1
yes
2
somewhat
3
no
q718b:chance to do things that make use of your abilities
Does /did the care you have / had given to your child or family members gave / or others (read that apply) give you the following a chance to do things that makes use of your abilities?
We would like to continue asking questions about the care giving you did and (still do). This time is about asking if there is any satisfaction and more precisely the kind of satisfaction, you might have (had) giving care to the child (ren)/ adults.
0
0
1
yes
2
somewhat
3
no
q718c:chance to feel sense of accomplishment
Does /did the care you have / had given to your child or family members gave / or others (read that apply) give you the following a chance to feel a sense of accomplishment despite the difficulties?
We would like to continue asking questions about the care giving you did and (still do). This time is about asking if there is any satisfaction and more precisely the kind of satisfaction, you might have (had) giving care to the child (ren)/ adults.
0
0
1
yes
2
somewhat
3
no
q718d:chance to do something useful for sick child
Does /did the care you have / had given to your child or family members gave / or others (read that apply) give you the following a chance to do something useful for your sick child/ grandchild?
We would like to continue asking questions about the care giving you did and (still do). This time is about asking if there is any satisfaction and more precisely the kind of satisfaction, you might have (had) giving care to the child (ren)/ adults.
0
0
1
yes
2
somewhat
3
no
q718e:reason to continue living
Does /did the care you have / had given to your child or family members gave / or others (read that apply) give you the following provide a reason to continue living?
We would like to continue asking questions about the care giving you did and (still do). This time is about asking if there is any satisfaction and more precisely the kind of satisfaction, you might have (had) giving care to the child (ren)/ adults.
0
0
1
yes
2
somewhat
3
no
q700a:need of any care/support of more than a month
Since last visit / in the last 3 years, have you been in need of any care or support for more than a period of a month?
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
yes
2
no
q700b:need personal care
Since the last visit/ in the last 3 years did you need any personal care, such as bathing, eating, dressing, moving about (e.g. getting out of bed), toileting, taking medicines etc.?
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
yes
2
no
q700c:need physical assistance
Since the last visit/ in the last 3 years did you need any physical assistance, such as buying food, cooking, fetching water, agricultural work etc.?
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
yes
2
no
q700d:need financial assistance
Since the last visit/ in the last 3 years did you receive any financial assistance such as cash or payments for medicines, clothing or food?
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
yes
2
no
q700e:the main provider of care to you
Who is the main provider of care for you? This may be a person or an organization or government.
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
parent
2
spouse
3
daughter or son
4
grandson or granddaughter
5
sibling
6
in laws
7
friends or neighbours
8
church
9
health care non-governmental
10
government
11
community volunteer
q700f:the second most important provider of care to you
Who is the second most important provider of care for you? This may be a person or an organization or government.
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
parent
2
spouse
3
daughter or son
4
grandson or granddaughter
5
sibling
6
in laws
7
friends or neighbours
8
church
9
health care non-governmental
10
government
11
community volunteer
q700g:how long receiving care
For how long have you been receiving care?
Now we will continue asking questions about the assistance and care you might have needed.
0
0
1
Less than 30 days
2
1 to 3 months
3
more than 3 months but less than 6 months
4
6-months - 1 year
5
more than 1 year
q802:reason care
Could you tell us why you need care or support?
0
0
1
HIV/AIDS related
2
Other health related reason
3
other reason (not health related)
8
don't know
79
refused
q828a:worried viewed me unfavorably
0
0
1
never
2
seldom
3
sometimes
4
often
5
very often
99
na
q828b: heard others say unfavourable things
I have been in situations where I have heard others say unfavorable or offensive things about people with HIV
0
0
1
never
2
seldom
3
sometimes
4
often
5
very often
99
na
q828c:disclosed status to others?
Have you disclosed your status to others?
0
0
1
never
2
seldom
3
sometimes
4
often
5
very often
q828d:avoided telling others
I have avoided telling others outside my immediate family that I am HIV +
0
0
1
never
2
seldom
3
sometimes
4
often
5
very often
q828e:treated as less competent
I have been treated as less competent by others when they learn that I am HIV +
0
0
1
never
2
seldom
3
sometimes
4
often
5
very often
q831a:taking ARVs
Are you taking daily medicines against HIV (ARVs)?
0
0
1
yes
2
no
q832a:has no problem
Do you have any problems with taking the pills? Which ones? has no problem
0
0
1
yes
2
no
q832b:needs certain kinds of foods
Do you have any problems with taking the pills? Which ones? needs certain kinds of foods
0
0
1
yes
2
no
q832c:not enough food
Do you have any problems with taking the pills? Which ones? not enough food
0
0
1
yes
2
no
q832d:has side effects
Do you have any problems with taking the pills? Which ones? side effects
0
0
1
yes
2
no
q832e:forget sometimes
Do you have any problems with taking the pills? Which ones? forget sometimes
0
0
1
yes
2
no
q832f:take too many pills
Do you have any problems with taking the pills? Which ones? take too many pills
0
0
1
yes
2
no
q832g:any other problem
Do you have any problems with taking the pills? Which ones? any other problem
0
0
1
yes
2
no
q832h1:record other problems 1
Record the one that causes the most trouble as nr 1
0
0
q832h2:record other problems 2
Record the one that causes the most trouble as nr 2
0
0
q832h3:record other problems 3
Record the one that causes the most trouble as nr 3
0
0
q832h4:record other problems 4
Record the one that causes the most trouble as nr 4
0
0
q835:serious side effects after starting ARV
Did you experience serious side effects after starting ARV?
0
0
1
yes
2
no
q836a:skin conditions
Which ones? skin conditions
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836b:yellow eyes
Which ones? yellow eyes
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836c:muscle weakness
Which ones? muscle weakness
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836d:pain in the muscle
Which ones? pain in the muscle
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836e:nausea/vomiting
Which ones? nausea/vomiting
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836f:diarrhea
Which ones? diarrhea
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836g:hallucinations
Which ones? hallucinations
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836h:bad dreams
Which ones? bad dreams
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836i:self hate
Which ones? self hate
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836j:fear
Which ones? fear
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836k:sadness
Which ones? sadness
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836l:unreasonable/irritable
Which ones? unreasonable/irritable
Tick all that respondent mentioned, if necessary probe for it.
0
0
1
yes
2
no
99
na
q836n_1:specify serious effects
Other serious side effects
0
0
q837:months
How long did these side effects last? By months
0
0
99
na
q838:are you still experiencing side effects
Are you still experiencing these side effects?
0
0
1
yes
2
no
99
na
q839:have you changed ARV because of side effects
Have you changed ARV because of side effects?
0
0
1
yes
2
no
99
na
q840:has your health improved since taking ARV
Has your health improved since taking ARV?
0
0
1
very much
2
some but still has health problems
3
only a little
4
is same as before
5
is worse
6
was not ill before and is not ill now
q841:does anyone living in the HH ever remind you to take ARV in time
SKIP Q WHEN RESPONDENT LIVES ALONE AND RECORD CODE 7
Does anyone living in the household ever remind you to take ARV in time?
0
0
1
daily or almost daily
2
several times a week
3
only once in a while
4
rarely or never
5
at first but not now
6
other
7
alone
98
not applicable
q842:does anyone accompany you when you go for follow up visit
Does anyone accompany you when you go for follow up (and or resupply) visit?
0
0
1
yes, always
2
yes, sometimes
3
only when feeling sick
4
no
q843:who will usually accompany
Who will usually accompany when you go for follow up (and or resupply) visit?
0
0
1
family member
2
friend
3
community volunteer
99
na
q844:anything you would like to tell us
Is there anything else you would like to tell us?
0
0
1
yes
2
no
q844a_1:record the time
Record if needed
0
0
q006b: time end interview part 2
0
0
household case id
household case id
0
0
q001: wops id number
0
0
q101:sex
Sex
0
0
1
male
2
female
q102:age
Age
0
0
measured height(cm)
0
0
measured weight(kg)
0
0
body mass index
0
0
basal metabolic rate (mj/day)
0
0
basal metabolic rate (kcal/day)
0
0
daily average energy expenditure (dbmr_calories+ddailyavg_aee)
0
0
daily physical activity level (ddailyavg_tee/dbmr_calories)
0
0
number of days of analysis
0
0
minutes awake total
0
0
minutes awake per day
0
0
total number of hours measured
0
0
total number of activity calories measured (kcal)
0
0
total activity counts
0
0
daily average activity counts
0
0
daily average activity calories (kcal)
0
0
activity calories measured in 1st day of measurement(kcal)
0
0
activity counts measured in the first day of measurement
0
0
activity calories measured in 1st 3 days of measurement(kcal)
0
0
-9
n/a
activity counts measured in the first 3 days of measurement
0
0
-9
n/a
activity calories measured in 1st 5 days of measurement(kcal)
0
0
-9
n/a
activity counts measured in the first 5 days of measurement
0
0
-9
n/a
activity calories measured in 1st 7 days of measurement(kcal)
0
0
-9
n/a
activity counts measured in the first 7 days of measurement
0
0
-9
n/a
total time spent in sedentary activity
0
0
average time spent in sedentary activity per day (dsed_time/ddaysanalysis)
0
0
total time spent in light activity
0
0
average time spent in light activity per day (dlight_time/ddaysanalysis)
0
0
total time spent in moderate activity
0
0
average time spent in moderate activity per day (dmoderate_time/ddaysanalysis)
0
0
total time spent in vigorous activity
0
0
average time spent in very vigorous activity per day (dveryvig_time/ddaysanalysi
0
0
accelerometer measured METs (sum of average METs per hour) over the entire time
0
0
-9
n/a
number of hours over which METs were measured
0
0
-9
n/a
accelerometer measured METs over a 24 hour period
0
0
comments on data quality
0
0
1
see note 1
2
see note 2
3
see note 3