Albania

Document Sample
Albania Powered By Docstoc
					       Poverty Assessment Survey - Albania                                                 SURVEY NUMBER:

Date of Interview                    Supervisor QC Date ____ Initials ____                       Enterprise Type:
Interviewer (code)                   Head Quarters QC Date ___ Initials ___                      1.Manufacturing       5.Oth. Services
Branch (code)                        MIS Data Entry Date _____ Initials ____ 2.Trade or Retail                         6.Agric/Animal
Location/Region                                                          Client Type             3.Food Services       7.Fishing
1=coastal; 2=central; 3=mountain; 4=Tirana                                                       4.Transport            8.Other

Time in Program:                     Months                             Client Location:         Urban=0; Rural=1
  1. Client or ID #                                                         2. Group #

Interviewer: Introduce the survey to the respondent. Say: "Hello. My name is ____. I work for the organization
_______. We are trying to learn a little bit more about the clients we work with, and so I have a few questions I'd
like to ask today. It should only take us about 20 minutes, and the answers you provide will be put together with
answers from ___ other households. All of your answers are completely confidential and your name will not be
given with your answers. Are you willing to take some time to answer these questions today?" After she agrees,
begin with the dialogue below.
Interviewer: "I would like to ask you some questions about the people in your household. Let me tell you a little
bit about what we mean by 'household.' For our purposes today, members of a household are those that live
together and eat from the "same pot." It should include anyone who has lived in your house for three of the last
six months, but it does not include anyone who lives here but eats separately. Do you have any questions about
that?" Answer any questions the respondent has before proceeding.

Interviewer : Ask the respondent for the information in Columns A-F, as it pertains to each person in her
household. Write the information down in the chart as she relays it to you. Say to the respondent: "Now I would
like you to identify each person in your household and answer some basic questions about each person."
                                     C. Relation     Education - What is the highest grade you have
                               B.                 D.
             A. Name                 household       completed in school? (column F)              In
                              Sex                Age
  3.                                    head                     which level? (column E)
                             0=     1=head;                              None …………………......… 0                   0
                                                     (complete years)




                             Female 2=spouse;                            "8 years school"/ primary…. 1         ..1-8
                             1=Male 3=child;                             Secondary ….…..……….… 2                ..1-4
                                    4=parent;                            Vocational 2 years …......… 3         ..1-2
                                    5=grandchild;
                                                                         Vocational 4/5 years ……... 4          ..1-5
                                    6=grandparent;
                                                                         University ….………….…… 5                ..1-6
                                    7=other
                                                                         Post-graduate ..……….…….6              ..1-5
                                                                                       E. LEVEL                        F. GRADE
       1) Respondent
       2)
       3)
       4)
       5)
       6)
       7)
       8)
       9)                                                                                  `
       10)
       11)
       12)
       13)
       14)
       15)
Interviewer: Skip the following section and return to fill in the answers after the interview. Do not ask the
respondent these questions; fill in the answers from the information in the table above.
  4. Number of people living in household (add up those listed in column A):
  5. Age of Household Head (record age of person identified as household head from table):
  6. What is the highest level of education attended by the Household Head?
      (number from column E for Household Head from table above)
  7. Number of household members (not including head) who have a complete primary
     education as the highest level attained (# of members with column E = 1 AND column F = 8)

Interviewer: "Now I would like to ask you a few questions about your house and some of the items you own."
  8. What is the number of rooms that your family occupies in your dwelling?                          Number
      (do not include kitchen, bathrooms, balconies, corridors)
  9. Does your household own a boiler?                                                                 0=no, 1=yes

 10. Does your household own a car?                                                                    0=no, 1=yes

11. Does your household own a truck?                                                                   0=no, 1=yes

12. Does your household own a telephone (a fixed phone or landline)?                                   0=no, 1=yes

13. Does your household own a cell phone?                                                              0=no, 1=yes

14. Does your household own a computer?                                                                0=no, 1=yes

 15. Does your household own a VCR?                                                                    0=no, 1=yes

 16. Does your household own a refrigerator?                                                           0=no, 1=yes

 17. Does your household own a water pump?                                                             0=no, 1=yes

 18. Does your household own a generator?                                                              0=no, 1=yes

19. How many horses does your household currently own?                                 Number

 20. What is the total area of all agricultural land owned by the household?                                    sq. m.

Interviewer: Look over the survey to see if you have missed any questions. If you have, please ask those
questions of the respondent. If not, it is the end of the interview. Remember to thank the respondent for his/her
time in helping you to answer the
Now return to the questions in the box below the roster and fill in the answers.
                                                                                                                                Survey Number_____________
     Client Assessment Survey - Ghana
     Interviewer: Fill out the information below before the survey begins. Do not ask the respondent for this information.

     Date of Interview                                                                                     Quality Control Checks
     Interviewer (code)                                                                 Field Supervisor
     Branch (code)                                                                      Date _____________ Initials _________
     Location/Region                                                                    Headquarters
     1=Western; 2=Central; 3=Greater Accra; 4=Eastern; 5=Volta;
     6=Ashanti; 7=Brong-Ahafo; 8=Nothern; 9=Upper West; 10=Upper East                   Date _____________ Initials _________
     Client Location:                        Urban=0; Rural=1                           Data Processor
     Time in Program:                        Months                                     Date _____________ Initials__________
     Client or ID #

     Interviewer: Introduce the survey to the respondent. Say: "Hello. My name is ____. I work for the organization _______. We are trying to learn a
     little bit more about the clients we work with, and so I have a few questions I would like to ask today. It should only take us about 20 minutes, and
     the answers you provide will be put together with answers from other households. All of your answers are completely confidential and your name
     will not be given with your answers. Are you willing to take some time to answer these questions today?" After he/she agrees, begin with the
     dialogue below.

     Interviewer: "I would like to ask you some questions about the people in your household. Let me tell you a little bit about what we mean by
     'household.' For our purposes today, members of a household are those that live together and eat from the "same pot." Each person contributes to
     and benefits from the household. It should include anyone who has lived in your house for 6 of the last 12 months, but it does not include anyone
     who lives here but eats separately. Do you have any questions about that?" Answer any questions the respondent has before proceeding.

     Interviewer: Ask the respondent for the information in Columns A-F, as it pertains to each person in her household. Write the information down in
     the chart as he/she relays it to you. Say to the respondent: "Now I would like you to identify each person in your household and answer some basic
     questions about each person."

                                                                                                     E. Highest Level of  F. During the past
                                                                  C. Relation                        Education Attained two weeks, has any
           A. Household Member                     B. Sex         to Head of          D.Age             (all household   person suffered from
                                                                  Household                         members 5 years and either an illness or
                                                                                                             older)           an injury?
1.

                                                                     Head=1;                        Enter highest level completed:
                                                                    Spouse=2;                         None=0; MLSC/BECE=1;
                                                                     Child=3;                       Con/Voc=2; T/T Cert A=3; T/T
                                                                                     (in complete                                     Neither=1; Illness=2;
                                              Female=0; Male=1      Parent=4;                           Cert B=4; O'Level=5;
                                                                                        years)                                         Injury=3; Both=4
                                                                   Grandchild=5;                    A'Level=6; Tech/Prof Cert=7;
                                                                  Grandparent=6;                      Bachelors=8; Masters=9;
                                                                     Other=7                          Doctorate=10; Other=11


     1) Respondent
     2)
     3)
     4)
     5)
     6)
     7)
     8)
     9)
     10)
     11)
     12)
     13)
     14)
     15)
     Interviewer: Skip the following section and return to fill in the answers after the interview. Do not ask the respondent these
     questions; fill in the answers from the information in the table above.


2. Number of people living in household (record total number of names from table above):

3. Age of Household Head (record age of person identified as household head):

     USAID Poverty Assessment Tool, Ghana, Version 1.3
 4. Highest level of education attained by the household head (enter value from Column E) :                                 Survey Number_____________

 5. Number of household members (not including head) with highest level of education attained
    marked as none (add up those with a "0" in Column E):
 6. Number of household members (not including head) who have completed primary
    as their highest level of education attained (those with the primary school option from Column E) :
 7. Number of household members who were ill or injured in the past 2 weeks
    (marked as 2, 3, or 4 in Column F above):

    Interviewer: "I am now going to ask you a few questions about your housing situation."

 8. How many rooms does this household occupy?                                                                                  Number
    (Do not include kitchen, bathrooms, balconies, corridors)
    Interviewer: For questions with multiple choice answers, do not read the answers. Ask repspondent the question and match the answer to the
    option on the survey most similar. If respondent's answer is unclear, probe until you find an adequate answer.

 9. What is the main fuel used by the household for cooking?
      1. Wood                                                   4. Electricity
      2. Charcoal                                               5. Kerosene
      3. Gas                                                    6. Other
10. What is the main source of lighting for your dwelling?
      1. Electricity (mains)                                    3. Kerosene or gas lamp
      2. Generator                                              4. Candles/torches (flashlights)
11. What type of toilet is used by your household?
      1. Flush toilet                                           4. KVIP
      2. Pit latrine                                            5. No toilet
      3. Pan/bucket                                             6. Other

12. What is the primary source of drinking water for your household?
      1. Indoor plumbing         4. Water truck/tanker service                   7. Public standpipe           10. River, lake, spring, pond
      2. Inside standpipe        5. Neighboring household                        8. Well with pump            11. Rainwater
      3. Water vendor            6. Private outside standpipe/tap                9. Well without pump         12. Other

13. What is the main type of material for your flooring?
      1. Earth/mud        2. Wood          3. Stone/brick       4. Fiberglass         5. Cement/concrete           6. Other

14. What is the main type of material for your roof?
      1. Thatch (grass/straw)              2. Wood              3. Corrugated iron    4. Cement/concrete           5. Asbestos
    Interviewer: "Now I have a question about the household head's employment."

15. During the past 12 months, was the main occupation of the household head in a
    trade or commerce industry?                                                                                                          0=no, 1=yes

    Interviewer: Continue to ask the clients Question 13. "Now I would like to ask you about a few household and agricultural items possibly owned
    by members of your household."

16. Does your household own a bicycle?
                                                                                                                                         0=no, 1=yes
17. Does your household own a car?
                                                                                                                                         0=no, 1=yes
18. Does your household own a refrigerator/freezer?
                                                                                                                                         0=no, 1=yes
19. Does your household own a radio, a radio cassette player, or a 3-in-1 radio cassette recorder?
                                                                                                                                         0=no, 1=yes
20. Does your household own a sewing machine?
                                                                                                                                         0=no, 1=yes
21. Does your household own a stove?
                                                                                                                                         0=no, 1=yes
22. Does your household own a sprayer?
                                                                                                                                         0=no, 1=yes
23. How many chickens does your household currently own?                                                                        Number

24. How many goats does your household currently own?                                                                           Number

25. How many horses does your household currently own?                                                                          Number

26. How many cattle (including cows) does your household currently own?                                                         Number
    Interviewer: Look over the survey to see if you have missed any questions. If you have, please ask those questions
    of the respondent. If not, the interview is complete. Remember to thank the respondent for his/her time in helping you to
   USAID Poverty Assessment Tool, Ghana, Version 1.3
answer these questions!                                                            Survey Number_____________
Now return to the questions in the box below the roster and fill in the answers.




USAID Poverty Assessment Tool, Ghana, Version 1.3
                                                    Survey Number_____________




USAID Poverty Assessment Tool, Ghana, Version 1.3

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:11/16/2012
language:Latin
pages:6