Living Standards Measurement Study Working Paper No. 90 Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa An Annotated Household Questionnaire Martha Ainsworth Godlike Koda George Lwihula Phare Mujinja Mead Over Innocent Semali LSMS Working Papers No. 18 Time Use Data and the Living Standards Measurement Study No. 19 The Conceptual Basis of Measures of Household Welfare and Their Implied Survey Data Requirements No.20 Statistical Experimentation for Household Surveys: Two Case Studies of Hong Kong No. 21 The Collection of Price Data for the Measurement of Living Standards No. 22 Household Expenditure Surveys: Some Methodological Issues No. 23 Collecting Panel Data in Developing Countries: Does It Make Sense? No. 24 Measuring and Analyzing Levels of Living in Developing Countries: An Annotated Questionnaire No. 25 The Demand for Urban Housing in the Ivory Coast No. 26 The C6te d'Ivoire Living Standards Survey: Design and Implementation No. 27 The Role of Employment and Earnings in Analyzing Levels of Living: A General Methodology with Applications to Malaysia and Thailand No. 28 Analysis of Household Expenditures No.29 The Distribution of Welfare in C6te d'Ivoire in 1985 No. 30 Quality, Quantity, and Spatial Variation of Price: Estimating Price Elasticities from Cross-Sectional Data No. 31 Financing the Health Sector in Peru No. 32 Informal Sector, Labor Markets, and Returns to Education in Peru No.33 Wage Determinants in COte d'Ivoire No. 34 Guidelines for Adapting the LSMS Living Standards Questionnaires to Local Conditions No. 35 The Demand for Medical Care in Developing Countries: Quantity Rationing in Rural C6te d'Ivoire No. 36 Labor Market Activity in C6te d'Ivoire and Peru No. 37 Health Care Financing and the Demand for Medical Care No.38 Wage Determinants and School Attainment among Men in Peru No. 39 The Allocation of Goods within the Household: Adults, Children, and Gender No.40 The Effects of Household and Community Characteristics on the Nutrition of Preschool Children: Evidence from Rural C6te d'Ivoire No. 41 Public-Private Sector Wage Differentials in Peru, 1985-86 No. 42 The Distribution of Welfare in Peru in 1985-86 No.43 Profits from Self-Employment: A Case Study of Cdte d'Ivoire No.44 The Living Standards Survey and Price Policy Reform: A Study of Cocoa and Coffee Production in COte d'Ivoire No. 45 Measuring the Willingness to Pay for Social Services in Developing Countries No. 46 Nonagricultural Family Enterprises in C6te d'Ivoire: A Descriptive Analysis No. 47 The Poor during Adjustment: A Case Study of C6te d'Ivoire No. 48 Confronting Poverty in Developing Countries: Definitions, Information, and Policies No. 49 Sample Designs for the Living Standards Surveys in Ghana and Mauritania/Plans de sondage pour les enquetes sur le niveau de vie au Ghana et en Mauritanie No. 50 Food Subsidies: A Case Study of Price Reform in Morocco (also in French, 50F) No. 51 Child Anthropometry in C6te d'Ivoire: Estimates from Two Surveys, 1985 and 1986 No. 52 Public-Private Sector Wage Comparisons and Moonlighting in Developing Countries: Evidence from C6te d'Ivoire and Peru No. 53 Socioeconomic Determinants of Fertility in C6te d'Ivoire (List continues on the inside back cover) Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa An Annotated Household Questionnaire The Living Standards Measurement Study The Living Standards Measurement Study (LSMS) was established by the World Bank in 1980 to explore ways of improving the type and quality of house- hold data collected by statistical offices in developing countries. Its goal is to foster increased use of household data as a basis for policy decisionmaking. Specifically, the LSMS is working to develop new methods to monitor progress in raising levels of living, to identify the consequences for households of past and proposed gov- ernment policies, and to improve communications between survey statisticians, an- alysts, and policymakers. The LSMS Working Paper series was started to disseminate intermediate prod- ucts from the LSMS. Publications in the series indude critical surveys covering dif- ferent aspects of the LSMS data collection program and reports on improved methodologies for using Living Standards Survey (LSS) data. More recent publica- tions recommend specific survey, questionnaire, and data processing designs, and demonstrate the breadth of policy analysis that can be carried out using LSS data. LSMS Worldng Paper Number 90 Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa An Annotated Household Questionnaire Martha Ainsworth Godlike Koda George Lwihula Phare Mujinja Mead Over hinocent Semali The World Bank Washington, D.C. Copyright e 1992 The International Bank for Reconstruction and Development/THE WORLD BANK 1818 H Street, N.W. Washington, D.C. 20433, U.S.A. All rights reserved Manufactured in the United States of America First printing August 1992 To present the results of the Living Standards Measurement Study with the least possible delay, the typescript of this paper has not been prepared in accordance with the procedures appropriate to formal printed texts, and the World Bank accepts no responsibility for errors. 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ISSN: 0253-4517 Martha Ainsworth is an economist in the Population, Health, and Nutrition Division of the Africa Technical Department at the World Bank. Godlike Koda, George Lwihula, Phare Mujinja, and Innocent Semali are researchers for the Muhimbili Medical Center at the University of Dar es Salaam in Tanzania. Mead Over is an economist in the Population, Health, and Nutrition Division in the Population and Human Resources Department at the World Bank. - v - ABSTRACT This paper describes the development and content of a household questionnaire designed to measure the economic impact of adult morbidity and mortality in an African country. The questionnaire is the main data collection instrument of the research project on "The Economic Impact of Fatal Adult Illness due to AIDS and Other Causes in Sub-Saharan Africa", conducted by a research team from the World Bank and the University of Dar es Salaam. The main objectives of the project are: (1) to measure the impact of fatal adult illness on individuals, households and communities; and (2) to estimate the costs and effects of alternative policies to assist the survivors. The household questionnaire was adapted from the questionnaire of the World Bank's Living Standards Measurement Survey (LSMS) to measure the well-being and coping behaviors of individuals and households in response to fatal illness among adults. Key innovations in the household questionnaire include: adaptation for a longitudinal research design, including "inter-wave" consistency checks; an expanded set of questions on acute and chronic illness and their costs; a module on the mortality of household members and relatives; a consumption module that allows for seasonality; and collection of more data at the individual level, to facilitate analysis of intra-household distribution of resources. - vi - ACKNOWLEDGEMENTS This report is the first of several papers documenting the methodology and results of the research project on "The Economic Impact of Fatal Adult Illness due to AIDS and Other Causes in Sub- Saharan Africa", conducted by researchers from the World Bank and the University of Dar es Salaam. The research team would like to extend its gratitude to the following organizations and individuals for their advice and assistance in launching the project and developing the questionnaire: Prof. K. Hiza, former Chief Medical Officer of the Ministry of Health; Dr. K. Nyamuryekung'e, Director, and members of the National AIDS Control Programme; Mr. A. A. Rwegarulira, Department of Social Welfare; Dr. S. Ngallaba, Senior Statistician, Bureau of Statistics; Mr. Mkai, Bureau of Statistics; Prof. Muhondwa of Institute of Public Health, Muhimbili University College of Health Sciences; Mr. Kimiti, former Kagera Regional Commissioner; Dr. Mtera, former Kagera Regional Medical Officer; Mr. A. Biashara, Regional AIDS Control Officer; Mr. G. Mugyabuso, Kagera Regional Social Welfare Officer; Mrs. R. Kahatano, Kagera Regional Education Officer; Mr. P. Ngeze, Regional Chairman of the Chama Cha Mapinduzi (CCM). We would also like to express our gratitude to the people of Bilele ward (Bukoba town) and the villages of Ilogero, Lukindo, and Gera for their patience, cooperation and helpful insights during the field test of the household questionnaire. The research team also gratefully acknowledges the contributions of Dr. D. Dunlop, Mr. J. Kutzin and Mr. T. Wayman in revising the household questionnaire, and the indispensable assistance of Mr. Andrew Nyamete in managing the production of the Swahili household questionnaire. Finally, the research team would like to thank the World Bank Research Committee and the Danish International Development Assistance (DANIDA) for financial support, without which the project would not have been feasible. - vii - FOREWORD It has long been well-known that poverty worsens health; it has been harder to demonstrate that poor health worsens poverty or that health improvements can stimulate economic growth. However, reports of the AIDS epidemic in the worst-affected countries suggest that the death of prime-age adults can dramatically worsen the well-being of the orphans and other survivors they leave behind. In order to measure the impact of these adult deaths and to design cost-effective programs to help the survivors, the Population and Human Resources Department and the Africa Technical Department have jointly launched a research project on "The Economic Impact of Fatal Adult Illness from AIDS and Other Causes in Sub-Saharan Africa." Financially supported by the Bank's Research Committee, by this Department and by DANIDA and implemented jointly with the University of Dar es Salaam, the project contributes to the Department's work on the evaluation of health interventions, on the importance of adult health, on the causes of poverty and on policies to reduce poverty in the developing world. The present paper, the first output of the research project, presents the household questionnaire used to measure the poverty impact of ill health. Starting from the Bank's Living Standards Measurement Survey questionnaire, the research team collaborated closely to produce a Swahili questionnaire which would capture the nuances of household strategies to cope with the AIDS epidemic in the specific cultural setting of northwest Tanzania. Here the six researchers present the English version of the questionnaire together with a discussion of each of its twenty sections. We look forward to publishing future papers that detail the methodology and findings of the study. Ann 0. Hamilton Director Population and Human Resources Department o - ~~~~~~~~~~~v - ix - TABLE OF CONTENTS 1. INTRODUCTION ................................................ 1 Objectives of the project .......................................... 2 Research design ............................................... 3 Organization of the paper ......................................... 3 2. DEVELOPMENT OF THE KHDS HOUSEHOLD QUESTIONNAIRE .... ........... 5 Data needs .................................................. 5 First draft . ................................................... 5 The field test ................................................. 7 Second and final drafts ........................................... 8 The KHDS Household Questionnaire: summary of sections and respondents .... ...... 9 Organization of fieldwork ........................................ 10 3. DESCRIPTION OF THE KHDS HOUSEHOLD QUESTIONNAIRE ................ 12 Section 1: Household roster ...................................... 12 Section 2: Children residing elsewhere ............................... 13 Section 3: Information on non-resident parents of household members ............ 14 Section 4: Overview of household activities ............................ 14 Section 5: Education ........................................... 15 Section 6: Health ............................................. 15 Section 7: Activities of household members ............................ 16 Section 8: Migration ........................................... 18 Section 9: Fertility ............................................ 18 Section 10: Anthropometry ....................................... 19 Section 11: Farming ........................................... 19 Section 12: Livestock .......................................... 20 Section 13: Fishing ........................................... 20 Section 14: Non-farm self-employment ............................... 21 Section 15: Housing ........................................... 21 Section 16: Durable goods, annual expenditures and income from assistance programs . . 21 Section 17: Food consumption ..................................... 22 Section 18: Individual expenditures .................................. 24 Section 19: Remittances and credit .................................. 24 Section 20: Mortality .......................................... 25 4. ADAPTING THE HOUSEHOLD QUESTIONNAIRE FOR SUBSEQUENT WAVES ..... 26 5. CONCLUSION ................................................. 29 ANNEX: THE KAGERA HEALTH AND DEVELOPMENT SURVEY HOUSEHOLD QUESTIONNAIRE ..................................... 33 1. INTRODUCTION The World Health Organization estimates that some 10 million adults worldwide are infected with the human immunodeficiency virus (HIV), the virus that causes AIDS. Two-thirds of these infections are thought to be in Sub-Saharan Africa, where even before the AIDS epidemic mortality rates of prime- aged adults were already eight times higher than rates in developed countries. The prime modes of HIV transmission in Africa are via heterosexual sex and from mother to foetus. According to current medical knowledge, AIDS is believed to be 100 percent fatal. Among a cohort of persons infected with the HIV virus, about 5 percent per year will convert from HIV to full-blown AIDS and die, over a 20-year period. Thus, persons infected with HIV may remain asymptomatic for many years, in perfect health, unaware that they carry the HIV virus and can pass it on to others. AIDS is only one of many widespread diseases in Sub-Saharan Africa; it surely affects fewer people than malaria or diarrheal disease. Nevertheless, there are reasons to expect that AIDS will have a much larger economic impact in Africa than many other diseases. First, because the major mode of transmission is through sexual contact, AIDS is primarily striking sexually active adults during the years in which they are most economically productive -- roughly ages 15-50. These people are often the breadwinners for extended families and leave behind young and elderly survivors with no means of support. Second, AIDS is not sparing the elite. In fact, there is evidence in many countries that the HIV virus is disproportionately affecting the higher socioeconomic groups with scarce management skills and substantial human capital.' Even if AIDS were to strike all socioeconomic groups at the same rate, it would be different from most other diseases, which disproportionately affect the poor. Third, as noted above, AIDS is inevitably fatal under existing medical knowledge, while other endemic diseases have a far lower fatality rate. Finally, there are large and growing numbers of people infected. The speed and scope of the future spread of the AIDS epidemic in Africa is unclear; it will depend above all on sexual behavior and on the effectiveness of preventive programs in changing it. There is no cure for AIDS at present and a medical opinion indicates that a cure will not be developed for some time to come. A vaccine may be developed before a cure, but this will not be of help to those already infected with the virus. The existing levels of infection in the adult population imply an I See, for example, Mead Over and Peter Piot (1992), "HIV Infection and Sexually Transmitted Diseases" in Dean Jamison and W. Henry Mosley (eds), Disease Priorities in Developing Countries. New York: Oxford University Press. -2 - unavoidable epidemic of adult mortality in Africa over the next two decades. For example, AIDS is already the most important cause of death among adults in Uganda and Tanzania, and in many major Sub- Saharan cities, such as Kigali (Rwanda) and Abidjan (Cote d'Ivoire). This paper describes the development and content of a household questionnaire designed to measure the economic impact of adult morbidity and mortality in an African country. The questionnaire is the main data collection instrument of the research project entitled "The Economic Impact of Fatal Adult Illness due to AIDS and Other Causes in Sub-Saharan Africa", undertaken by researchers from the World Bank and the University of Dar es Salaam, Tanzania.2 The data collection operation in the field is known as the Kagera Health and Development Survey (KHDS), and the project is locally known as the Kagera Health and Development Project. The Kagera Region of Tanzania is located to the west of Lake Victoria, adjacent to Uganda, Rwanda and Burundi, in an area of high AIDS prevalence and high adult mortality. Objectives of the project The Kagera Health and Development Project has two objectives: (1) to estimate the magnitude of the impact of fatal adult illness on individuals, households and communities; and (2) to estimate the costs and effects of alternative policies to assist the survivors. The impact of adult illness and mortality on the well-being of individuals, households and communities can be measured as the difference between the well-being of households experiencing adult morbidity and mortality and the well-being of households not experiencing these events. The project will estimate the "direct costs" of illness and mortality in terms of out-of-pocket expenditures, the "indirect costs" in terms of foregone earnings of the patient, and the "coping costs" in terms of changes in the well-being of other household members and in the allocation of time and resources within the household as these events unfold? ^ kii. Over, M. Ainsworth, P. Mujinja, G. Koda, I. Semali and G. Lwihula (1989). "The Economic Impact of Fatal Adult Illness due to AIDS and Other Causes in Sub-Saharan Africa: A Research Proposal", The World Bank and the University of Dar es Salaam, mimeo. The research project is funded by grants from the World Bank Research Committee and the Danish International Development Assistance (DANIDA). I Greater detail on the research methodology can be found in Mujinja et al (forthcoming), "Coping with the Economic Impact of Fatal Adult Illness: An Analytic Framework". -3 - Research design The project's research design calls for a longitudinal survey of 800 households, at 6-month intervals, over a 24-month period.4 The 800 households have been selected from 50 villages or urban areas representing four economic zones of the Kagera region, and within each zone, representing areas with both high and low adult mortality, as measured by the 1988 Census.5 In order to select a sample of households at high risk of adult morbidity and mortality, every household in each of 54 selected villages was asked whether there were seriously ill adults in the household and whether there had been an adult death due to illness in the previous 12 months. In total, 29,602 households were contacted in the course of this enumeration, between March and June, 1991. Using the results of the enumeration, the households in each village or urban area were divided into two groups: (1) those that had had an adult aged 50 or less suffer either an illness or death; and (2) those that had had neither of these events. Within each village or urban area, 14 households were drawn at random from the first group ("sick" households) and 2 households were drawn from the second group ("healthy" households). This yielded a total sample of 800 households in 50 villages, of which 700 households were from the "sick" group and 100 from the "healthy" group. The Kagera Health and Development Survey uses several survey instruments to measure the impact of fatal adult illness and household coping mechanisms. This paper provides an overview of the most important of these instruments, the household questionnaire. The project also administers a community questionnaire (to capture community infrastructure and assistance programs), a price questionnaire (to measure variation in consumer prices across survey areas), a questionnaire addressed to the nearest source of medical care (to measure the availability, price and quality of medical care) and a questionnaire for all primary schools in the community (to measure the availability, price and quality of local schools). During the second wave, a questionnaire for traditional healers will be added. Organization of the paper The next section of this paper describes the development of the household questionnaire, which involved adapting the World Bank's Living Standards Measurement Survey household questionnaire to 4 The research and sampling design is discussed in greater detail in Over et al (forthcoming), "A Sampling Strategy for Estimating the Economic Impact of Adult Mortality". I For a description of the four economic zones, see Ibid. -4 - the research needs of the project and the realities of Tanzania. The third section describes the structure and content of the KHDS household questionnaire, section by section. The fourth section discusses adaptations made to the questionnaire for the second and subsequent "waves" of the survey. The household questionnaire used in the first wave is reproduced in Annex 1. - 5 - 2. DEVELOPMENT OF THE KHDS HOUSEHOLD QUESTIONNAIRE Data needs The information to be collected in the household questionnaire was derived from the data needs identified in the project's analytic framework.6 Four types of variables were identified as necessary for analyzing the impact of fatal adult illness and the cost-effectiveness of strategies to assist survivors: variables reflecting the well-being of survivors; those that measure coping mechanisms; exogenous explanatory variables; and those that represent policy instruments. When applied to individuals and households, this translated into data collection on the following topics: * Demographic characteristics and migration of household members * Health status, symptoms, health-seeking behavior and medical expenditures * Nutritional status * Mortality and related expenditures * Human capital, enrollments and education expenditure * Fertility and contraceptive use * 'Time use in the labor force, other productive and health-related activities * Income levels and sources * Assets and durable goods, including housing, farm and business assets * Consumption expenditure * Savings, debts, transfers and receipt of assistance * Characteristics of non-resident parents and children, including their mortality First draft Rather than design the household questionnaire from scratch , the project team adapted the prototype household questionnaire from the World Bank's Living Standards Measurement Survey (LSMS) 6 See Mujinja et al (forthcoming), "Measuring the Impact of Fatal Adult Illness: An Analytic Framework", Table 6. - 6 - to the project's needs.' The LSMS prototype questionnaire was designed to measure individual and household welfare and has been used successfully in several developing countries. It already contained modules on most of the topics of interest to the KHDS project. However, the project's special emphasis on the impact of health and mortality and on coping mechanisms dictated a number of major structural modifications to the household questionnaire: * A new module to measure the mortality of household members and of other relatives, the cause of death, health-seeking behavior before death and expenditures associated with health care and funerals. * A much expanded set of questions on health status, in terms of both acute and chronic conditions, and on the utilization of health care. * More detailed information about the time use of each household member across a greater number of activities, including caring for sick household members. * An expanded set of questions on remittances and the flow of resources between household members and persons or organizations outside the household. * Revision of all modules to better capture inter-personal differences in well-being. * Adaptation of the questionnaire for a longitudinal research design. In addition to these major structural changes, the entire questionnaire had to be adapted to local conditions of the Kagera Region of Tanzania and translated into Swahili, the language in which the survey was administered. Work on development of the household questionnaire began in November, 1990, following a meeting of the researchers in Mikumi, Tanzania, to finalize the draft analytic framework. Numerous I See C. Grootaert (1986), "Measuring and Analyzing Levels of Living in Developing Countries: An Annotated Questionnaire", LSMS Working Paper, no. 24. The World Bank: Washington, D.C. and M. Ainsworth and J. van der Gaag (1987), "Recommendations for Adapting the LSMS Questionnaires to Local Conditions", LSMS Working Paper, no. 34. The World Bank: Washington, D.C. -7 - policy makers and managers of assistance programs in the Kagera region were consulted concerning the types of ongoing assistance programs in Kagera region and the coping mechanisms of communities suffering an adult death. The household questionnaire was translated into Swahili by the project researchers, re-translated back into English by an independent Swahili-speaker and compared with the English original. The field test The first draft of the household questionnaire was produced in Swahili in March 1991 and subjected to a 2-week field test in Kagera Region, from April 20 - May 4. The field test involved implementing the draft questionnaires in different types of households and communities, to ensure that they were capable of collecting the necessary information efficiently and accurately. Attention was also given to making the questionnaire -- which includes highly sensitive topics such as income, savings, severe illness and death -- culturally acceptable and as inoffensive as possible. The household questionnaire was tested in Bilele ward of Bukoba town (the regional capital, located on the shores of Lake Victoria) and in the village of Lukindo (located about 15 miles from Bukoba in the surrounding hills). While many parts of the questionnaire were tested on urban and rural households in general (education, activities, farming, consumption), it was necessary to seek out specific types of households to evaluate other parts of the questionnaire: * Acute and chronically ill patients in the Bukoba Regional Hospital, for the section on health * XHouseholds that had had a recent adult death due to AIDS or to other causes, for the section on mortality * Fishermen, for the section on fishing income and assets * Self-employed businessmen, for the section on income and assets of self-employed businessmen * Self-employed or subsistence farmers growing tree crops, annual crops, and other cash crops, for the section on agricultural production, assets and income The household questionnaire was tested both in the form of individual sections and in its entirety on certain households. One of the major challenges of the field test was to design a module on consumption expenditure that would take into account the seasonality of consumption and production in - 8 - Kagera, where there are two rainy seasons and two dry seasons in a 12-month period. The health section of the questionnaire also underwent radical transformation as a result of the field test; it was deemed necessary to ask separate sets of questions about acute illness (in the past 4 weeks) and chronic conditions (lasting 6 months or more). Respondents were not able to recall total agricultural production or the quantities of agricultural inputs; all quantity questions in the farming section, except for the total amount of a crop that was sold, were dropped. One of the important findings of the field test was that, despite their grief, households were willing to discuss the circumstances surrounding recent deaths with project interviewers. Second and final drafts Based on the results of the field test, the research team developed a second draft of the household questionnaire during the month of May, 1991. The questionnaires were printed in June and shipped to Bukoba for the training program for field staff. In the course of the 4-week training program, from July 1-31, the trainees interviewed some 36 "practice" households using the entire questionnaire. In the course of the training, it was evident that a few small problems remained to be corrected and that the questions on household consumption expenditure were still difficult to administer because of the seasonality issue. Thus, following the training program there was a one-month pause during which the consumption section was again revised and the questionnaires re-printed. Fieldwork began with the final draft of the wave i household questionnaire on September 30, 1991 and continued until April 4, 1992. Summary of sections and respondents In its final form, the household questionnaire consisted of 20 modules, or sections, on different topics and requiring various respondents. In general, each household member is required to respond for his or her own activities; proxy responses are kept to the very minimum to improve accuracy. The first 10 sections, called "round one", are administered two weeks before sections 11-20, called "round two". The two week interval provides the reference period for certain consumption and income questions in the second round. The sections of the questionnaire and respondents are summarized in the table below. - 9 - The KHDS Household Questionnaire: summary of sections and respondents |NO SECTION I RESPONDENT 1 Household roster Head of household* 2 Children residing elsewhere Head of household* 3 Information on the parents of Head of household*, about all household members household members 4 Main activities of the household Head of household 5 Education All household members 7 and older 6 Health All household members 7 Activities and non-labor income All household members 7 and older 8 Migration All household members 9 Fertility All female members 14 and older** 10 Anthropometrics All household members 11 Farming Most knowledgeable person 12 Livestock Most knowledgeable person 13 Fishing Most knowledgeable person 14 Non-farm self-employment Most knowledgeable person, up to 5 businesses 15 Housing Head of household* 16 Durable goods, annual expenditures Head of household* and income from assistance programs 17 Food consumption Most knowledgeable person 18 Expenditures by household members All household members (part A) and household members 15 and older (part B) 19 Remittances and credit All household members (part A) and household members 15 and older _ ________________________ (parts B and C) 20 Mortality Head of household* * In the head's absence, a principal respondent who is most knowledgeable on the topic. ** Married females under 14 are also asked this section - 10 - Organization of fieldwork The KHDS field work is conducted by four mobile teams of fieldworkers headquartered in the KHDS project office in Bukoba, Tanzania. Each team is composed of a supervisor, at least 2 interviewers, an anthropometrist (who conducts height and weight measurements) and a driver. Data collection and data entry for each "cluster" of 16 households takes four weeks. The typical schedule for one team and one cluster of households is as follows:' Week one: Data collection, round one. The field team completes the first 10 sections of the household questionnaire ("round one") in all 16 households and returns to the project office. Week two: Data entry. round one. The data entry operator in the project office enters all of the data for the sixteen households on personal computers and perform range and internal consistency checks on the data. A computer printout of all data and inconsistencies is generated. Inconsistencies or other errors that are the fault of the interviewer or respondent are noted on the original questionnaire; errors of data entry are marked on the printout. Week three: Data collection, round two. The field team returns to the cluster to correct errors in the round one questions and to complete sections 11-20 of the household questionnaire ("round two"). Week four: Data entry. round two. The data entry operator corrects the round one questions and enters round two data. Range and internal consistency checks are again performed to detect data entry errors. A second printout of the entire questionnaire is generated and compared with the data on the original The organization of fieldwork and flow of information between the field and data entry is also modelled after the LSMS field organization used in Cote d'Ivoire and Ghana. However, because the KHDS questionnaire is considerably longer than the LSMS prototype questionnaire, and because transportation in the Kagera Region is extremely difficult, each KHDS field team is generally composed of more interviewers -- as many as 3 or 4 -- compared with the LSMS teams, which had only two interviewers each. See Martha Ainsworth and Juan Munoz (1986). "The Cote d'Ivoire Living Standards Survey: Design and Implementation", LSMS Workin2 PaDer. no. 26. Washington, D.C.: The World Bank. - 11 - questionnaire. Data entry errors are corrected and the data are sent to the researchers. Each team of fieldworkers completes two clusters per month. Before leaving the field site, the team supervisors verify a list of 20 or more internal consistency checks on each of the questionnaires and conducts random re-interviews of one household in four. The use of a customized data entry program that detects internal inconsistencies in the Bukoba office after each round, and the ability to return to the field to make corrections, should markedly improve the quality and timeliness of the data.9 The other KHDS questionnaires for communities, health facilities, schools and local markets are administered across the two rounds. In completing the household questionnaire, the interviewers ask all sections designed for "individual" respondents for a given household member before interviewing the next household member. Thus, the round one sections that collect data on each individual are actually conducted as "mini-interviews", in private, with each household member. This procedure enhances the quality of data by minimizing the use of proxy respondents and by ensuring greater confidentiality during the interview. I The data entry programs for the household and other questionnaires were designed, written, and installed by Sistemas Integrales, Ltd., of Santiago, Chile. - 12 - 3. DESCRIPTION OF THE KHDS HOUSEHOLD QUESTIONNAIRE The paragraphs that follow describe the objectives, content and utility of the KHDS household questionnaire (see Annex 1). The questionnaire follows certain conventions that are useful to know in trying to read it. First, the questionnaire is almost entirely pre-coded. For most questions, all possible answers have been anticipated and are listed and numbered after the question. Second, the questions are written verbatim in the manner that they are supposed to be asked. All text in lower case is meant to be read by the interviewer. All text in upper case is an instruction to the interviewer and not to be read aloud. Third, the order of asking the questions is controlled through the use of skip instructions. The skip instructions are indicated by a solid arrow, followed by the number of the question or the section to which the interviewer should go. The instruction (> 10), for example, means "skip to question 10". Skip instructions enclosed in parentheses apply to the answer that they follow. Skip instructions enclosed in a "box" indicate that the interviewer should skip to the indicated question regardless of the answer to the question (that is, for all answers). The latter are referred to as "global skips". Section 1: Household roster The objective of the Household Roster is to establish who regularly resides and eats together in the dwelling unit, to identify household members. For the purposes of the KHDS survey, a household is defined as a person or group of persons who live in the same dwelling and eat meals together for at least three of the 12 months preceding the date of the survey. There are four exceptions to this definition: (1) Persons who have recently joined the household, such as spouses, newborn infants, adopted orphans and persons who have come to care for sick household members over a prolonged period, are considered household members if they intend to stay until the second wave of interviews. (2) The head of the household is considered a household member regardless of his/her length of absence. (3) "Makubaliano" servants (those who live with the household without contracts) are considered household members as long as they satisfy the residency requirement. (4) Tenants and boarders are not household members, regardless of their length of residence. The household has been "defined" in this way purely to achieve consistency in terms of the field work and to identify those individuals who will answer the in-depth questions of the household questionnaire. It is important to note that different parts of the household questionnaire collect information on a larger set of individuals to which the household - 13 - is linked, including non-resident parents, children and other individuals to whom and from whom the household sends/receives transfers of cash or goods. Section 1 collects the names of the household members, their relationship with the head of the household, their age, sex, marital status and the length of time they have been resident. One of the possible consequences of adult mortality is dissolution and re-formation of households. Household composition can also condition coping strategies and influence their effectiveness. Changes in household composition over time will be reflected in changes in the Household Roster across waves of the survey. This section, along with Section 3, will also detect the presence of orphans in the household. Absorbing children or orphans is one of the major coping mechanisms of households in dealing with fatal adult illness. Because of the longitudinal design of the KHDS, the names of household members in Section 1 are listed on a removable card that fits in a pocket in the back cover of the questionnaire. The card is designed to be re-used and updated in the second and subsequent waves of the survey and makes it possible for household members to retain the same identification code throughout all waves of the survey. Section 2: Children residing elsewhere This section obtains a list of all non-resident children of household members. Information on non-resident children is important in studying three aspects of the process of coping with fatal adult illness. First, severely affected households may cope by sending children to live elsewhere -- either to work to support the household or simply to reduce the economic burden on remaining household members. Second, adult children living elsewhere are a major potential source of assistance to affected households. Finally, sending children away to school is an investment in the future earnings of children that will help the household to cope in the future. Section 2 collects information on all children living elsewhere (both youngsters and adults), their relation to members of the household, their age, sex, educational achievement, current area of residence and type of work. Transfers from these children are captured in Section 19 of the questionnaire, on remittances. Like the household roster, the list of children in Section 2 is written on a removable card that can be re-used in subsequent waves of the survey. Each child living elsewhere is assigned a unique - 14 - identification code that is retained for the entire survey. This section will thus trace the movement of children of household members into and out of the household as the result of adult mortality in the interviewed household or in households outside the sample. Section 3: Information on non-resident parents of household members This section collects information on the non-resident parents of household members. This is important to the analysis of the impact of fatal adult illness for two reasons. First, non-resident parents who are alive are an important potential source of assistance to affected households. Second, some household members may be orphaned. Background information about the deceased parents of survivors will help establish the association between parents' characteristics and their mortality, and will help to explain the level of welfare of individual survivors. Information on nonresident surviving parents will help to explain the economic and other factors underlying child fostering. In Section 3, every household member is linked to his or her parents in the household and certain information is collected concerning parents who are deceased or living elsewhere: area of residence of parents who are alive; educational achievement; and primary lifetime work. For orphans and children living away from both parents, the section also obtains information on the length of time the child has been in the current household. Information on transfers from non-resident parents to household members, as well as transfers from household members to their parents, is collected in Section 19 of the questionnaire, on remittances. Section 4: Overview of household activities This is a short section whose objective is to guide the interviewer on the selection of respondents in the subsequent sections of the questionnaire dealing with economic activities and expenditures (sections 7, 11, 12, 13, 14, 18). Section 4 asks about the household's main economic activities and who in the household is most knowledgeable about the household's farming, livestock, fishing, family businesses, and food expenditure. - 15 - Section 5: Education The section on education has three objectives: (1) to measure the current levels of schooling and training of all household members; (2) to measure the current enrollment of all children in the household; and (3) to measure household expenditure on education in the past 12 months. This last objective includes measuring contributions to the schooling of household members by benefactors outside the household -- both individuals and outside organizations. Education is a major indicator of human capital, which influences current earning ability and the ability to cope with catastrophes like fatal adult illness. School enrollment is also an investment by the household in the future earnings of their children. One of the ways in which households cope with fatal adult illness is to remove their children from school to care for sick members, help with housework of sick members, or earn additional income. Fatal adult illness is also likely to have an impact on the ability of students to pay school fees in hard-hit areas. The information in Section 5 will permit analysis of the relationship between fatal adult illness and school enrollments, including the enrollment of orphans and other non-orphaned children. Since schooling subsides are an important policy option for Government and private organizations, it is very important to know how much househdlds are currently spending on schooling and how they are financing it -- including through donations from outside the household. The education section, therefore, collects the following information for each household member 7 and older: literacy; educational achievement; current enrollment and actual attendance in the seven days before the interview; distance to school; school expenditures in the past 12 months; and scholarships for children in the household, in cash and in kind, by type of sponsoring institution. In instances in which a child missed school in the past 7 days, the questionnaire establishes the reasons for absence, including illness of the child and/or illness of other household members. Section 6: Health This is clearly one of the key sections of the questionnaire. It identifies which individuals and households are suffering from adult illnesses and measures one of the major ways in which individuals and households cope -- by seeking medical treatment. The information from the health section, coupled with that from other sections of the questionnaire (e.g. economic activities and income, expenditures, - 16 - education, remittances, etc.) will permit analysis of: (a) the likely impact of illness on the health system and the economy; and (b) the effectiveness of health policy and other interventions in mitigating the impact of fatal adult illness. The section is divided into two parts, dealing with acute (part A) and chronic (part B) conditions. Part A establishes: (1) who in the household was ill in the four weeks before the interview; (2) the symptoms and diagnosis; (3) the health-seeking behavior of households as a result of illness; and (4) medical expenditures and the source of finance. For each household member who was ill or injured in the four weeks prior to the interview, the following information is collected: the duration of the illness; the major symptoms; the number of days the patient was unable to perform his/her usual activities; the first three health practitioners consulted; all of the expenditures associated with them, in cash, in kind and in time; and expenditures on all other consultations. This section also collects information about hospitalizations, the costs of medicine and travel to health consultations, and debt incurred due to the illness. The final questions ascertain whether the illness was diagnosed, the actual diagnosis and whether the patient has recovered. Four questions are included to probe for symptoms often (but not always) associated with AIDS: recurring diarrhea for a month or more; weight loss; recurring fever; and skin rash. Part B identifies persons in the household suffering from chronic health conditions, defined as conditions that have existed for 6 months or more, and expenditures on those conditions in the four weeks before the interview. It is important to note that the consequences of ill health are taken up in many other sections of the questionnaire: economic activities (7); migration (8); fertility (9); anthropometries (10); expenditures (18); remittances (19); and mortality (20). Section 7: Activities of household members The objective of Section 7 is to establish the full scope of economic activities performed by members of the household. In particular, the section aims to: (1) establish the allocation of each household member's time across economic and domestic activities in the 7 days before the interview; and (2) estimate the income of each household member in the past 12 months. This is the section of the - 17 - questionnaire that will permit the analysis of the impact of adult illness and mortality on the time allocated to individual economic activities, like farming, and on individual and household income. Income is a major measure of well-being that is likely to be affected by the presence of fatal adult illness. Because information is collected on each individual household member, the impact of fatal adult illness on the allocation of time and income between individual members in the same household can be examined. Section 7 is the largest section of the questionnaire, with 8 parts. It collects information on the number of hours per day spent by each household member in the past 7 days on the following activities: work as an employee in as many as two jobs (Part B); work on an own or family farm, work on a communal farm, processing crops, tending livestock and processing livestock products (Part C); work on as many as three own or family businesses (Part D); domestic activities (preparing meals, cleaning, doing laundry, shopping), collecting firewood, collecting water, seeking medical care, caring for sick household members, looking for additional work, helping neighbors and attending funerals (Part E). This information is obtained from the recall of respondents and is known to be inexact. However, it is intended to represent a rough "snapshot" of the allocation of each person's time in the 7 days prior to the interview. Section 7 also collects information on income -- from labor (employment, self-employed farming and livestock, self-employed business, Parts B-D) and non-labor sources (Part H)."' Parts 7F and 7G capture information on income if the main job last year was different than any of the activities in the seven days before the interview. An elaborate slip pattern sends each respondent to the part of Section 7 that is relevant for his/her activities. There are other parts of the questionnaire that will be used to estimate the net income of self- employment activities at the household level, notably the sections on farming (11), livestock (12), fishing (13) and non-farm self-employment (14). These latter sections collect greater detail on the income and 10 The KHDS questionnaire seeks to account for all activities of each household member in the past 7 days because it is hypothesized that fatal adult illness and adult mortality will result in shifting responsibilities and allocation of time among household members. These shifts will be observed as differences in the responses to Section 7 between waves of the survey. In contrast, the LSMS prototype questionnaire was concerned only with the main economic activity and the secondary activity within the past 7 days, as the main objective was to measure differences in income rather than the allocation of time. " Unlike the LSMS prototype questionnaire, which collects other income aggregated to the household level, the KHDS questionnaire obtains information on non-labor income from each household member. - 18 - expenditure of self-employment activities, as well as the value of the household's business and farm assets. However, they do not reveal the breakdown of income or time across household members in these activities; this is found in Section 7. Section 8: Migration The objective of this short section on migration is to establish the length of time each household member has been residing in his/her current place of residence and the circumstances surrounding the last move. Migration of individual household members is related to the formation and dissolution of the household; it is one of the ways that households and individuals cope with catastrophes like fatal adult illness. Other aspects of migration covered in the questionnaire are on the Household Roster (section 1) and in sections on children living elsewhere (2) and non-resident parents of household members (3). Section 9: Fertility The objective of the section on fertility is to ascertain: (1) the number of children ever born to every female household member age 15 and older; (2) child mortality; (3) the level of schooling attained by deceased children; (4) current pregnancy status; (5) fetal wastage; and (6) contraceptive use. Children are an asset to the household that will hopefully bring future earnings as the child matures. Section 9 will provide information on the potential source of support for elderly survivors in the household who may have lost adult children through fatal illness. For younger women, the replacement of children is a potential mechanism for coping with child mortality. Although there have been may studies of the impact of AIDS on mortality, to date we know of no studies that have analyzed its impact on fertility and contraceptive use. The information collected in Section 9 will permit an analysis of this issue for the first time in any developing country. Related sections of the questionnaire are the Household Roster (Section 1), children living elsewhere (Section 2), education (Section 5), health (Section 6), anthropometrics (Section 10) and mortality (Section 20). - 19 - Section 10: Anthropometry In the anthropometry section, the interviewer measures and records the height and weight of all household members. These measurements are objective indicators of health and nutritional status, and thus are direct measures of well-being. An important impact of fatal adult illness is a decline in nutritional status due to the individual's own illness or indirectly because of a shortfall in earnings of household members. The height and weight data in Section 10 will make possible the analysis of the role of adult death and other economic factors in determining child nutritional status. Section 10 also collects information on the immunization status of children. Children in severely affected households may be less likely to have been immunized because of the illness of adults, a shortfall in the time available to adults to seek immunization, or insufficient income. Section 11: Farming The objective of the section on farming is to collect information on: (1) annual net income due to cultivation of crops; (2) the number and value of farm assets (land and equipment); and (3) the quantity of crops sold. This section is asked in all households engaged in farming, and the respondent is the person in the household who is most familiar with farm income and expenditure. Fatal adult illness is likely to have an important negative impact on the labor supply of farm households and thus on their levels of production and income. Labor shortages could actually induce households to alter their crop mix in favor of less labor-intensive crops. Farm households may also have to sell-off important assets essential to their livelihood in order to pay for the treatment of sick household members or for funerals. The major parts of Section 11 collect information on: the number and size of fields (shambas) owned and cultivated by the household, their sale value, and how they were acquired (1 A);12 the crops cultivated in the past 12 months, the quantity of production sold, income from sale of crops and expenditures on crop inputs (1 IB); the number and age of tree crops (lIC); use of and expenditure on farm inputs (1 ID); income from the sale of products from homegrown crops, and expenditures on 12 The KHDS household questionnaire collects this information for each individual plot of land owned or used by the household. In the LSMS prototype, this information was aggregated at the level of the entire farm. This level of disaggregation was necessary for the KHDS analysis, since a potentially important coping mechanism is selling-off individual plots of land or changes in the crop mix. - 20 - transforming these crops for sale (IIE); possession, value, purchase and sale of agricultural equipment (llF and llG). Section 12: Livestock The objective of this section is to assess: (1) the number and value of livestock owned by the household; and (2) household income in the past 12 months due to livestock activities. These questions will allow analysis of the impact of fatal adult illness on the incomes of households that rear livestock. One way that households can cope with reduced income and increased medical expenditure due to a catastrophic illness is to sell-off their livestock for cash, or to consume them. Section 12 will permit analysis of this coping mechanism. Section 12 has only three parts. The first part (12A) establishes the household's stock of animals at the time of the survey the value of the stock and changes in the stock over the past year. Part 12B col"ects information on income from processing of livestock products in the past year such as from milk and egg production. Part 12C measures the expenditures on livestock production in the past 12 months, for items such as herding, veterinary services, and animal feed. Section 13: Fishing This section seeks to measure the value of assets of fishermen and their annual income, net of expenses. Income from fishing, as from other sources, is an important indicator of well-being that is likely to change in the event of fatal adult illness. A separate section on income and assets from fishing was deemed necessary because of the proximity of the project site to Lake Victoria."3 The three parts of this section include questions on fishing equipment (Part A), income from fishing and smoking or drying fish (Part B) and expenditures on fishing inputs (Part C). The fishermen in this area engage in three types of fishing -- with hooks, trawling nets and stationary nets. 13 The LSMS prototype questionnaire collects information on fishermen in the section on self- employed businessmen. -21 - Section 14: Non-farm self-employment The objective of Section 14 is to measure the net income and value of assets for small businesses owned or operated by household members. As was noted for Sections 11-13 above, levels of income and assets are important measures of well-being that will be affected by fatal adult illness. In addition, selling off business assets is one way of coping with its economic impact. For each business owned by a member of the household, Section 14 collects the expenditures (Parts A and B), income (Part C) and assets (1 1D). The reference period for reporting expenditures is the two weeks prior to the interview (that is, the interval between rounds one and two) if the business is functioning or, if the business is not functioning at the time of the interview, the reference period is a typical time unit of the respondent's choosing. Section 15: Housing This section has the objective of measuring: (1) the value of housing assets; (2) expenditures on housing, water, electricity and other utilities; and (3) the physical condition of the housing, which is a direct measure of well-being.'4 Housing assets are important to know about, since they may be sold off, inherited or disinherited to cope with the impact of adult illness and death. Expenditures on housing and utilities, together with the results of other expenditure sections (16, 17, 18), are an input into the estimate of total annual household consumption expenditure, an important measure of well-being that is affected by poor health and mortality. Section 16: Durable goods, annual expenditures and income from assistance programs The objective of this section is to collect information on : (1) the value of durable consumer goods owned by the household (16A); (2) expenditures on infrequently-purchased items in the past 12 '4 This section departs in structure from the prototype LSMS questionnaire in Part A, where a series of questions are asked about the construction materials, ownership and value of each building occupied by the household. - 22 - months (16B); and (3) receipt of cash or in-kind assistance from community organizations (16C).15 The value of durable goods is an indicator of assets that the household has available to finance emergency expenditures, such as health care and funerals. Durable goods can be converted into cash quickly or can be mortgaged for cash. Furthermore, the change in durable goods between waves of the survey is one component of savings or dissavings. Household-level expenditures on infrequently purchased items contributes to the estimate of annual consumption expenditure. For each durable good possessed by the household, information is collected on ownership, year of acquisition, purchase price, and potential sale price. Part 16C is of central importance to the research, since it is here that receipt of assistance by the household from outside organizations is recorded. Receipt of outside assistance by individuals is recorded in Section 19. Section 17: Food consumption Expenditures on food and the value of home-produced food that is consumed are typically the largest share of any item in a household's overall consumption budget. A decline in per capita food consumption implies a decline in the well-being of households. The project will attempt to measure how fatal adult illness affect levels of food consumption (and total consumption) in households. Section 17 was conceptually the most difficult part of the KHDS questionnaire to design. The objective of the section is to collect information on habitual and recent food consumption, on the basis of which an annual measure of food consumption can be constructed. While some households in the Kagera region purchase all of their food, in most cases they both purchase food and consume the food that they produce at home. Thus, Section 17 had to collect information on the value of home production that was consumed as well as purchased food. The second and more difficult challenge was capturing the seasonality of food consumption. Because different foods are consumed during different seasons of the year, it would be incorrect to ask about food consumption for a recent period and to infer that this pattern was representative of the past 12 months. The seasonality of food production and consumption over the entire 12 months before the survey had to be considered. This was rendered more difficult for 15 This section differs from the LSMS prototype questionnaire in two ways: (1) it identifies who in the household owns each durable good; and (2) it collects information on transfers from outside organizations, including the Government. - 23 - the KHDS by virtue of the fact that there are two rainy and two dry seasons in the Kagera region in a 12-month period, and the timing and duration of each season vary according to locale within the region. The solution to the seasonality problem was to ask every household at the beginning of Section 17 to name the months of the past 12 months during which each wet and dry season took place (Part A). In the remaining parts of Section 17, for each food item that is home-produced (Part B) or purchased (Part C), the respondent must indicate during which months of the year the item was consumed.'6 For home-produced and purchased items that are seasonal (Part B and Part C-1), the respondent must report how often the item was consumed in the rainy season and in the dry season, and the value of the amount consumed on average each time. For non-seasonal purchased items (Part C-2), the respondent is asked how often the item was consumed in the past 12 months and the value of the amount consumed on average each time. The information on the months of the year an item was consumed, the seasons represented, the frequency of consumption and the average value will permit computation of an estimate of the value of annual food consumption. As an alternative to this method, the questionnaire also asks for all purchased food items (seasonal and non-seasonal, Parts C-1 and C-2) the amount spent since round one (two weeks earlier). Thus, for purchased food it will be possible to estimate annual consumption expenditure by two methods: (1) frequency x average value; and (2) actual expenditures in the past 2 weeks x 26. The structure of Section 17 is summarized in the table below: The structure of Section 17 QUESTIONS CONSUMPTION EXPENDITURE ON MONTHS FREQUENCY SINCE LAST PART TITLE CONSUMED? QUESTIONS ROUND? 17A The seasons of the past 12 n.a. n.a. n.a. months 17B Consumption of home YES SEASONAL NO production l 17C1 Food expenditures, YES SEASONAL YES seasonal items 17C2 Food expenditures, YES ANNUAL YES non-seasonal items 16 By asking for the specific months of the year that an item was consumed, it becomes possible to compute both an annual (12-month) estimate of food consumption expenditure and a 6-month estimate. The latter is very important to the KHDS, since the household questionnaire for the subsequent waves will have a 6-month reference period for food consumption expenditures. - 24 - Section 18: Individual expenditures While section 16 and 17 collect expenditures made on behalf of the entire household, section 18 collects information on personal expenditures by individual household members. Section 18A collects expenditures and acquisitions on behalf of individual household members in the past 12 months, while Section 18B collects information on personal expenditures by individual household member since round one (about two weeks previously). The information is gathered for each individual because: (a) it should improve the accuracy of household consumption expenditure estimates; and (b) it will allow the researchers to analyze the distribution of expenditures and acquisitions across different household members, and thus compare levels of individual welfare within households. 17 The results of this section will allow comparison of expenditures and acquisitions across different types of individuals -- for example, orphans vs. non-orphans, boys vs. girls, men vs. women, sick vs. healthy adults and younger vs. elderly adults. Section 19: Remittances and credit The objective of Section 19 is to measure transfers and credit flowing into and out of the household, the reasons for these arrangements, and the level of household savings. Transfers to and from relatives are the major source of assistance to hard-hit households, in the absence of formal assistance programs. Credit policies are potentially important interventions by government; this section, coupled with information from the community questionnaire, will allow us to analyze how credit availability might mitigate the impact of fatal adult illness. Many of the transfers captured in this section will be from non- resident family members -- children and parents -- whose background is captured in sections 2 and 3. Section 19 has three parts. The first two parts collect information on receipt of remittances or borrowing (Part A) and sending of remittances or lending (Part B) in the past 12 months, for each household member."8 The total number of each type of transaction is recorded, followed by detailed questions on a maximum of three of each type of transaction: the relationship of the lender or borrower 17 Collecting expenditure and consumption information for each individual household member is another way in which the KHDS questionnaire distinguishes itself from the LSMS prototype. 18 This is another example of the effort of the KHDS questionnaire to collect information on an individual level so as to better analyze the intra-household distribution of well-being. - 25 - to the household member, where the latter lives, the amount received/borrowed or sent/lent, the reason behind the transaction (if any) and the repayment terms (if any). Part C deals with the savings of individual household members: participation in traditional savings organizations in the past 12 months; savings in formal institutions on the day of the interview; and savings kept elsewhere. Section 20: Mortality This is the section of the questionnaire in which adult mortality is measured. The objective of the section is to measure: (1) all deaths in the past 12 months and their causes; (2) the health seeking behavior of persons who died in the past 12 months; and (3) household expenditures connected with mortality in the past 12 months. Part A of this section collects information on mortality of relatives living elsewhere. For each death in the household, part A collects: the relation of the deceased to the head; age at death; sex; relationship to other household members (including children); marital status; educational background; major work activity; cause of death; duration of illness before death; symptoms of the fatal illness; consultations before death and expenditures on health care and funerals. A sub-set of this information is collected on the deaths of non-resident relatives in Part B. As this is perhaps the most sensitive topic in the household questionnaire, it appears at the very end, after the interviewer has established rapport with the household. - 26 - 4. ADAPTING THE HOUSEHOLD QUESTIONNAIRE FOR SUBSEQUENT WAVES The results of the first wave of the KHDS will provide more information on differences in well- being across households with and without fatal adult illness than has ever been possible, from a cross- section of 800 households. However, it will not be possible to capture the "coping costs" facing these households or their adjustments as a result of fatal adult illness in a single cross-section. This is the rationale for the longitudinal research design. The subject matter covered in the household questionnaire for the second and subsequent waves will remain the same. Changes in household composition will be captured by changes in the household roster and in the roster of children living elsewhere; additional questions will be added to discover why persons enter and exit from these rosters between waves. Information on adults and children who have died since the previous wave will be captured in the section on mortality. The changes in well-being will be measured by the changes in health and nutrition status, consumption expenditure, ownership of assets, savings, income, school enrollments and activities. Coping mechanisms will be measured by the changes in the amount and allocation of time of household members to different tasks, expenditures on and utilization of medical care, receipt of transfers from other households and outside organizations, asset levels, savings and borrowing behavior. For the second wave, all questions with 12-month reference periods will be modified to 6-months (since the interviewer's visit 6 months ago). The reference periods for the health section (4 weeks and 6 months) and the section that measures time use in the past 7 days will remain unchanged. Both continuing and new household members will respond to all sections, with the exception of the migration section (asked only of new household members) and the fertility section (asked only of continuing members under 50 and all new members). Review of the Wave 1 questionnaire reveals that only a few of the questions (such as sex and date of birth) will be repetitive for continuing household members; the answers to most of the questions in fact can change between waves, and it is these changes that will measure the adjustment process. The few repetitive questions will help the interviewers establish the fact that an individual is, indeed, the same person interviewed during the previous wave. The longitudinal research design theoretically would allow for the possibility that interviewers could compare certain answers in the second wave to answers in the first wave, if the information were - 27 - made available. This potentially could improve the recall of respondents and the accuracy of their answers. However, reference to answers from previous waves could also introduce biases in the responses to wave 2, in the direction of conforming to what was said in wave 1. The project's approach will be to minimize the opportunity for interviewers to rely on wave 1 information, but to selectively use it in the data entry program and through supervisory controls so as to improve the quality and consistency of the data. The demographic characteristics of individuals that are not expected to change (e.g., sex, age) will be integrated into the wave 2 data entry program. In conducting consistency checks after round one of wave two, the data entry program will automatically compare these variables for wave 2 continuing household members with the answers from wave 1. Any inconsistencies will be reported so that the interviewer can correct them in the field during round two. * The data entry program will also compare the types of activities engaged in by the household in the first wave on the day of the interview (e.g., farming, business) with the activities reported during the past 6 months in the second wave. It will report all instances in which a wave 1 activity was not again reported for the six months between waves, so that the interviewer can return to verify the answer during round two of the second wave. - The data entry program will automatically generate a form for every household from the previous wave, a list of the most significant durable goods owned by household members at the time of the wave 1 interview (e.g., radios, bicycles, cars). The interviewers will use these customized forms to ask household members about the disposition of these durable goods since wave 1 -- that is, whether the good is still owned and, if not, whether it was sold, lost, stolen, broken or no longer of use for another reason. An example of this form for a fictitious household is shown below. * The data entry program will generate a second form, containing information on the livestock and housing owned by members of the household wave 1, to be used by the supervisor as a quality control check before leaving the field after round two. These forms will thus include customized checks on the ownership of major assets by each - 28 - household. For example, the supervisor will have to compare the number of different types of animals owned during wave 1 (printed on the form) with the information provided in the wave 2 livestock section, to ensure that all can be accounted for. A copy of this "verification" form is shown below. - 29 - 5. CONCLUSION The objective of the Kagera Health and Development Project is to measure the impact of fatal adult illness, the impact of existing assistance from outside organizations and individuals and the costs of various assistance programs, in order to identify survivors in greatest need and to evaluate the cost- effectiveness of alternative programs to help them. It is too soon to comment on the success of the KHDS household questionnaire in capturing the economic impact of fatal adult illness or in providing the basis for simulations of the impact of different survivor assistance programs. The household data will be used in conjunction with data from the community and service questionnaires, which provide much of the information on policy options. However, the KHDS household questionnaire represents perhaps the most comprehensive attempt to date to measure the economic impact of disease and premature death among adults in a developing country or, for that matter, in any country in the world. It is hoped that the contents and logic behind the household questionnaire will assist in the interpretation of results and will serve as a platform for launching future research on this important topic. CLUSTER: HOUSEHOLD: 10 ID CODE OF RESPONDENT FOR WAVE 1: EII S E C T I O N 1 6 D U R A B L E G OO D S, H O U S E H O L D A N N U A L E X P E N D I T U R E S A N D A S S I S T A N C E P A R T A - I: D U R A B L E G OO D S F R O M W A V E O N E Now I am going to ask you about some of the durable goods owned by the members of your household. U 1 --~----- - 2 4 - T hen shdre 6 onths ago, the U bers of your . hoes dy e Why is this ....E... TEM l ... Hpo much as... ouseno ha a . .1ITEM that beonged to ..[ID] .. ovtno d ueol n oger owned Dy your tnIS [,ITEM1 . was acquired in shave o usehold? sold or UE ASK QUESITOUS 1-5 ABOuT EACH ITEM BEFORE GOING TO THE ... [ITEM] ... ? SOLD I NSEXT ITEM. IF COMMUNITY B FR iTOTHE OWNER ID AND YEAR ACQUIAED, AS NECESSARY TO I ! OWNE DIED |HEM I L THE RTESPONDENT IDENTI YTHE THE AMOUJNT PAID IS YEs ... 1ISN T EX E ITEDT TO HlP t HELP PROBING. DO NOT C LI HS AMOUNT TO THE N-, DINE 5Dt.. JI INX RESPOND NTI No . 2 I EXT SHOUEO D.:.IE4 N ~~~~~~~~OWNER YEAR AMOUJNT ITWI Nj%R N ITEM O TYPE OF GOOD |CODEID CODEPACQUIRED AID ID CODE OTHER (Spec y). ... AMOtUNT z 1 RAnTn 40 _9 85 5000 o t :l, _ 2 BICYCLE 41 04 90 20000 _ _ _ _ _ 3 SEWING MACHINE 45 02 87 -32000 . _ _ 6 ._ _ - _ _t 8 ~ ~ ~ ~ ~ ~ _ ._._ _ ______<= 10 1 _ _ _ _ _ | CL ii-1 1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 115111.I1 1 .1. __1 13~I _ _ _ _ _ _ _ _ I_ _ _ - 31 - Supervisory Form for Tracking the Disposition of Housing and Livestock between Waves of the KHDS Survey KAGERA HEALTH AND DEVELOPMENT SURVEY V E R I F I C A T I O h O F T H E Q U E S T I ON N A I R E R OU N D T W O / W A V I TIW ( PA GE 5) INTERVIEWER: CODE: _ DATE: CLUSTER[2 ] NSE0LD Ej SUPERVISOR: CODE:, CLUSTER: _ SEC- SATIS- TO BE TION R O U N D T W O C H E C K FACTORY REDONE 12A DURING THE PREVIOUS WAVE THE HOUSEHOLD OWNED _ CATTLE. Look at the answer to question 3, line 01 (cattle). If the nuber of cattle is the same as the previou wave, then 09 + 011 - C6 - Q12 - 013 a 0. If the number of cattle is less than the previous wave, then 09 + Q11 - 06 - Q12 - 013 < 0. If the nurmber of cattle is greater than the previous wave, then 09 + 011 - 06 - G12 - 013 > 0. 1ZA DURING THE PREVIOUS WAVE THE HOUSEHOLD OWNED SHEEP. Look at the answer to question 3, line 02 (sheep). If the number of sheep is the same as the previous wave, then 09 + 011 - 26 - Q12 - Q13 a 0. If the number of sheep is Less than the previous wave, then 09 + 011 - 06 - 012 - 013 < 0. If the number of sheep is greater than the previous wave, then 09 + Q11 - 06 - 012 - 013 : 0. 12A DURING THE PREVIOUS WAVE THE HOUSEHOLD OWNED GOATS. Look at the answer to question 3, line 03 (goats). If the number of goats is the same as the previous wave, then 09 + Q11 - Q6 - Q12 - Q13 a 0. If the number of goats is less than the previous wave, then Q9 + 011 - c6 - 012 - 013 < 0. if the number of goats is greater than the previous wave, then 09 + 011 - 06 - Q12 - 013 1 0. 15A DURING THE PREVIOUS WAVE, MEMBERS OF THIS HOUSEHOLD OWNED _ DWELLINGS. Look at the answers to question 10. * If the number of dwelLings owned in the previous wave is the same, then the answers to Q12A are blank or no, the answer to Sectlon 158, 09 Is "no and the answer to Section 15B, Q11A is non (code 2). * If the nrwrer of dwellings owned in the previous wave is less than the current wave, then the answer to question 12A is Nyes". * If the nunber of dwelLings owned in the previous wave is greater than the current wave, then the answer to Section 15BQ9 is 'yesn or Q11A is yes*". - 33 - ANNEX: THE KAGERA HEALTH AND DEVELOPMENT SURVEY HOUSEHOLD QUESTIONNAIRE University of Dar es Salaam The World Bank AFYA NA MAENDELEO KAGERA HEALTH AND DEVELOPMENT SURVEY HOUSEHOLD QUESTIONNAIRE WAVE 1 STRICTLY CONFDENTIAL . 1gm~LILIJZJZ-EZ SURAVE T INR f OR A IOU CLUNTERsI 1g woJSEHOL ROSTER 06E116bRVISIONOF SUER Pr IpNrTOUs, ROUNDI O ADRIIIIU (OR DESCRIPTION): RVISOR: DATE: FIRUT ROMDOF SURVEY IRVMIEwlt DTE: [1 11 1 |C MROUN OF "RVEY R C M : (.U-rVIS ) [D 5M 0IA? F IRA frMtWERVISOR) INTERVIEWER: i DATE: MAl OF KU KMA: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~REU O: IS: Oy'A R Mb9ISle l: m"SIffltu cl Ri. t 2 VIA, .8 o h:::::l W A jM ::::: fXI OIHER (SPECIFY) ........ 7 $1EN IF ....A~~:::::~ { [ii"R elS*Eeif Y5 ... t V PRETfR7 _ ffRIFltATIO OF ZE STIOlNAIRE, ROUN TUB REAKS: [SUERVISR: i DATE: | I | l| DREAWS:; __ WV RIFICATION OF THE QUESTIONRAIRE, RAOM |ii IO NE LPIKiOR?7 IMO [Iii REwnltSm: I = DATE:-DATA ENTRY, OUii TWO| "WKS:EVWR O. 1RES ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ E S .. F 1 O ERAT R: _ ____ ____ ____ ____ ____ __OPERATOR: I i ] ATE: [ i l l 11'011411167 WA = ~ ~~~~~REMARKS: _________________________________________ -DATA EIITRY, M OVE --SUIPERVISION OF PRINT(ITS, RMi 1i OPE OR: _ _DATE: |___________ERVIS_____ DATE:_| [DATA ENTRYS OEREKRKS: PAGE I - -- -~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ s~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a ON t = w^ua SUN MARY OF S U R V E Y R E S U L T S IN.T.R.I..E. . .--.-.PE SO .______._ FIRST VISIT CHECK-UP VISIT I INYERV~~~~~~~~~~~E U ER Yi I PERAT F I R S T v I S I T V E E C K - U P V I S I T I T E R V I E W E E R A T OCRRECED IN RFFiCE.. I SECTION D~0ATE ( RESU LT I) AE E S U L T SATISFACTORY....I : A": FACTOY.. I CORREC ED DURING I 1 IAY I YEARj| RTLETE- - *ve DAY TR YEAR | PMTt L. . l TO SE CORPLETPED. I CORRECTION.. . .2 SECORD ROtD ... JL C2rP .. TO OE REONE ...L NOT CORRECTED ...:..... ________L ___ 4 - ___ ATIL___ J FRTL¶.___ :: ______________it______________ _____________ DAY MONT YEA O AP LE~it DAY YITN YA FIRST RaJN - - _-- - _ __ , _ _ __ -= __ __ ___=_ _ __ _ 12 Is 16 _ _ _ _ _ _ _ _ _ _ _ _ _ l ~ ~ ~ 1 a_ _ _ _ _ _ _ _ _ _ _ __I I_ __I_ _1 1_ _i _ _I__ _ _ _ _ _ _ _ _ _ _ I C~' _ I_ C_ _ I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PAGE 2 SECTION 1. PART A. HOISEHOLD ROSTER PPERSO INTERVIEWR, PFREFEIABLY THE HEAD OF HOUSEHOLD. IF HE/SHE IS NOT AVAILABLE. FIND A "PRINCIPA RESPONDENT"T ANSWER THO QESTIONS IN HIS/HE PLACE. THE PERSON SELECTED MIST BE A MEMBER OF THE HOISEHOLD wHO IS AMLE TO GIVE INFORMATION ON THE OTHER HOUSEHOLD MIEMBERS. jINTERVIEWER |FIIESPO#DEIIT: ID CODE: [ i 1-3. I would like to rke acompeellto l ta peopl who normally iv nd eat their Mats togethetr an this dLi Iihg; FOR EACH PERSON LISTED IN QUESTION 1, ASK OUESTIONS 4-11. a I l Ike tohae" thenvoe of .tt1thi eet o .r n-In aies who n ly he a the alh to° t-11. Now I wId like to have some information about each of the persons inti il ng. ncds the he) andhe hou..?YOU hment? or wivl (or her hbnd or partners) and h Is/hr children In order of age. I.TERESPONDENT HAS ANY DIFFICULTY WITH HIS AGE OR DATE Of BIRTH SIN6), USE THE CALENDAR OF EVENTS TO M4AKE AN ESTIMATE. ALWAYS WRITE DOOl THE HEAD OF THE HOUSEHOLD FIRST WITH ID CODE 01 FOLLOWED BY NI S/HER SPOUSENA ND THE I HLDREN IN ORDER OF AGE. It THERE IS NR OTHNONI E H RTHE FIST WIFE OLLOWED BY HER 12. DETERMINE HOUSEHOLD MEMBERSHIP. CHILDRN I Ad. THEN THE SECOND WIFE HER CHILDREN IN ORDER OF AGEH AND SO ON. WRITE DOM THE IAIUISEX AND RELATIONSHIP TO THE HEAD OF USEHOLD FOR EACH PE,R SEX RHOSTER] o lea, e ghve mthp ober p rsons nt n retat to of o~ ~ ~~~~. Ith t sntr7 tth=te hew t nh1ad,Te the haeht ttrto is/herhuite/hu.sh.together ut tn norh?mtes, FOR HOUSEHOLD M4EMBERS, WRITE NX" AND COPY AGE IN YEARS IN COLWIN 1 aaaonormlly a~wad eat their meals here. ON THE ROSTER. KRITE DOIM THE NAME. SEX AND RELATIONSHIP TO THE HEAD OF HOUSEOLD. *Plaasa givem thu nae f p thp= ersons not ratletd lo the head ofh eord owto s/ er uat/hug. sbt wto norma iy Live and eat th;Ir meaLs here. FoIranstance, servants or other person awho are not * re atives. WRKITE THIE NAME, SEX AND RELATIONSHIP TO THE HEAD OF HOUSEHOD. CAre there any other rrarsoo not now Dresent but whao normally live and eat th Ir meas here? For e Jr,l any gerson studng saaawhaere else aia i onvactio Jh is visit no other people or lho is seeking ea treatmen WRITE TNE HAlE, SEX AND RELATIONSHIP TO THE HEAD OF HOUSHOLD. CLUSTER: HOUSEHOLD: H O U S E H O L D R O S T E R OlP LTI LIST OF &'OET IgOLiOWING STATUS CODES: UA. V" AgE gSTMXA:E.H Age "H" AANER ......... I | 2Z 3 4 5 DATE OF BIRTH KXK I Age I nXu| Agel NXHX Age- IX |AgeZX" |IAge N A N E SEX IMONTHI E YEAR WAVE I WAVE 2 WAVE 3 UAVE 4 | UAVE 5 03 L_ 1_1111_ ______ .ii __ __ I_Ilzl z 4 II_ ___________ a__ __L llI_ rfl 1IL IT______ 1 -Il- 11LlE 1 HTI__ '> I I I I I I I I I I 1 1M Z 1 1 1 1 1 1~~~~~~~o 1111111 11 1m1S 1 111 1 1 1 1~~~~~~~~~~~~~~~1 IIIIIIIIII1 tS11 1 11 1 1 1 1 1~~~~~~~~~~~1 CLUSTER: r I HOUSEHOLD: [ | U S E HRO L D R O S T E R KAKEF~ ONP TE LIST OF T HEIR RAS TOGETHER R S Wo Z BRStZ~~~~~~~~~~H~ iAX COP THA E |OWING STATUS CODES: H ~~I%N~~A~E~ COHTINU G MME~ i - 2 3 4 5 DATE OF BIRTH |" Age |" Ae X"K" Age "I" |Age "X" |^Age N A N E S O WAVE 1 VE 2 MORT3H!V 4 YE 5 _~1 _ _ __ _ __.,47__| 1 ______ ~~~~~~~~~~~13 19 T 7 20 iii _I _~~~~~~~~~~~~~~~~~~2 ~ ~I~-1~- I________________ ___ ____ ____ _22 S E C T I 0 N 1. HDUSEHOLD ROSTER FOR EACH PERSON LISTED IN QuESTION 1, ASK OgSTIONS 4-12 2 3 4 5 6 789 10 11 12 D SEX RELATIONSHIP TO READ Ca O you o5 old hat Et the rs t Doe te COPY THE For ho a D *o H Eeot OIQSEh INSTRUCTIONS FOR CODING HOUSEHOLD MEMBERSHIP; E teLl ma WRITE THE ~~~~~~~~~~~~~~~~~owas wh art ite httU orf p,artne,reof IDoEHI I morts drin tht z HAHIEJ HOLD) VA L~~~~~~r WHIRTHEEM (NME..NNI.?MAKHEI_S FICATION the --st 12 will I?e MEMBER? H EAD IS ALWAYS A MEMBER 7, ttg bIFORTH ENLE IsD he bt(oIr]z-j 1sh e in this CODE Mont s has he residing hre. AUDGHTER . a currentty... hossehold? OF THE (or she) been when I rrn . FOLLOWING ARE NOT MEMBERS: ERS IF FARTHER away Ifr 6 xmoths from CHECK CATHER OR MOTHER . CA.LA....... TE, 7 CA °E NERS READ TO RESPONDET: from th s now TE SERVANTIMATABA (CODE 13, QUESTION 3) A SSEORBOHER..... PERSON's OR OVER. hmotiehiod CRITERIA HIECE OR EPHEW ... AOE, ASK married . 1.... AT RIGHT - TERAHT/BOARRER (COPE 14. QUESTION 3) AUHTR IN-AW... .8 THE IRESPON- YEARS AND FMORE (sirnce O H2OEER IsLSTDER-IH4Ai ENT T O H iTAN IF partner 2 EARa MOHaiH/YEAR) - IF ANSWER TO QUESTION 11 IS HO (COPE 2) H FATHER MOTER-IH-LAU..8 CONFIRM. T TYEARS.- ONE, YES. OTHEOF ESivR ....tHlE lID o- i N... .1 EVERYONE ELSE IS A MEMBER. C OR OFHI S.JE.1 I- COPE OF FIF 9 MYNsl O MALE.... 1 SERVANTM AIANO... ' YES.3 .,1 .16 aw rateO ...°. 10) THEs O iOS**'I ES BSERVANTIMAAA 1 R.1 wId/RO FIRST) l. II i O FENALE-.2 TENANT OR 1 O 2wdwr.S.H .i)i.----J NO. EH OTHER WREAE .& ,-- ee ERSN PERS ..........15 is DAY| TH | YEAR YRS.|S rrI.. n6t-10) ID CODE HOTHS PAGE 3 S E C T I 1 2: C H I L D R E N R E S I DIN 1 G E L S E U H E R E 1. Does wny mumber of wur household have chitdren of ny age not tiving here In this househotd? PROSE FOR ADULT CHI REN YES . 1 (hI Ce ON THE ATTACHED CARD PLEASE LIST ALL TE NMES OF YE CHILDREN RESIDING ELSEWHERE) NO ....2 (o. SECTION 3) CWSTER: | j IHUSEHOLD: I Ii| ROSVER OF NONRESIDENT CHILDREN 2 C OFFICE USE: LIST ALL CHID9RNI WHO COPY THE FOLLOWING DO HOT LIVE H HIS H INFORN4ATION FROM NWSEHQ 1D INCLUDING SECTION Z OF THE D YO1MGS| |NA E D SEX ANDGE ADLSCODEE| ID CODER -. I I IiI -S _ _ _ _ _ _ _ _ _ I fJ _=___-_____ li __ =__ JI~ _________IIE___ _= - . J~~~ I ~~ F _ _ _ _ _ _ _ _ _ K - t~~~~~~ CLUSTER: 1 ] HWSEHOLD: | T ROSTER OF NONRESIDENT CHILDREN 2 C OFFICE USE: LIST ALL CHILDREN UNO COPY THE FOLLOWING DO NOT LIVE IN THIS H INFORMATION FROM HOUSEHOLD INCLLIDING SECTION OF THE YOUNGSTERi AND ADULTS. I USETIONNAIRE L D A v E | DIOTHERIINTE- t 1 | Z | 3 | 4 | S | ~N A MN E E SEX| AGE |tT^OS IDCOWDES __ _ ~~~~~~~~~~~~~~~~~16C _ _ _ _ ~~~~~~~~~~~~~~~~~17C _._ _ = = [ _ _______ ~~~~~~~~18C===_ 19C 20C 21C ON - - --- - 22C§[|| r t | I 1 1 1~~~~ ~ ~~~~~~~~~23C l g 1- 1 | nl 1~~~~~~~~~~~~~25C [ [ | [ [ 11 1~~~~~~~~~~~26C I 2c 28C S E C T I O t 2 % C t I C D R E X H E S I D I Y C EL t S E tH E R E FOR EVERY CHILD PECOtDED IN UESTION 2, ASK oaEsTIONS 3.17. 3 4 5 6 7 9 10 11 12 13 14 iS 16 1- SEX7 HVo old 0Fthe Of ts ghe Dest Ise 'tht 11AA. I Ist htgt j der des he/she I.;*AEI Does... [NW]...tiving noVE'~~?yAMI.. E.?~j; .ts SC' Ln ASWork for the goverrawnil. the LIST THE MAJOR REASON -q[ -t |~~o An or | r?66~ |lms::- |8 II1eS 1 W-? I11 BI [ tx'| YES 1 | M L Y S 1 Y 11ES am I ptJ PrAR N _ 4 _ Y E YS t . . . t . Y2Sr Y E S. . . .2 . 2 Y E S. . . b .:.l | A i X C iilt D. | YEARS dIE dIE NO...2 GRAG.E AMA ~~~~~~~~~~~~~~~~~~~~~~~~~ OTNV CSPECIFY)......~~~~~~~~"S... PAGE 4 1 200 S E C T I h 3. P A R T A . I N F O R H A T I O 1 0 W F A T H E R _ 2 3 4 5 6 7 a ID is the CWY THE Is the Did the Whiere Is [It father of.. Ild the rhat was the for whom YidjfjAKElESi fther Work for D tIther DENTT fEther father of (NAME].-. n?g n ther Ighest grade most of h sL e? Di ... .. I CAIO ..oA . coep etadi AEilS.. COE FOR EY wk fAII;J.. : AME].. c ork for thf goverreifnt, party, or Tn t fAER :I vNEt months? SAkE PLACE AS HOUSENOL.O...1 achz 7 s DNE sor k tor a pr;vcte lo er (since...?) VILLAGE ELSEWHOERE ADUJLTED Baa he seJf-eq'Xoyd` '=I ..Ie?. .3 hrd;' 7 ~~~~INESEA OANC or was he se f-e Oyed in faerming 4 TOWNI ELSEUHEHi *lE *KGERA FP Pi P4 OTt;ER ............................... 5 A DAR ES SALSAM. TAOTHER URBAN AREA ......... F P F N YES ...1 YES. TES ... INETAANIA . . TES-1 U US ~~ 10 2 NO... ~~~~~~OTHER COUINTRY .....:3 C Ano Nt N 1 0 ....2 ON TK . .............. DNO. 2 _ _ _ _ . _ a~~EiI RADE __ P PAGE S YOtw C1 ME I- the 5 1dt m -Pqr i % tsE' ½nOto tn tvfe l0hQ ;pkh!' s; 15' !iARE Bftl5 Pl9% I DENT 91 "i ~ ~ ~ ~ ~ ~ ~ ~ ~ ,,o U h~~~~~ m"Pi"N 'i ~~~~~~LESS 10EESSIN [554 ltAt S 1 Qr i.o'r0-.t ~ aE v 15 r.dEAR I?flrls' i-, n A frrru:J '-~~~~~~~~~~~~i,'Fl ..UA"' I_~U" ~ tf~ It 1 1~~~~~~~~~~~C 40 PAW 6 S E C T I O t 4 .MAI ACTIVITIES OF THE HOUSEaOLD tIOEO ENTs:EAD OF tNWSEIOND 12 mronths, has anyo In your hou ehotd osmed or iorked on S. 1urgt1Z months. has an motor of your household owsd all or part YES 10 .....i. lES. I [I No ...... 2 (e3) 71 2. o sthe perrson IIo ih the mot about *tt the agricultural activities 6. Who fs the raon who knows the mst about slt the fishing activitfes of the of te mejier ofYour hotusehotd? asoisrs of our household? |NAtVSEi ID COE: [=I |AlE: 10 CODE: [ii 3. urInathepeost 12t months, has sny meeber of your househotd raised or osmed 7. DyrIthg hf,polt 12 months, has any member of your househotd ownd aLt or part tietc ranimals of the tom no: YES 1 , Ej ..........I......Trade? YES ... I Business? YES ..... I It0N2Ot S) .....................". 2 I. 5) NO .........................................2 L i .o our gagsnwho knows the mot sbout att the livestock owned by meeters No .. 1 tr YE... 2Ii1 3 NO.I'll2 No0..... NtW_ ID CODE: Artisan? YES.. I IF ALL ANSWERS ARE -NO- .. tO NO ...2 '- IF ANY ANSWERS ARE YES > 8 _ _ 9-_ Shet different.. C I...sere oned by sebers of your household durirn the post i monthi7 Wdho Is the per60n who knows rcst abzout th. expenses and Incum of O ... INAKE OF BUSINESS, ENTERPRISE, ETC .... .1? z Trades Inohjtrles lArt In Euw1 I nSrebnt LA E IEs ne reses prof eas eE 9 _ PAKE A OPLET TB E OISNG TO 9. LIST MOST I tORTART FIRST US E the eEt ID tOOE rC~ ziiWs ft___ _ ___ _______ _____- - - - - - - - d g f~~~~~_ _ 1 11 1 - ~--- - - -- - - - - - * * - - i.- - - FAGT 7 I S E C T I O H 5 : E D U C A T I O NI TO B E A S K E D A B5O U T A L L H OU S E H B L D N E N B E R S 7 Y E A R S A N D O L D E R Vt. I1 T1 5 . E DI U a A CA7 0 _ 1 12 3 4 % S 9 10 II 12 13 14 555. d)aE tii lq. 110w wv years Ito. Map the tast No or hotro id ....M..)... 1; this the nmer Why did (NAi.. t f is iCokn ... DIAME3 or a tv n--o wI i - I~~o or t 'Srlschool l~~~~~~~~~~~~~~~o " t A|lF/. 1St @W | in-th. ^| ;. | frm her I*?^ =r2|13 £ rEt. 1 YES.1 YES.O *IYE.t ...no.ts..try t... lAO WEEKI ... I Sc1or I O ourIs tI at 1 t1..T . RiR ho... ... .| YES E~~~~~~~N caWLt 10.. . .2IP.2 -* ) Cl10; *sW2 . ...............YAt Iull T y js dU U a a|l I t l | :T auTIlo2OIE ........(t11ii read writs do ft- PR W SCa .1 no a dys writ- fl~~~~~~v ow? week? Anm- aot- tatn sas toni- YEARS IF NORE UNIILEKESS ... I at2 DTAC n~~~~~~ I n pesr ter,cal- ottan- cat or TRAN ONE YEAR TOCAA FOR ILL t? sot? ~ ~ oey. PtMi?. . . .TN$ ifEAC AT vF HVMS ISWRA L¶,1I - ;rai - ZA ::M O NE YEAR r,t.. Bl : 15.1 I ES.1 I ES. I YES .. . I 9 YES .. I1 YES ... I re gfus?.3 YS...1 14) i'UIERAL/WNOMING. YES ...I bO.2N..2 01110 2 50 zN. 2 No5...2 OTE .....N DIS - T,IN -6) MAETASbNiSNN TiJE WEO 115*FRIjSA T5151TOT) DISTACEl CoEls PAGE A SBE C T I O 1 . E D U C A T I o N (CONT.) is 16 iTr l 19 20 21 22 I poea Nov dom$... jow trn d Now ach has your howehold spent during the pest 12 months on... (NA[E-SI ... education for... Dld w. rca diat trtitu. IhY as th ED tfv i'NA IEI... to If NOTHING WAS SPENT, WRITE ZERO. DO NOT INCLLDE CONTRIBUTIOIS MADE BY OTHERS. Na tion wass hh a tyr:hIp vawe= ,hi n H he a In tr v1 o IFcIt to oot s *pon- btned? g ven? 1trth"pes Tf~~ ~ ~ ht'*ro7 In that wy? If THE RESPOIIDENT CAN ONLY GIVE A TOTAL ANaNT, WRITE TOTAL IN COLUIIN soHi MDtStn OPRA1El Rst tha COOPERATIVE t:hs? tiMODL . FANILF A ?t~~~~~~~d ~~A. 5. C. 0. E. F. G. K. CEHHIiJiST..... UNABLE I 1Hoi fUNDS ...... 3 TO PAY Contribut ona Uniforas ad Books ad T ean rta- :.;r wid Schoot fees? Other? TOTAL ChURCH/RELIGIOUS FEES. .1 0 to School be- ~~~~~~~~sortr no lodgn? tANs extra GROUP . H YES. ON FHOT _ sFp LlNsY 16Z BICYC E and a tin var- PO'cEet I5nsy. TEE.. .1 OTHER PRIVAfE C PA CNO.. CAI .IPr.ar etc. OGANIJYATIWI TITION.2 W R ~~~~~~~~~~' Fad? (..~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a1) GrTpE Y;I OTHER. .3 1 0TH i:: ~~~~~~~~~~~~~~~~~~~~~~~~~~~(SPECIFY; )..7 NmI NE HAS4 ANOiT ANOiT ANOJT ASNAJT -AMOUHT AN0UNT_ ANOIT AINS.T ANOIT PAGE 9 7 E C T I O 1 5 . E D U C A T I 1 (END) 23 24 ZS 26 27 28 D E NMw this e Nw . 7 Hm ch did thea other persorw contribute in the pest 12 mnths for ..(NA 'EI... Oid...C(MM]F S.. i..va ft 't .t ffitu- iht we, the asj haail !~I~Aif MNOTING WAS SPENT, WilIE ZERO. c rai hNS rtT O! tc 1 .0.r th . I tAco otheITr g T j IF RESPOINDENT CAN ONLY GIVE A TOTAL. WRITE TOTAL IN COLUISI N. a b £ .o1ntgt l UTED tHE IOST. A. S. C. 0. E. F. C. N. Cd OOn.L. TIE |E n CT od at Sr t to 1 . 1 ..... PAN T . I Sch~oot b.- cLothe. =q 1 e? school? Zvlmt ((Ni Aihil AAIiI:: S. (Cil I IO GROUPCTIO OTHE ~ ~ ~ ~ ~ ~ ~ ~ ~ PC Pit YES.. I IINELL . .un Ns YES.. i ORGANIZATION ... 6 N ... 2 I. 26) FEE. (E m?NO.. ._____ ANDMT MENIT AIiNJI AHOIST AINEST AI@*AT ANQAT MYJTNIMT PAGE 10 | E C T I ON 6 : N E A L TH I To S E ASK ED AB O UT ALL - |HoUsE N0 LD NE NE R S LI ION s E C T I 01 6 N E A L T NJ P A R T A: A C U T E I L L 1 E S S I N T H E P A S T F O U R W E E KS I 2 4 5 6 8 I During the past 4 weelu; F ILLNESS: Now DID THIS DurIng the post F ILLNESSi Now D|ID THIS For how rma IF ILLNESS: Can ymu describe thq stom that you suffered from during have you had aoA' Ing ao didtthfs ILLNESS BEGIN 4 eK ave you u1ago did this ILLNESS BEG IN day didryouthslne?Wtlaw ro? ItIIwasorInJeiy?~r las start? LESS THAN SIX n other Illtneass occur? LESS THAN SIX amufeTo as . " haveIH tY jo I S AGO? or y F INJURY: Now eMNTHS AGO? P nhlit , IF INJURYf: Uha tpe of injury did you have? ec ~~~~~~~F INJURtY: ow lInri..es? 1F orLM:No InJur dltr na0~ j tniury jongabodia this n occur? dii this nc. e IIE RECORD UP TO FIVE SWYHTONS hENTIOHSE eY TNE RESPONDENT. hI~ ,p~it. or an injury occur? -IFjr occuTHA BEGTAN) ILLNESS AUE. EIGACMHLPI. IF nMOE TIAN ONE, IGATNOEDIARRHEA CHILL EES FEVG ; PAI- A A ffetiob US AtES111 AES,T HEST DISERR HEAOCi. M,-, NKTA S COLS .T THROT . T R~~~~~~~~ECENT RECENT MOTNRHR).. VMNITING.!!II:: 'DICUL I YES. ILLNESS-. O EI|iHT OSDS MAJOR).. C9 HE T t DREAI.1 o ~~~~~~ ~~TIN DA ITINE DAY... FEVE .A.T~ . P MMN . YES, iNJUY... .2 UNIT: 'WEEk:: JUNIT: WIEEK.. FEVE ERaRN) CWGNIN SLOOD. ...RA.T..E MONTH... ~ ~ ~ ~ ~ ~~~~~I "MNSKIN SNPAOIN ON PASSING IlI lo... YEA.. ES ...I i v?) YES ....YA YES .... I WEAKES ... UIN..1 c~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Pe 311 ift 161, SEVRE &A61BGENIWTAL wa CHILDJJIiITA:: o NF~NILNSA o ....2 No 2 No 2 FA.TI.. HEA OTHERERS.ECI. E IIJ&IUT UEILNESS APRINIT TINE (VSEIIN6) AGN IE (SCIN6)2 C~~~)E. ~~~OF TIN4E UIOPTN UIT DAYS STPG I SHTN 2 SHTRI YPTON 14 SYMPTOM 05 VI PAGE 1I S E C T I o N & A 3 N E A L T H (COT.) 9 10 10i II 12 13 14 15 16 17 la 19 20 21 22 23 24 I Forhomi IS Dil. you ring the 1at tT t t pt f fart. Hv N did d I hd Ot nhiunY j gamch r No umch° did0 edut S yi.biato 15 Olt h urao d ison thts ttIeCs sought care? private Whnt frtt toth* tot vdt niy o lu you hs vi Its toa other carry on ait' etLEs dId rortd Forrn Irt t1tsbnwt 7 ooCTR ...... .. e* ..trXe?t t Isat2- Stotiegent~~ estblis. thisC estab-n to tab-en F ix laS$¢ee1 your rfor esaup doto*^HEa.lTAt;i*E ...... . } XU E oSE^; .... 2 ttshmuet7 b .0nt1 - h er ~tr. ustI 7 for this ItHlSe fitor aes n V IPESRY.'ASITA. ..3DITNC fy. A ness or for you? pharma6ist or CLIHIC RURAL MEDICAL CUE~~~~~~~~esta or gLnest all thacae a T usury? o oo i ther VHARMAC . AIDE......t.i EICTCLE.t r sint? H CASh ANDts to n eIrry on 0 .. IN n- rah ton r ? THE PRSOOCPHRMAIS...6MEE CAB.3 hrttry?" i. irj 5 ; 1§ 1;l as ASCHo .6 1I SIOH.2 AIS 4 M T. t ESC i E ChST "NC. practitioner? NOMC O' PUBLIC.. I HA I CAW..?Hi O MEKDCHS O0 vfS..1 YES ....1 I ES..l KOEME .7 REAL tBOAT .... 5YES .. ..I IF FREE YES..I 0 (.1*)~~~~~~~~~~~~~~~~~~~~~W 4 DESIG- pflYlowicil RITE itRO. I NO. HO 2H. 2t~ OTHtR N6 ATED. .4 0Ita ....: iE TAC OTHiER... 6 HO. N O. 2 DAYS Cs.i~~~) (~~5 ID CUE LSPEciDt~~~~~ I _______ ~(IPECIY:)tAsCE CUE HN I .a IGHTS AIMAIH TIMES AMOJT CAL) 00 PACE 12 St CT ION 86 A:UUIALTS (CT 25 26 27 26 29 30 31 32 33 36 35 36 I mere is the tul r"l! Vsw is Mmo did NOW oaw did Rid YO N " owh se N.ucijh did bfdkYou ;:youl ter?* est11t- (~. thermvet thisttiPt" ?t? vh_dorth the t y * ~ ~ ~ ~~g5e ~~~~~t from ~~sv,jt thi utt kn You h you tebi almetviis o ot t c itttres?hhskstt?th isd nV . r th hi pet tiler or n ury? th tls _ '~il~~AM..3 Dloteici ONuraar..i a t orf I ornwu?ro I .AEii]~~~~~~~~~ICKSo UWLiC..l ~KAdM~Iai::. siIid LE Z RnCII CASHTA P ialits NHISSION.2 TEIIII. j m...... OF NE PRVtE3sa T. ES .... I IF FREE YES..1 ______ _____ __ ___ ____ IncIf :, 1o Di s- WRj I OTE N T;I OTI. P)Mlia: IEHM &15 iiii MUNTE ~ T t0 it, PAGE 13 * E C T I 01 * A : V F A EL 1H C(ON1Y.) | 37 38 39 40 41 42 43 44 ,5 4 i49 So Si s2 53 t f d oht did Id yto Mos hny ii vc to lt a h did Dvd.yt r p w H Nowinh in"aMlito toPOW Mich "teenii ~~~~~~~travel itt aveto r a pN nu,ys? dyou= avet seekcareo osp tat- ngta asYOU h~~~~o, t7b'Ih Wt IS}=7 "t s-eiLt - r .gthrfth. tto- rav to 3v1 to7bUt payt tlXh visi ?r a nl WIo hr v t t I~~~~~~~i . pavalaYla la1 Mtu D;S!-| AX; ..... 5DlTDAEC IytL> 1 ............ ntt1X: r,*t7serInsttr7% r this ttt1; S}G~~~~~~~~~~~ tol# a "cl CX... 1t tojrr !ICA -DIi7' m Eat -th;dis a togeth{Er ..... ... .. 4 ( SPEC IFT I§At X tharEEg;F;t toae vh2 ftstt teo have 54)2 to S4j 2 _ oushr~ere1 tl,tn htt_}. vstaot5lS _ 1 n I I tt rT It dt t 105 . a::lrer os? establish- Ohaji t aimt~~ts? a r~ta NoP U3 HFOT. a this the 1hiaas o a n glot tC seysat T. rwa~~~iTAE1~nsa fes or Tinsaa oher, thas NO CAL A101.1 I&ANCE 0 rur n uiry? : TEa... NI .? C.AE.BICYCLE..2 iiT nju 1I7 9orcAie oTthis n NATEION..4 N IM..7am... _________ W CSEE ~ PATIEMTP,' PREVAIL VES ... IF MEDICINES VES. ..i YES ...1 bAi I ATSIS 01SLl BT OE..... - F E o. H 2H ATDA(SPECIFY I (PCjj S a - ). .l0 ME KI NIGNTS ANEMIT TIMES MANYM MASER ANMT NIGHT4 ANO PAGE 14 SE C t IO a i H E A L TH (CONT.| _ 5 55 56i i7 St -- 59 60 61 62 63 _65 66 67 68 MoUre you *atlho Irb your 1S Feh has| o has Us re ny of Did you reeive m h Uitt any 5 h Ar Usa your What iliness did the halth lhat dihr do you think pou gas this i ws s ,,. .ha 1 I ct_ ,or tortr any asita c diii Yo e ototf s?Yi have tilt h il n ess a.ti t i e r thinYk that you were suffering from? e a In .Afl, ncar rk .14 t.1 othr M.i to9rbyfo ua rcie ti have tob fring eyer ealhve? i i l f ; vg ti-7 r se ir in so si p pa y ooutsde t reps d 7 noes or e;prob m ygrou thnol ~ Zair~ t rfra ii In r nih X porEniiTS FiS SEE ILLNESS CODES AOVE SEE ILLNESS iDES ABOVE YESn...I YES. I TE s...I YES ...1 YES ....1 LiES ... I |ES ...I1 & NO 2 500.2. .... 2(c6SO .... 2 Io.Z650. No 2.. ID CODE AffND= RumMT AMBI SYJT ILLNESS COEILLNESS -U3 OPBIER AH"t 4F TILESJ~~~LLNSS~E ILLiE# teDEs AIDS/NIV ............. I liiRT IAESTIIA .L SNISTOsiAsis . 3 CANCEit............. 4 rSENTER......... IRACTUIWE.........7 GONORRHEA .........S INTESTINIAL PARASiTES...... 9 MALSIA to NALWTiiER i i i 22 EASi.S1 POISONING .... PUiO ............. 15 T1TAIJ .. ly IUKESOJLOSIS.I TYPIHIID .... WaINmy INFECTION.....20 NITCIiCUFT ........21 ODruR STO, S.1 (SPECIFY) . 22~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~(EIV)........2 ,SPECI,Y) . 23 OTHER ImNlET....... AE (SPECIFY) . 2:--.-4 DOH TN.e2 | tE C T I 0 N 1 A LE E) _ _ 0 rt - 72 73 74 75 76 N iothe H7fd i yuaalo alI &itt ote Naeyu Nv YouNv ouhdN nira.o e itha IThaveo lUng,. Inur that ef..d ls rurIdg au ln I h in Iu Ie n tlia StN s ek*vumnlpd te frn: ve r a6,Ira PN t~y?l.nllI Inclinl h. th otof batT eet hi areeoieitn. h r g nte ra l 'l 1. e we ? tatt.mn7 yi m jt any aneanib or r t More? year? P7 tose or ~ a s FZobt t orh a or o I CaUSED JOMILY WIN~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ro W b YES.. .1 INS FILST YES ..1 YES.. I YES ....1 YES ...I 8 (SEetlit ~ OUlESIICN) No ....2 O... 2 Na. 2 No ....2 PACE 16 IS E C T I O 7 r: A C T I V I T I E S ALL N OUSEHOLO MENBER S 7 YEARS AND OLDER l I> I * E CT1 I D 11 6S R11 E A L TIN P A R T s C N I O H I C C O0 I T IOR 1 S _ 2 3 4 5 6 7 v 10 bEen t dfd this N this lat it o lAt sFyptoms do you have? Ryqu 0R Rav Nave saf T 7~~~~~~~trtgt? ndtion dldtauhavPDARNACUE ...... to CN LL OfEEIe.. ......AX AH..... !ein thot 9 . ...... .. hOt rrh t ha R tbts o7ho er VOUI tg lu c t racring~~~~~~~~~~~~~~~~~~~~~~~~~~~~~r TRa vIo~ -- I ti In t-t .w o R YeI rI t th -ed rrhe. recant months a month or n st a on ths? (7E pE IeNs A CTOoBBIC a SRERoATn. 9 o _rqtetth 7 more? TIIIE UIIIT SEE Lt0lESS LOvE2 NRECRAij PCtiRG . P C H 01 HlTUII or22or e? H F 1 2 (- 7 1 E . i KS gw5) IeE AE R bEASSAO^CUd . PRNEl ISre&~a: 17 CS iN .::.r E CmIIE |T SUT ILUIESS StPTIWII 91 |y w a 9 SYXTCIIT n| SYltPICII 94 YHTl SYPIBTON 15 AtS T _______ __ _ __ __ _ PAGE 17 S E C T I OlN 7 . A C T I V I T I E S A N D N ON - L A B 0 R I N C O N E P A R T A. T I N E U S E I 2 3 4 5 6 1 89 10 1112 IS TIIR Duringth at 7 iAd DurIng the st 7 dd urng the t day, And LOOK BACt To LOOK BACK 1O LOOL BACK TO QUESTIOR 6. Why dtd you not work during the triat kirn of work $d you do BOISE days. during dey~~~~~. hRve~~u rIng v 'IO during oRTIO 2 OURST IGM 4 oSt dobys? or moSt of your te MIWNEttBER rEwop for horme the forRd nrl eld the Kours. or our the o IAIN REASON)ANG .1 C AHlI! wR ijvo Is not a r r 1o gardon thtlen- post 12 ow.so d? or 0000' cast 12 DID THE RESPONDENT WORK IW 1l1 FISHIHG C TBt o ~~your hrmsra hMthsTIn to yougsf Lor Motths?Lea en 'l t e DID T HR00 E8 OWN,OR FAMILY BUSINESS IN THE TRADER/MRRN/AO.. OWE STIOWS 7T r berot u r house or tt er7 et or P lI rt tho. RESPOROERT RESPOWEIT PAS SEVEN DATS? TA tICSPN. T ............ (IMSELSIy th B yo I. or Lawye to r WOK FOR WORK ONl A 0) ARDICAPPID CONSTRUJCTION....... l (ERmsover.eent or I veatock? oShTr f-e.rp( WNEIJRE ELse FAHILY FARH YES..1 Se PART TO . . ..E.ELSE.FAMILYD RETiRSo OLD/ROT.. EDUCATION o7 ote oronat vity? w EPAST IN tHE PAST DO NOT UNWOK. PitE PROPOI LASN c 7 h outnside vity7 SEVEN DAYS? SEYA S&DAYS?7 NO.. - 'S REVIEWDIUTE AlSMRS STUDENT........ : PART E NEALIB PROFESSIOWAL C household? TO Q. I.1 ANO 6. BOOEWSK. 6:::1.-PART E 0014............. 7 A ~~~~ ~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~TOO TIIN . 51PART R OTHRY PROFFERSIOMAL./ . .IF ANY ANS'ERS ARE "YES0 ON VACATION. B( 8.PART E DIN .................R O b you YtlU MAI/E E A 51550KG AIIAlittl0tETIM REPLCY-O (> l MA SLECRETARY/CLERICAL *.... CORRECT 8-10 EXPLOVER/AGENCY.9 (.-PART B) FACTORY WORK . :1 N WAI~~~~~~~~~~~~~ ~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~TING YO START RESTARANT BAR OR HOTEL.. 11 YES.... .I TES.... 1 HE'W JOB . 19jj:j 1.-PAR E SKILLED k~ADES...... C YES.J1 YES .. 1 ( 4) YES.1 YES.... C.. 6) YES ... .1 '. 6) YES.1 (5. PART I(. FART .IF ALL THREE ANSWERS ARE 0 WORK EXISTS o l PART E) OTHER. 0 ~~~ ~ ~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~B 2C) -No- THEN DONSI KNOW ROW TO D 1o...2 NO. Z.li0 2 NO..2 NO . 2 NO-2 No. 2 O...21 NO. 2 NO. 2 No .2 LOOK. 13.PART E) _ PARTE E OTHER REASONS... 15 1.-PART E) -~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~OTERAR LA PAGE 1E S E C T I 7 1 r . A C T I V I T I E S A N D N 0 N - L A 0 O It IN CO E P A R T I. E M P L O YM E N T D U R I N C T h E P A S T 7 D A Y S 2 3 4 a wouId (Ike ero tln ,,qdt 7 the at 7 da ihd teat . rk In TE OTA I duet hour n th eo, 7 °yars For &Oam dd yr ok f 3,ya,5 At *I* ua fnn How "d d h ok tr r thih i yours Ino a kor7 Sor diT Isw ho tS IoAI - Et _ _ _u L I a iiaRgtry, or the ,erer of wo lt"this t did = % : . "": U90. r- ..1 IF LESS TOIA FRIN............ in a wek N ILLNEStice.)OE TEARm Th GEren?...... -O Z PRONE [OR ACTUPAL NO.35 EVENT A I'ANEss OF MONTHS. The govertuent? . 11.10 j NCLIE OVER ME NO 11#10L FAN¶ Zl A etate-owred cHept y.... .2C10) AID I LIAVE ON ILLN~~~ESS A private eqpLoyar?. 3... RAVE~~~~~ME AOTERI II ~ Ohr(eiy? 6 CNN SI(N(AL/ IN OR1PIDSIK1EA45R AI ItoACYS. LL N CRETARY CLERICAL 5. RE i1IOUs HOLIDAY- 5 eiIgioue Inetltutioe? ...S c ~~~~AC1CRiLuEER..~~~~~~~~~~~.i6tiu:::: ~~~~~~~VACAT ION .6...i........ 0 SK?LIEDI~~~~~~~~~AOI! YES.I C. 6) S~~~~~~~~~~~FWERHAL/MCJNING The party?......... 6(.10) D OTHER. 1 C 6 PERIID.. ...HO..2 (SPTERCIFYu: ):: ter(pcf) ..... DESCRIPIC f OE HN U. ED. ITiU. IFRI . ISAT. SuN.. TOTALF: ~ KU WES YEA. .. PAGIE 19 S E C T I 0 7. A C T I V I T I E S A I D Y O C - L A S O P I N C O N E P A I S . I P LO r E I D U R I N e T N E P A * T 7 DAY * ( C o a T.) C 10 II 1YT2 3 IS 17 la _9 Aore you,en- 0 a1 utae o mn h oursDQ you co- Dosyour Dsit Are you entite INl :EIELOWK Are ay othar lii ch .eeer o.f ou DO aTES, 1 .Ct tTE S Ut o a . eTw dEcSd r l ha1 I srt . . or t .a t e A YE 1 E .1 . oe Tr C r thoEaagr Y O O PE Daid Dut nZS thea 1m l other UE US 1Z... SR *do oere? _~~~~~~~~~~~I .rn _ t m .1% or rl,"~t a fork o . thbir I tedicat taorlst 1111 AO perlanent .11t leae for ~a 0 de 1the de r Ia M fcl ty aloyees fo eane r alns tsl T TERE tm :~at its ipenes? vA,uaao your TIRA IS -YESo am Oyer? YES ...I TEIPCRARV.1 N ... PEOMUIIET.2 YES...... I 0 TES..I TE5".I YES .... I YES ...I ALL....I NO ...... 2 YES ....I YES .... I I NO. OF KOPLE No ... z~4 14 No ... 2 414) N No ....2 INo ....2(e1V) fsaES....2 .DONT7KNOW ... 3S NO ... 2C.-21) NO ... 2C21) Your ?( y Othld e r 0P PAGE 20 S E C T I O N 7 . A C T I V I T I E S A N D 1N 0 - L A B O R I N C O K E P A R T S . E M P L OY h E 1 T D U R I t G T H E P A S T 7 D A Y S ( C O T I K U E D) D21 22 23 25 thet2D8 29 30 31 i2 3 a IH Ih yu y r e tH. dt y Ho nuchltave h Have V K"taclth suld Havo y Hov th Ca.i) Save y at lathevaLue 11t.1ryu D rzury for tofte i ru e , tlv any n ou rt o le r h.tr a,v ou the torket an hre or ceve to pay paymeti o oytont? rat tiUtt K Ia I't 'p.4? = T r..rlreI. e ptr er am rnc ave a f th wa ork? dr o thtcs dtei er gratuitIea aount frra j°ob7 r-tvalva aftan do you qet rece ve Try ther er no receIve p h o r>alary? a oecnc to? rQvertIrr3 Wy()0y7t h O them? or 9tiAidi2,d ltu y dyOOTf,torkf,. oorK A tAIlS OP 1.0111 00 WIlT ofl URIS tIP URIS or 1 rU0IIrTh('nYd S nsenttvts *Drk7 ~~~~~~~~ ~ ~ ~~~~~n the fom corce rlthr . r oratu tles orkrf ord. wi tha7 rhothr7 I I I I~~~~~~~~~~~~rk-- C= a I0 AA._._ u._ DAY...DAY........,_ 9 D t WlEE.. 34 tJEEK t .. 1........... IlEEK tE.. - UREA.2 IMITI. ITITH.) MTH. MONITHI5 NORTO S MOTH. YES ... I YEA.- YE ...I YS....I TEAR... YES-1 TEA R. ES ... IEAR...6 YES ..1 YEAR.6 YES ... 7 YEAR.. YES . ... I No _.._..Xh O 2 ___ NO. *gZ _ _ _ N____ _ _ 90 NO.. 2 1 _0 2oZ...2 DE 1114Aj l.E- TM 00 PACE 21 S E C T I ON 7 . C T I V I T I E S A N i 1 e N - L A A O R I h C O O E P A R T A . E1PLOYrE NT DU AI NG T N E P A S T D Y t E N S ) 35 3637 35 39 40 41 M. ygu worked a wesdiyfnu do In thi work? W at kind of Now Mhs did u do this work In For h NI wilt you he urng the t I dsyso In the t . d ere il~ othi|"§"r, th?* qr |;, rtry, or Inne Is t connmcted the pt ys (St . *at .. . 1 7 kt tVhe aiTr thi ok 1VtdyOU a you. eq*oyedln past 7 das7 fl?d ldo tI $a Y sIlos to your Y or your fee Ion FlW UilCp.. nd hoej. orv hyv- you S tod your ratu t s~.4. veetoc ? am o I AbAMIiSALIS IRA~~~~~~~~~~~tWLUE VETIME.OR~ NO14NCULDE MES IvaN VITH ORCPAT0 gbiTiNRi t/iES .............. .LIVLSTOCK ...2 IART A0 FESRumL~~nis.g 'SATPAID 0.17 PAaT C) RICA . :... u~~~~~~~~~~~~~~~~EEiX,~~~~~~ NO---3CHECK W , ,, w ,..','3 TI I L.f .A.R'.lt.l"T.l.lmul k 3 2 !PF YEJY.2AI TIB....I B a~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~E4rFVIi4.' i 2) MOD....2 C.. 4AOl I-.--- CODE ____________WE___NU ______ T.iWEEKS C. PART En PAME 22 S E C T I o N 7 A C tI V I T I E S A N D N o N - L A B O R I N C o M E P A R T C: S E L F - E M P L o T E D F A R t E 2 S I N T R E L A s T 7 D A Y S I wiuld like to ask you sc_ questionr about the work you did In the put 7 days (sinc. last ...) an yrur on or a fmily farm. 2 3 44 8 A ~jh? 5est? Now WAijetims did you pancls In the On these, shin6 s/sdencs eogn nth ot7dy,I the past 7 daes in the past I deys, inteLat ay wuh tIm did y &Wpev In tht past I t r'.LYty ,=~m1Yo h f2 to)2grhou oroIg uduicn crops were you djd Y?U ygd y ae d o iwo ta:l. wong ntty JA Xr&W? t' 1 'Mn neh" day? stion sadS;ya ~rep?o Ziuwomm I J ~~~~~~~jsb.s/ ~~~~~~~~~~~~~~~~~tC no? t et fops? cc 1jglye df. to ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~your co.sity e PROE FOR ACTLAL DiOWS EAC DAY. SEE CROP OWES AOE PROBE FOR ACTUAL HIUSS EACt DAY. o ES ... IRS CRPIRPICO PCRDP ICROPI CROP ICROPi YES ....ITES ...t YEs ... YEs ... o 2 16 TL ED TIU |fRi |SAT |SLN COE COAt ClE C RE C RE C2E C OW RO.2 NO . 2 .O.. 2 .... W .2 N 9. ) TL_ E | WM| THU |Ftl | S A T-| CROP CODES COFFEE . D TOACC ........... 4 COTTONI es .L ..SR ...... 06 UWD.or taKING BARAUASi... 08 MEET BANANS..09 DYER FORIIS ..10J CASSAVA (ORA M).. _1 COODIANs .t6 oSEET POTATOES... 17 IRNIS POTATOES ...i8 MAIZE........19 SULtUSi MILLET i 21 FINCER MILLET. 22 SUc .LES 23 NICE . .. 2.....24 ANS PEAS 31 °ILFPS .U0i;R32 AVOCADO 36 NAN DOE S :::::7 PAWPA.: . 3 ClITRS FRUITS....39 P|tWAPLES .... 40 DINER FRUITS (ICL. PASSION)..41 SUGARCANE 43 TOIMATOES. 4U ONiONS, L-EES ONEI NONS ....47 EGGKtANT AM BITEt TitOESA T 48 PACK 23 CABARE .....::0 W 2 OTDNR VCETAiSls (CASSAVA LEAVES, CAROTS, SPINACN, 0 AR, EIC.). 5 SPICES FUPEPt EI.)....53 DYNEz C;W 2 (SPECIFY: ).72 S C C T I a N 7 a C T I V I T I I S A N D N 0 H - L A 0 IR I N C 0 E PA IT C: S E L F E M P L O Y E D F A RM E Rt S I N T H E L A S T 7 DA t S C 0 N T I N U E D) _ t r le d10 d 12 13 14 IS tv I e rac ve Sthat1 did own y ti hat processing activities were you eqaged In? HNow mc tim did o pen Did r am owc rh did you nrz frtom e am tc e*s rof@ Crth* rds ot ac" the pat 7 days? fro t s peIv nct idas fre I *dia r rbes ntrec I oT brba na be r r n r- k inuct BandNI hitITj {$ t ?ue i pr-dut0n ori Ka # AClIYltCRPCOSUH.pea 7 ye? gf rw t14 P., d"k?r 7 r'hthe mrl ede H ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~EACH DAY. C H0. 2 C..1 IT) Y 0 . 2 t> 16) Vif |CROP Vl |CROP I:i? |CROP VI?g Cooli CROP VTEITY CIrt STINa .. -.1 >6 ACTIVITY cOPEs CROP COPBEFORACLEA M MILLING . 1~ ~ ~ ~ ~~~~~AC DY ROASTI . 2 CDFFEE ...... OI DRYIHN/H.I H- .....3 V TEA 02 iIINHOUIHG/ . ..TOBACCDo . 4 SIFTIIIC . . .C4 COTTON . O5 BREuMING . .... tll ER . 06 RISTILLIIG I COF ....... C 4G ; j *- . 7 ShEEI' BAUAS . 69 rPUINGDN..LL. 9 OTHER .......... 10 PEEIN NG/ CABSSAVA (RAU).. SHELLING .......10 TANS ........... t5 OTHER. 11 CocoYALLS. 6 SUEET POTATOES....17 IRISH POTATOES ..... .8 UiLtRUSH MiLLET;.21 FINCER MILLET. 22 PO~~~~~~~~~~CGUNING ........... 9 OHRFRS..... 23 SHELING YASCaHN.2 RICO. ......E....24 BEANS, PEAS, PULSES.E8 PT .... l2 CROUNDNuTS.2Z9 SUNFLOUJER SEEDS.. .30 BMAMIRNUTS .31 OIL PALl/PALM OIL.32 AvCCACOO.36 MANCOES ... PAUPAUi. 38. ;T . 21 PINEAPLES . 40 OT0IER FRUITS (INCI. PAStICB)..41 SUGARCAHE .43 TOlATfS.. 46 PACE 24 EGCPLANT ASC BITTER TSEATOES ... CBBAGEV. 0 OTHER VEGETABLES ICASSAVA LEAVES, OKRA, ETC. . 51 (CURRY, REC PEPPER, ETC.J ..53 OTHER CROPS (SPECIFY: 1.72 * E C T I a H 7 AC T I V I T I E s A H D 1 0 N - L A D OR I N C O 1 E PAR T C t S E L F - E I P L O Y E D F A IWM E R S I N T H E L A S T D A Y S ( C ON T I N U E D 1? 15~~~~~~i 19 2021 22 23 2 ths Lt tym ofsnicomic ~ ~ ~ ~ ~ ~ ~ ~ it IIprdutsdi did, o nh ua In thepelt 7 days (sinice Lsr?nt po tsddyou fo~ou rs"hw In the na a sne-0 ~ddo nh-t nth, ~ ~ ~ ~ belorigf~~~~~~ to~~C?ae(f ~~~In the Vat7 a..tdda Do1 18 = c 0r In at a7p)tdi n gI I ng tre sa 7at dn l cl ect id n or In the -t 7 iys? t ae ya ance ta"ongt for yourorHourdays ui!tyour o r you y *inayou eat hrwS o HEc .... FosEhodACr YCt mef a co .* r uay - ~~c1ro? Osa nIh at.u haeyu CATTkE. iHC.WNG MIK HES t:-m1a bys(Ine" t s?~fi ~~ ~~Iaa~~?.~~~ CN~~ICiN~~~ ot Your or ~~~~~EGGS.2 a o c~I~uf ~Cs fUASETs tt d°d7 HOIlST.3 ............... . -. E FOR ACTUAL MJRS HOR.ED EACH DAY. Frt1ATUe hRsonstO oS yEORKFI(EAC DA to EOIES POULTRY... FOR ACTUCAL 1S UARKED EACH DA. aIDES ..... YES ...i CVA|T 0) ol?OHRAIASOhdSOTTHRAI* A T 2 ES~ 3.1 A 4~j AMNA NIA ANYL _ES .. I . ~i~i C S 9 E CS'3 LID TW FRI £11 m 2 PRUIJ~j PS0D0 I PIrINICT i.1 - i FRI SAT...NOC (225) MT PAGE 25 S E C t I ON 7 A C T I V I T I E S A N D N ON - L A I O R I N C O N E P A k t D: S E L F - E 1 P L OY E D * U S I N E S S I E 1 I N T il E L A S I D A Y S 3 4 5 6 7 9 1 11 _ woqldutd lko to *ek r torn about the volk you dWl oltenyhous did d thi work is this igdid u not ork For hw For how For how Ashy To a l0d r7 ets III tIt~~flt, inyoyrow n in theseto rd (sice .t days nce t ..... reayrer ICITE Y n u*i hours In th. Now hous an we Wy t oe re lth the9. 1.0t, ne. Wstl Ciet TOTAL FROIMS pSAt !y? per week do r t o n l 0.2 the You t4i tve yOu rf s o91 st ' .r woae.u dil this 1..busi- lFcosCnMind 1 1580cr 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~thVk jib? you thnes s or o n n P CTBE LFOR ACTUAL .!YouEACH DAY. Z. t lususl or W ILLNESS .. 1... work? a P¶oe )or II~E NAN NE ON UNIS TIlE BUT hjNE St th s lob I LNESS OF (since ...)I wor?bs-teth SSP NO XAAVNFWINU4 CONSIDERED SELF- LO T.I 1wt LESSs AFOUED AN LOTEE. OVER INE DUE TO..... or tb. THE~~~~~~~~~~~~~~~~~Pr 26M A ~~~~~~~~~~~~~~~~~~~~~~~ ~ ~ ~~~~~~~~~~~~~~~~ILLNESS OFF IF LESS YES I esnps y ERImi........... . LNOTHEtR tIW OTE.TAN" ,ml, O1LdEs I =7~st mei ww . I PO SIONAL/ADI4IN.....7 OTHER OVER~ INE! c.t2SIlt 7 IMU .T.E.... P![IC ORMtS N SALES . 3 PROPESSIUAL/ADNIN~ ~~.....S REIGIUS HOLIDAY-.S YES SECRETARY C1.tICAL ~~~~~~~~~~~~~~~~~~VACATION ....... 6 PiAhT. ---- O ESIUCATimepROfl~~~~~~~~~ RtSTAIJRANT IhAOfEL. ~~~~~~~~YES. I PERICD ..... YES. ....l 2 ........ iN 6 S"LEDT"E RdS a~ THiERt A9ffwBCE.....no N.. 3 ID ---- E--. r-t lION. TUE. MED. TIA1.1 .RI...T.2OUNTOTAWEEKS___ tEl DAY. 3 IEEKE . I.:: YEAR.....6 PAGE 26 S E C T I 0 7 A C T I V I T I E S A N D 110 N - L A S IR I N C 0 ME PAR T 0: S E L f - E 1 P L o Y E D * U S I N E S S I E N I N t N E L A S T 7 DATS C s o T.) _Does o .....e.. In IJhch other h eew t h did Tooy this mor. thn or Far r o r h7 months At er In o fo nsee for 19 2d I the aehold soik -,iersvork In th rec e frcxth * ess than thV a * Lt ten the we tee lost thiwrs bn s, 1nr inhed hired Hn y oer D In t .s 0 tees? bfesnts7 busness In receipts In etr ical 1Z wnths (sin te reMpts ower than workers,o neh for out eod t hea or (othr Whan kt 7 d of t s lst ...) wee In the pest days? mea r e iAo hepd cose of Y.:.ss 31 and .1 for sa es months? th god a or se. oI I' 5n.~'F or provided before post das? etc tr you r sold SL tr tl I~~~~~~~~~~~U Et'V fo in hepotd any h!gerst A~ petef onat day s?ty^ nsre r orai r to derr N soRE . I~~~'R 1°l " ao ............ C LESS .......... 2 YES . 0 VES T...HS ID ID ID IID S UTthEsANE..3 1o . 2 E llo.2 >( 14) CrE C2E CIE C¢E I T MNT t- PAST E1 4- PAN 27 S C I OI T A C T I V I I I E S AND N ON-LAsOR I N C o N E PART 0: * E L F - E M P E o Y E D 5 U S I NE 5 5 N E N I N IN E L A S T 7 DAYS C O N .) 21 22 23 24 IL 26 DNwt hwd ohr Alo w the s To sittm In th Ddyre or t ft or Vit be l tethr is eel- kat a Fte eat.E.? meek. omtDe oh ot * In eev tyea o 7 the 61e1 ~~~~~~I'O ~~or bLuinese Is thea2 r ths flee lIqM .4,f ii In-kW A tA t4si....~O I I I EA | FlOEslora rN>CDt FRClth UtT Fllt = Tzltd .>uT t Pl7ls6 *''* ROlEt EE Clo IIII v IANIE I.S E StL -EWI.OI .555 bat A _ if TN OU USE LPT I N UM IN laLt| TUE MM TIME WIllS SPENT. Itt Z ot bine . I NALTNPNCESSIMK/ FRO A j~~~~~flt~~~~ ~ ~ MMIi&IMAi.i YES* ~~~~~~~~~~~~~~~~msa~C it) EIUE ...I ~~P~1IY~,isoni REST laa6IA6iW I YES, PAANRT A *........flh . 6 VI LLED TiE ... .1A YES ...3I NaIP-TiIU HE*......... NOD TNo .RI....UN.E.. 3 NO ... 2 ( 36) TIN6 ti PACE 28 SE9CTIOIN 7 A CT I VIT IES5 AID NON - LABOR I NCOM NE P ARkT 0: S ELtF -EMNP LOY VED NU 5I NEss N EN I N THNE LA ST I DAT S CON T) 28 30 31 ~~~~~~~~~~~~~~32 33 34 35 960m3 In II? thr h W Id'tTS vow 'ddvg I1h hno For tow ?5n for ho moths WE HoSnaNw ILI 11 ui'IIiwor rework nt i ee ~vet am thl em t antea ton Last were wee ecelve from a- fl n rwes? Ml~~~~nr th ~ tleo s5 Vmonth ae thctrea n vn In* est75TLys~~ ymlremlf?) iuOk~~~~~~~~OfthNtNlp In e rky nthps 1. -~~ ~~~ ?u rwmS t?m -rM = )am------.----- -4~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~e one M~~~~~~~~~~~~~~~~~~~~~. Fr ~ ~ ~ ~ ~ ~ ~ ~ ~ FAS2 * t c T I e ti r A T I V I T I E A A t D t N - L A SO R I N C O N E P A O l D S E L F - E N P L O Y E D I U S I N E S S i E iI i LAS T E A T S (E DI 36 37' 38 3 gave wo In er o H tourk did YeU 7rRkat t7. N mxch Inc [pr nes st rt°t" pt 7 y " n elt ... . ........) ¢ tirs ; n g?L ,t MOE PFOR ACTtIL IIUS EACH DAY. t or £ Y~~~~~~~~~~~EmS 611|1Pit -IS- no ... 2 t. PIUT E) N.....$.. I7UPS 3 E IU"ER .........I M I TUE iW IE rT-U | FRNI | SAT saX I T | Uti7T PACE 30 SECT IO N 7 . A C T I V I T I E S A ND 1 HO H - L A S O R INC Oa E P A R T E o T b E R A C T I V I T I E S I1 T l E P A S T 7 D A I S the pa hst mecr hours did s nan In th E yt r y?uSpe In tho *taI hours did you spend In th, For hojFor how In tht c hrH dig st sY t ese I t t pos the pest 7 ya Frtpg n he post | St ' tre tetsr In the7I9 10 $~a ISt ... )? days s? do jfNa1 eR .(lia lat..) i ~~~~~~ast..j. ~~~~~~~~~~~~~~s ~ ~ ~ ~ ~ Y~~~~~eye (.A .. wer jere - I ra iests st I ~~~~~~~~~~~i15r~~~~~~~~~~~~~~~~~ cc~~fa .. toohv forab pt*, savt ntoahmh - ho.. s9~~~~~~~~~~~~~~met nyo dptf retCtatli-~e r D sytreated = e .eic nea me ~~~~~~~~~lthr~ wor in seeyuki ratd l tering f?Trt ing tt tact- he r trict- tchte tk I c 5 y~~~~~~~~~~hour hold? fr At" *~I o o h h~~~~~~~~~~our hoetd? ra post 7PRre Or EFRATA AHDY PROBE FOR ACTUAL HPURS EACH PAY. PROBE FOR ACTAL UAL RS EACH DAT gtoyor" your days? yoursf PRoBE FoR ACTUAL h URS EACH DAY. ..rv or ?~~~~~~~~~~~~~~~~~~~l~~~~ness?~~~0M n. I sInflicon fo~~~~~~~~~~~~~o~~~~~~~~~? In y~~~~~~~~~~~~~~~~~~~~~M 0our D YES. 1URS .. i YES... I ES-.. YES... IES...I ISoiHS O HOURS 5WLRS HOuRS " cko ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~N EbO 2i 2 2 O INO ITUIE IWEO ITHU IFNI ISAT ISUN1 C;.9) lmC IITUE IEXD ITHU IRllPHISATjSU (;) MWON ITUE IWEl ITHU IFRI ISAT ISM IDPATS IODATS_ (.Itl r-TUE EP ATHU IFRI IAT SU 00 PAGE 31 S E C T I 01 7, A T I V I T I E S A 1 D h OM - L A * 01 IN C O N E P A R T E: O T H E R A C T I V I t I E S I 1 T I E P A S T 7 DAY S I C O N T I N U E D 2 13 I' 15 16 I 51 i cu r J~Iftjjmsl T .-aid d IP.S f th at4h did :f ccrW for how oa ~ruV L.R& rs tI seek Og md Ed= n. ' how di yo Cs on' Y ha das a nc thysyplose t ...)? '.. '. Yys you uctt- Ir c np od etient hws you t F~~~~~~~~~~~~" trch 71r4r rlrc n th &"Y ntruor'. M gBra of dc n ~ c i r clnss t !r. or somo In ga, ltf74 Ph ia tients. re 'a ? t v"d)r o PROBE FE ACTUAL N0UNS EACN DAT. WtTh k PN #E FOR ACTUAL HOURS ECH DAtCK PR FOR ACTUAL MMUS EACH DAT has YES. .1 YES .... I. out Yr | NO 2 HOURS HO 2 uMRS GURS Ho .. ..2 1103 N;IL. __________________________ N.I j _ _ _ _ _ __ _ _ _ _ _ _ _ O. 2 __ _ _ __ _ _ __ _ _ __ _ _ ' PART F) _ _ _ _ _ _ _ _ _ _ _ _ _ _ E51 UD;n4;2 |TUE |UED |TIN. |rEI |SAT |SUNIRI - ..| iliiii |TUE |UO |TWU |FRI |SAT |SiUh Cd SOKIl ITUE |UD |T |FRI |SAT JLU -I NW ITUE |U0 |TR |Ril SAT SUI PACE 32 S E C T I O 1 7, A C T I V I T I ES E11 D 110 11 L A ION R I H C 0 1 E P AS IT Ft N A I 11 JO IN TN t LAS T 1 2 ON T HS Ecu I would like to talk about your min Job curna the post 12 months. That ia. the work to which you devoted the met tim during the pest months (since ... of lnst year). 1 246 7 D alihzt d do In _tn e In th t INTIERVIEWER: IS THIS THE ohther or or For h For hou ma or how a years In Ihis war we yu N IZn2ao.lthe , t er| i 1°~s dec hitato hd jth Ivsfl EIIREg A ED A ION ON aotthar in the peat I2 ed sed ykoFt ul en kt er a , t or In a "'IT-1htlin -I 't' lI? A*VTARAD IE ts h lI ? bg o sl at did do I dhti Job o ac iiit TElA Til eo h n th r tram, nukntry. or bus nles I. t VONI 'r TE, PAS 7 OAT r.workat th12 =thi work n g g ou ............ES .d,; W wkrng for ecuofi eta., il'N. ~ ~ ......(Since ... ) AS F ~~~iflI~~~~~~t,6ii I U~~~~~~~~YS... I1 (a PART B) MONETE ES S1LF-EILWIO1D YES ALREADY ON MUMIF * ElF.... I(32) DEk[BED ....1 I O.a~X . N TATNE YI ... N oSELF-EIWLOYE IN C ~ ~ ~ ~ ~ ~ ~~~~~~~~~~~~,1FFENENY OTEl OBI Sl ON MNr OTETE LT.0 L SiIME S!...2 (a47) (aPAST El 2 C.. '~MONT S....2 C.PART El WOKEIO AS AN HEN E~~~~~~~FCD"II WEK OR1 rYS 5rKI W.OYE'E ION Ca PAGE 33 S EC T ION 7* A CT IV I TI ES A ND NON - LA 8ON RINCOM NE P A RT F : M A IN JO I 1N THKE L A ST 1 2 NO NTH S ( CON TIN UED) 51 9 _ 10 I1 IZ 13 14 1s 16 17 1 or ork? That N9wt .eote is yoy Areyu De~ Doe yor oe It Are you entit ed INTERVIEWEER: LOO Are any olher WhOch qembmrs of your household are tor... eI~togtIle work rot onor e diet9 :Woyr av u Moe r ehfure afor to ylower tees AT ITHE ANSW RS PO eof ywr coverel Yqm P1d reli*Urse o ndc h o r QUEST IONS 12 ic ousehold covered Th oaret . C 0 eso par r tce ive medica tet EN ea N or th?~~~~~I r pemabn lie ilt or 1tj exrnsCs ?or etheANI tK1so ea atate-ewud ~ ~ ~ ~ ni ac t 9y for ort y some?taciliti AT LEAST ONE ANSIEN ta Tram youir wor? )Ia tment 01 iCF reNuouse of your TNAT IS "YES-? eup oyer? I owt~~~~~~~~~~~~~~~~~~gsoyeea? ~~~~~~~~~~~~~~ . 1~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~YS..... Joprtv niomu?....A O...... YES...... II -_ -i The party? .. C..... 10 TEWMARYAA. YES .. .I YES ....1I YES... .1 ALL ....1 ND.......2 YES .. ..I YES. ....I YAour r.ny E oth. (OFcifPEI.....E pERUMAENT.2 No ....2 No ..... 2 NO. 2 SOE ....2 DON-T KN(... 3 ko ...2( 19) Ho ..... 19) spous heeitbers? C00 PAGE 34 S E C T I o N 7 A C T I V I T I E A A ND N ON t - L A EO ti I N CO It E P A R T f: M A I N J O 9 I Y T H E L A S T 1 2 MO N T h S 1 C O N T I N U E D) 19 20 21 2342 25 26 27 25 93 D8 v _ Do9Y How2 taes 0m you or owIsActr xHae yo How uch twld Have How much (nr.) Have y at iethevaue Iit yu youp any I rece.ve a sel ~REre.ahoy I$ y, vou aosup o i:.ll" resire Sorn tne It i o rent oul you hav race o th a other aor recltes otv e ar g r ay D ap 'iar o fe si ad fr ce IcevU4s perdi. atowi ityu th mrket. and how wil YOU toayithe or wil o payment? ret i rent othr E E ath h *ois wiork? ln b ItplD fr. cthis croa on r or gratuities mon receve ten do you get receive fre were no suLi dy? you pe ns r pt 12 ontne? salary? tlis isr dieo to? Pnent or the.? or subsid zed receiv his work? gratuf te 90 lou f orn hrlnne d {hTm} your work? ood vorkfn Or aAiW.l~~~~~e?' Wyou antotIr AIT qi:TEOF iJiqTf Ttorn? IT OOF oU PEOF nUT 1t7:OF "o7thr IT.EF YES. I C. PAitt C) DAY P.. DAY... DAY... HO~~~~~~~~~~~~~~~~~~~D. ,,UIF WT ~~~~: W~~~~~~~~~EE WEE..TH I INUITH. MOW ~~~~~~~~~~~~~~ ~~~~~~MOTH MOT:MONTH.: YEM..6 ~~~~~~~~~~~~WT YES.EARH.H& YEAN..6 MONTHS 2 YES .. I E{ -- YES ...... r i YES .... I EY ----- YES .. IA YES ....S Es . I PAE A ° 2) 0 NO~~~~~~~~~~0.... 2 NO ....H o 22 NO. 2 No.... 2 E TUE TIM 12 2 ) TIM (..i8) TIE ; E) TI M AA~~~~~T WIT AM~~~~~MT UNIT MflJNT WIT ANtUN~~~~~~~~~~-.T WIT OUT WMIT 00 t-J PACE 15 S EC T I 7 t , A C T I V I T I E S A N D N 01N - L A B OR I N C OM E P A R T F: h A I J OB I 1 T H E L A S T 1 2 O MO TH S ( C 0N T I H U E D) 32 33 34 35 36 3738 39 I n the eat 12t Oh these sh 3(a) betonging to your Into Pat 12 How pwh hdd u I Inthe pt 1 Z throceesinp activities were you engaed in, the Pesd y12 Now r° did you E ;nhave y,uYO eoea Is any inc f 2oos months? r n r ,, r~~~ece vany, rhchome yooyou thw Inome eg as t I ~~;;hd 've you t a-'f. .ee oceeing cree fromoesng oesdm t N *hrub La fi to crops rnt your crtoe n the past 12 househotd for gae? activ les on your n the pas yoursetf,or eeM rs otbr other mote(ante .. FoI xqte i o own crops? months?' F ~~~~~~~~~~~~~~~~~~That Is, money for any expens¶s for o,ipduton T o your hou t7 srhamball =or* suLtracting trl ze rs(Snse ...s7 Ionh T dWos n? Pr¶tCura irpute, br S te"n the serLt? SEE CROP AI ACTIVITY CCOES ABNE. .A SEE CROP COES ABOVE rhoue r O YES ....1 i..-----,--,-..---,---- YES.....I YES .... I YES..... I DO ClESPICOP CROP CROP CROPICROPICROPICROPI .. E tNO. 2 36) Cy'0E ''E CIEXECNO 2 HO ... AMOT C AoC CROP 2 _______________ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ (.IA) ~~~AMN" T CW AC CO E b.W U AM .N" T ACTIVITY CODES CROP CODES MILLING .............1 ROAST l . 2 COFFEE . 1 DRYING/hULLING.3 TEA.02 WIIINOWING/ TOBACC . 04 SIFTING . .... 4 COTTON .... 05 BREWIIIGNR ............ 06 DISTILLING . S::: WOOD . 07 PUJPING . 6 COOKi'NG BANAlS.OB08 ClINNN ...... 7 SWEET AIAAS ...... 09 EXTRACTING (OIL) ... 8 OTHER BAHAMAS) 00 POUNDIG .9...... OTHER FOas . 10 Li) PEELPING2 CASSAVA (RAW) ..... 11 SHELLIIG . 10 TAS.........S 15 OTHER . 11 COCOYAS . 16 SWEET POTATOES ....17 IRISH POTATOES.... 18 XAIZ2E . .*.......;i 19 BULLRUSN MILLET... .21 FINGER MILLET . 22 SORGHIM . 23 RICE ... 24 BEAlS, PEAS. COUPEAS, OTHER PULSES. 28 GROLNOHUTS . 29 SiRIFLOUER SEEDS.. .30 AWIBARANUTS . 31 OIL PALM/PALM OIL 32 AVOCADO .........36 MANGlOES 37 PAUPAVW .tl CITRUS FRUITS . 39 PINEAPLES......40 OTHER FRUITS (INCL. PASSION)..41 SUGARCANE 43 TOATOES. 646 ONIONS. LEEKS. GREEN ONIONS . 47 PAGE 36 EGGPLANT ANDI BITR TlMA?OEs.4fl CABBAG. SO.. 5 OThER VEGETABLES (CASSAVA LEAVES, CARROTS. SPINACH OKRA. ETC.). 51 SPICES (CARRT, BED PEPPER. ETC.) ....5 OTHER CROPS (SPECIFY: ).72 S E C T I O H 7 A C T I V I A I N * A 1 D N ON - L A B O A I N C O N E P A N T F. N A I N JO S IN TN E LAS T 1 2 NONtNS ( CCO N NU ED) 40 41 443 4445 i it 12 %lat types of animls did ntpet 12 t anfimprot ct did you Int Nowi rich did you old yo I ~~nths1atnyo you car. tor? tI~~~~~~~~~~N tempo Co oct or process? ninth, did receive (that any ofocthoeFrWss? to pg 12 workt Di t .o Nva Tt 5 ) nave you iv any tliEES myUr ap. me or rloe Ianytl anHX; timEis;; hhonsay of the ? ECCij ..f tet. of tlirror CAQ !, 0lclHCLUS ;Zitm cmt XHDrI tneso an octt 1 ha 7cted thE? Or TES t oIi SyEu odLEP . .............cto.-ot ao o ro_Y A $VEP.:::::: = aAJ,q a::: ~ft ) A ..~~~~MRP1LR..... hi,,onyet. HOEY an0)e71n E9 tM AT__ ... 4A-E E.... Ttes.? ItiCPAdI. 0 INALS N~~~~~~~AHOAIES. ma r NO T (SPECIIYT: I....9 OTHER I...N.....NEN c YES .......I YES .......I YES..... IE 10INTI PST 2 IAI"LIM ANIIMIAL AMNIAL I___________ NO.** U ND~POU1~TJNO.O... 2 NOPAR..H2 Cl %, 1;-4e) ~~~~CONWE IT PCWE$l km% .. AINOT 00 PACE 37 S E C T I ON 7 A C T I V I T I E S AND N ON - L A S O I N I C O N E P A R T F: A I N J O * I N T H E L A S T 12 O A N THS ( END) Are you the us lTo. d owthfid Lh eo?S h otrem rk,y |DF; tm otr| blt tw grlgEwlli:*tUkIrUtt*~~~~~40."ork t . v co V&ol W.T:Ir, eat To$ idiom. in the s D yo reciv or ott orW^IT wil eDe no t.i USt o.ps id h proC ess hthT. i ng? I hn) o ned nes ro ots ti n.ossexpnie tn ont prilesslon? be onoehs?bfor S4 ?.& motI " for UNIT OF IM"E re i oITo YES. ONK ROSTER DAY... TrT~sree YES OiI?Eh,.I L III] orheuiahotd itede? AJTG~~~~~~~~~~~~~~~~~E: ES::!Io 1 II NO COSE COSE TIlE IES.:.1(eP~~~~~~~~~~~~~~~~~~~~~~~~~~~~IFNOOTE YES, PA7T a.2 YE .... E IDS ID...I irM NTTNIE HAS __ _ _ _ __ _ _ _ __ _ _ __ _ _ _ _ AIWUNT No '.U2T __ __ ___ __ __ __ N_ _ 10CDE t AIUT AlU1M?11 UNIT co ILA PAGE 38 SECT I O Y ACT I V I T I ES AND NON - EASoN I NCOHE PAxT G: SECONDARY JOSB I T HE PAST 1 2 MONT h S _r* IEWERthe et 12TNEhIn th ISwoSkHEre d. dr. dOd wd ote_o .yo D o inJ tht b t 1 th?, t ' IE V TH dld MI ?1 Hoth did t2ofh ri ~~t~ter JilK~~ AJORO you paida Bsalary? race v. froIh ns7krave en receve lc i job? IaJob a the jh4.?Zram ro or e th e T" tosohrosr EZ rht tonn ct *e t 7 ' ' FOR THE PAST .DAYS? Ia ts rt Et ave o itnh ad o t * nihietry, or - nasa ACTIVITY ALNE~~IIT CITEDy 5% exo t o e to woki n, t1 es mondj or rhs pt 7pnth In,kad .t n. MIX so"n. or yor tNIT OF TI NM RFfESSIONAAYLine.. i....... l........... MAU (TH .... ) DA- * SIaLMANI. .AACP .N. . . ....... . ... . .... .6 OPEx. . . ' . .D. . . IIIFF ENREIT 2~ [ .I i M ONTH.. I-l _ YES. . 1 C SICNAL/ASMIN . 6 OTHER ~ ~ ~ ~ 1[jREDIYER ... DYEA... D B. 2IEK .E CIPTII O ii ......ED.... I 6-) UN^T|TE HO. . C AT Hl T|T 00 PASS 39 E C T T C O 7,l | r A - T H: N O H - L A H O t It C O 1 El _t4 S E CT IO 1 7 . ACT IV I t IES AND O N 11 - L A B O * I N C O I E P A R T N . 0 NO L A I O S I A C OME 1. T -T A. OXrl thp pst 12 months (since .1. have you received uvf Inc from ... I I ...? RECOtD THE ANSWER TO JESTImON |SECTION 8 MR? ~~~~~~~~~~~~~~~~~~~~~~~~~THEN ASK UJRSTION B FOR ALL SUJRCES OF INCOME RECEIVED ZA 28 3A 30 4A 48 SA so 6A 6B O~~~~~~~~~~~~~~TB A Be 91 17 Po In orNpow oxha f = t powwh Intgrest on cue pw mauch LHtt Dr ryl PO wxh I rncitanch lneom fro pw msuch otser uncir,Hc _ 5o7 cVLwd n t rp Inch A. lm hA 68 d1nrc ON B I r... $ ie Itr, cgds, rs ec rc vm toh Ni re.. h ne; thtr7 rthe t an the ra SH I the a th s2 a h th a r l In_ntcsi IIIUt pi- S ec7 In r5ccl ri le racR D°tE sYE a YES 1W Tr"ntfl YES 1 ES I Y 1 YES I 0rs YE t 550@i1 IT T 1 SUIt AIT n 1 Er 1 *r || A ,~~. rI5W50..? cyson eccoomts? nEre o T rYe asrl .7 he jte or tnsyre$lc srvnvIS. m1ntnuQ or tanco? ec?gos sa houroo C ~~~~~~~~~~~~~~~~~~nyUmco osU k or0 sfoe 0 YES.. ncUS.YES1 .....I ecoutherS..IYS . YS.. YES ... I us ...nurnc IEs.. acosue? YE...1YE....TE..1 ES.. .1 ffv~t&., YES... .I ei No ....z so .... 2 No .... 2 No ....2 No .... 2 No ....Z No .... 2 no .... 2 EEI AN"T E~J ANIT eA AUhIT E~] AMT EEA AISlE E] DAlIST EiA] RT ANi"T1 00 PAGE 40 SECIOc7I0N S. h NI EA T ION I 3 4 5 67 in which region AcWk iM How to,u kAre did you ome. from? What wee the win reason you left mdecouantry were you onel , telYu. to co"c here? ~~!1!4~~~~in? ~~M: I4TA..~~~ IJAREE SE VILLG IK AERA. NO0 JOSAMATED SETTER JOB... ii N7A:. TANZANVIIN. SF0O01ENT W.I IN .. SUINESS OPPORTUNIES.... DA. A .... tVESNow] IAESA EGIUIA.. YAM WAAN... retIN TNNA..4 SCHOOLING ....... 1 lA. UUh)AN. hee OTE E* AE ~AvIC1::::::*:.::: .... I j~~RO~~ 'NYAII 4B~~~:2: U2isiNW OTE W4Mi::: IDOWHIOOD ... YES... I1 YES I; MALAWIAN... HEATN OF PARENT'S......... ANDA:: LESS 114AM APR~~~~~~~~~IkLLES LE LI go.. a ....AILZ YIE . ONE ICEAIlo.Ml C PRORBE s. E tinS) (.NiRt 14050- ~~~~~~~~~~~~~~~ ~~~~~A URA SASER NEXT 0 ICA~~OOEO..I3BEOEISN.2SI11... RIEUL.14 YEARS NOR~~~~~~~~~~~~~~PRS PAGE 41 RESPONaEHT: ALL TEttALES 14 YEARS AND OLDEt CAN HtARRIED tEt UkDER 14 YEARS OLD) S E C T I o N 9. FEtTILITY IITERVEER ItESPCNDEttT ID CODE: E AGE: k7SPODED1 UXY 2: 0 I EItST tAt IN I wuld like to osk you about atl the pr.ancies you have had nd att th* chitdren to wama you have given birth. 1. lava you vr ben prgrent? 2. Hove you ever given birth? YES ~~~~~~ ~ ~~~~ ~~.19, EXEPGEr Rew -1- Itw weak.tVhE or yEtsted entY * r" 2 E-I9 EXT PACE) I XE oulfTEr6.o rhetd;tvvfer %, ew~ teor 0-. 2 (.r9, NEXT PAGE) Now I would like to woke a coWptete tlst of atl the children you have given birth to in yrur tifetime. AsK @ESTIOGNS 3-5 FOR EACH CHILD BRN TO THE RESPOHDENT IEl ORDER OF BERTH. THEN ASE IUE;TIONS 6-15 ABOUT EACH CHILD. 3 4 6 7 t 9 I0 11 12 13 14 IS Mit to his/her nowe? What mcYlk an gH l EShe/ I ES/sh I D YS hi or h d E TI D. t I. ES l T9|S AYht work did F .AMEl to o ~ ~ ~ ~ e~~~7eos he/she boY a~~~~~~~~~~~~~~~~~ ?~~~~iII ~~~~~~ hI~~~~~~d~~~g~~~ to.2g did IHAMEI l.jgh~~~~~~~~~~~~~~~~~~~~~~st Ui~~~~~~~oTorinostotAE 9 U'5A orms grt?a Wig vrg in Ivse 7uIt IshhI g r ? a ngT ehotd ? ATlha AT BE HL T. _qg _ _ M. ._ ; O e ... AH A _ _ _ =d= T | _ MOM H ~~~~~~~~~~~~~AR .A¶SHA _ T_ATETOWI _LD A_/AIM _...... ROT..1 YES..I TES..I YES....I HU~TAAN YES ...1I YES...1 IE. 1 DI TH~6tA ~ ~ 4 A .1 EI.L.2 NO." i~ ND ...2 iASOLD H9.NN.. ~ H~ ON....... 6 T BANE MO~~~F-NT YEAR IG~OH RS tII)GRADIE l 01 0. _______ _ _____ 1-____ I__________________________ 03 06 08 _ _ 09 ID SE CT I. o 9 . FETILITT (E) 16. U*U1 AtL lii CNILDR V 1 WlMEs ANE LISTlD IN THE TAiLE 22. IS ITIS WIR SO Ci OLDER? I mid like to be btirs I how undwstood corr etty. leoi haw given 1 birth to _ lcdr en. Is this corerctr 23. Are you prennt no I Y Eli tt itT rw TIIEl K IERE -----lES-2- -. ~~~~~~~~~~~~~~~~~~~~~~YES... I tc In I C"g@^ W AN LI|" X%T j1'- 1jFtTE61 No .... 25) 24. Now raw months? V 1OLLWINOiAOX I NSSlstSLA CHRtECINE1 iN lia>CELV 1 NONTNS: lEV wjI "II) T w TIDEA IYCPE A"eil TS ANNDTHE LU DETICALN THE iS PLACES. 2 I gIRCNI WREN WM1 ARNOT HOUIOLD NItI3ES ARtE LISTEO INE 2S. So_ es use contr tftn _thode to miod oreey or to spae 17. N vsJu hay i.. t e b Ihar us u ' ehih) CFor shoi tsc t rer4 * * r r *IPonin te W t o r t ony*0k or months, or .s you at ) *n Ibor7 Y 26. Uhat contrceptive method are you nd your partner using at li. thu mry such prencile have you had In your life? presnnt? MIBEER: ABSTINENICE ....... 1 APEA!::::. ::: |HITI ... 2 PILL. .. .O r IIITHORAWAL . 3:::: IUD... 19. Have you stready tived with a ma? DOLICHE sH6CjiAlTjjl .... YES2 SPERtIt 10 ............. KAL ..........C MO::: .SECTION 10) [111]OTHER . 1 INTERViEWR: EXPLAIN THAT THIS MEARS SEXUAL RELATIONSHIP NEXT SECTIOi W0. 114 old wr yau whn you wd your first hubLnbd or boyfrlen started vi toldgere you y 27. ghvoeuo i tu ever used a contraceptive method to avold pregnmy or space 21. hat wnth nd year us It? Al0 2 I- NEXT SECTIOH) [11111111] MONTH: 2a. LUat method have you used? YEAR: LIST UP TO THREE iE7HODS. [ YEAt: [1111] ABSTINENCE ..... 1 IAHA. RHYTHM......PILL . .O i UITHIDRAWAL ....... C0Nt5DRAiES:::::::::::::TF LZAL .1 PRNICIOSS. .. 6 HLE S7ECIZATION ccJ"DRtilCiDEs 6OTHeERsElz^ ................. L . iiEXT SECTIOH 4 PAGE 42 I SE C t IO 10 : A N T b R O P O N E T R * CLUSTER: |N|EHCOLD: 1 2 3 S 46 8 910 E EI10 IEIISERS AGE SEX SEOSREASO HEOT SEASURED: IS Do". . a. ..NAI .. t h N OID7 IRE HlES OF ..ER...EAS I.EMENT 11 IHA.N . ..... th I HEATIED? LES haMve*s LcsiInuI; t=flees? I HOUISENOL MSUERS FROM iRn, AT SCHOO...... 1 THA vacti- F HUELD * mmS- YAIN EARS noat on I THE WSN ROSTER, HOLD OLD?m .... 7 . csd? S........ C ROSTER) NALE.....I ltHAVELLN 2YE . A NATCNING TIE 0 CCES FEMALE ..... 2 VEIGHT HENT HAICAP HO .. 2 O PREGNA.T. * 3 LENTHC DEFORMITY ...... 3 OTKX .3 BKEAST- a D° ..... btFEEDING ... 54 - . 4 TES ... I YES. . o YED.IL.... REFUSAL.........T.t - fol AE JS iiiS MO tOAY NTH| YEA KCG OT SERVATICIS t9 I C T I O ll I I t F A 111 1 11 C | E lIICTED, M 11: FASNIU INT"RVIEW: Us tHIS TNE PERSON INTERVIEWED? IUBRIIE:IM ilS IS SMSE::::.::: g IlltUtaTIOh Nll I I lmfito *k about tl of thchuhsNega.rdmen wod bI the eg otd1 obout att other sh u/gardet cuLtivoted tt _rc ot ywr o even I they were not eo- *d. A. Nm Irw end/eard T r dividually or cotlectiwly the rs o aourousehod? SIAA GARDENS SNANASW5RENS OWNE LA a SC~~~~~~~~~~~~~~~BHOLD: Eliil Illi . Hwm.t oag:w d um dB d n c t ha e o your huehold te that SHAI4BAS/GARDENS USED WYU NOTowe THE OWE] LI] HWEOLD: C. INTERVIECER: ADD THE ANSUERS TO WJESTIONS A AND D. RITHE HE TOTA OMIER OF SNANSAS I GARDENS CUED OR USED IN THE PAST Ii ..JTTHS IN THE BOX AT RIGHT. TOTAL SHANBAS/CARDENS: [ SEC T IO% I I . F A I NI N 1 , P A t T A. L A N D l _ ' 2 3 5 6 7 8 9 10oI A.P-ie edescribe to Itipf the tast In the Who ewwthis sheiW TO HOW Ne wa this W.s Nw.h ild It at Wia If youanted to Rid you or aowls s h vsi s hlaba. ulD tghe4md1sr OtIt hi7sres I5t= Tt ly Is "Of eIgardan Jthi to b this this sejl thI *s hou od hh v the vidh of ft. n c st la. oh ~ ~ ~ ~ ~ ~ ~ det stei a. -eet lall,E A i17S1°£ A4 SHAIZASCAltDEICAIDEK GAR tqArG shtIsret st.ga i as Iot7 fosrt he c^esi o fo1 r It DEA SANAAS/AGARENS Ihtlto the h lasrti.? YNW'LI 911111AS MBIN FALLOW. BECMIN WIO 12 the 1~nh st~. S. VI5. dew lbb, t.5 mU other HERt...A..I Ia Et'hs ne. 9mMrt" hoonsf@tosd i the pest iEontha. h iteeiRs Clat te wr CEIT .....2... )1 ECLiXIlE TIE VAtlE VAtU) AREA, at YW househol d? 2 ?MEN FRt Of A 0 NUDIT GS miMSAS/CAIDENh UD E TRE NOT IE CAsE: hr £5 H rIlE NulSI¶ INNERITE T- A3 TNT LAND PEEEl LI WV toRhETtO to OVAL5 NE ~¶::~ ~drt~~I,o WO. PUBLIC 115.1I TES.A I 12, VEI ES .... I NEXT SIAIBA se ~~~~~ cr this vdother /GAUARDENAG D lEaVE. VNiNIAUE I HOTNE ausehat ID I "'TWONoT... 2 __ _ PLOT SAlE. AREA togeter?.... C_ _ _ _ T E . WJUEI DESCR~IPTION. pjuU CODE c..£ Ai *2 C.IiiWOELIIST 0l 10___ ___ __._]___'l_ __ ____ 02 03 04 Os 06 '0 10 13 PA Is C E C T I 0 i I I . A a " I X C, P A A T A. L A N D E tD 12 J 141 his-ToWAI 1s~ lsII*$ this ysbdb D)dp ~~C~~hO~~W0~ood nutvsdh o :*.~"P 01~~~~~~~~~~~~~~~~F .1h .. NE I. ..1 - . PLOT rr =2 _ mas. c.st A.W.T_ 02 03 04 06 *O07 09 it ts- _ __ ____iZYZP PACE 46 S EC ION11 s CEOPI a_____s 1 2 3 4 S 6 r l l 12 In the Pe labt 1q,o .j hN pa Ad..IddwlX.l if Nd av It if aed Do hv weMre Cottx Y ES , , ___t_ .c e . I. L a . _ _ _ leX I Luwber7 YES > > _ _ _ Sii _ _ 11 _ _t asYE -I - YES) <-|@o ~ ~ ~ ~ SAITT 111 _ _ _ _I U_I ______ ________ ____ __- - -___________ coffee? t r9s- 1 _ _-_ _ _ i_ _ - _ ........................................... , _--1 Ci - -- mrvI I!l I___ _ _ _ _ ___ im _ _~i mu i ____ _ .___ _1_ 1_I LLI eter?T YCES-. Cl Ig Ia. ? YE S- t or | | .0ea -isanUa? YES- ?ttIerb~~~~~~asIothar YES-. wgi Wt.__ m mGP El i,__ u -. - m _ _ _ __ _ Casaava Craw)? YES-. ~ ~ ~ ~ ~ ~ ~ ~ ~~ wh dh? y E" I NEXT 'AGE 1 111 ~I 61X....:'.,l5~ ~ ~ ~~g ...200)"Is SEC r I a I It a . c CaOPS___ . 2 3 4 t - a 9 10 i- 12 13 tne. hp theinnsth-et pa Idt! ItVo sepqeEt vt~ e If finjy E :t t 2moAb the pest... ... .0i toi cf0 rfnr~s1wo~js~ IroIt: * *, me . !~~~~40jaars ~~~~~JR!5 the?NO* orei ao oi?o o?o,ec$en~o mt care.. 1 1eYE.. then~ I -t St ptatoee7 YES-.N 2 t _ _E.-1 ... V oaosan? YES- __I_I __ _~~~ _ ml - _ i - _l _ iii-_ _ - _ _ ___- -__ Sweet potatoese? YES-______________ _____ YE ml iti m __i a 3 |- I - - - -__ | _|__ Irish Potetao? YES- _I_It 4O m mmml*-" - _n __ _ -i i _ ____ _ a_I-1- meize? YES-c_____ _ _ _ _ FlngerItt-t YS- i m i - ii *__ _ i w i | - l _ ___ _ ___|--- | ButIrush mitLet? YES - _ _ _ _____--____ _ __-_--|-_ ,~~~ _i _im- _ ___ ____ illl *i lil ___ ____ ___ ___ Fige milet YES-. ______ ___iii_______|__lW - __ _____ _ _ ______ . -t Po I - i -ll t - i -___ Strch? YES-c _____ means peas. YES-c _ _ _ _ _ _ _ _ _ _ _ _ _______ _ _ _ _ cNEXT PAGE E?CE PAGE 4t SE CT IO 11 I a C It O P S I 2 3 14 5 7 - 9 _ tO u1 12 13 1"nh pelt 12 emn e. or ot ... UAffd .? ,I ofp S (WI,I 11 ~tE.11 d Sld Io Ifv o tlrdT Ma It Ifota d o were t~~*.. hoyt ot.Id~~grow ... O ).IK .... hovot n OtfVd 5 ~~ d bEer We ~~~~~E~iO~~i o'zg vr ty j.j j i.O1 1ir 0 hdQcJ fYc~u Mt7r5-i_ A _ ___ _4 mm1| a oi _ __t -- _ _ 7ESo> ownec _aw o. s _Jr 1_ __Jrlo _ te o 'a,%-9r,-s -or ,ro -_reri'r to- g - - | - o."7 ~--TES*O uitt? 11 _rct a I r or as ip Will ~ ~ ~ ~ ~ ~~~TRtIIJ h lost eo r ornd Mu otl f59 Jr c4 14tItiiiPif. TE. ItyuIT 1ro ahe g .4Wfi O~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ptr* IO atE oi __- a _h r_ e--- COPY Pa no ~~~~~~~~~os~~~ 10~~~~oou v amon?7W . ______________________ _ t y llnl YES-> ~g YESii... I M ii F". _..- ________ .-io - " 111 a AJ't______ _- -_______--- -_1__ |- _ _ XEXT _E - ,, I U [fT t I - A-X I__ _ Stunflower seeds? YES-a 0il palepalm all? YES-* 3 _ ____________ -YES. lvocado? YES-. i ngoeSi s-F - YES-a______ Poo pi awl? UES-. __________ Oth for5yt. ito YES-a.______ X. EXY PAGE I? E SEIC TIO0n II Il: C mROPS34 21 *I C 1 1 e R 10 11 *2 213RO toe; h wi... or I'd Iujed IhooI If 0t '1 you I f 1Ju~d La v a.It a m1 wr id r IfNou~~~~~~~~~orrwt "ad I DM no Cy= NW 110~I~ hryo etta. _ a | i ' ,2d r '}5';2:tl'Lhpst, 12 lr? t wa C or t1.; rto 2 you ~~OflJNTy3inI~~~ ~ IU~~5S~IPA/It ~ ApJfIONas Pat' 2 mouths? k,,r oe us~~ rht&~t*p.m?~hI ___ _ _ _ _ _ _. ..c ., r. t_. NO .2g~~~~'ttiImnT, most Imoam of U . ..1. Ttl. O .A 1 'Cow 1 ve YES& ;- _ _ YES..._ s _. ? ! !- !P _ T So.tcane? YES- . rn,t - - __ _ * ___ _ inuinli ____ I __ ___ I R | *{cnsftwts,Ers rS- 3__ a . . _____......................___________................................... ________ ____________.... _____ -'-- - -- - - _ - _n ----I i--i ---- o en Iak s , g r n E S -- - - - - _ _ - .. I I I- - -KlS __ _ _ ___ _ni m11 i - _ m I m Epgi.;;_ sis- ___1 QIte YES,___ YES-. -. Cabbog*- - YE--- ---------i -------------_I ___ __ ?ther veriess YEs- red YS-a. _________________ ____________ _____ ____ ____ pec l@ |t X 4-ZFE II A--E: PACE 48 SE C T I ON 1 1 . F A R 1I N 0, P A R T C: A G E O F T It E E C R O P S I _2 3_ kIS1N LIEPVtEJ 117 NHEllt W OES , ywr be trt ef r ... t prt of . .......s.. Ian | . RaE j FREM PART S. ~ ~ ~ ~ oLohosrAd have? t l,~ tT.rg rn GIVE THE A PRAC ITHE MImI OF PLANTINGS FOR EXAMPLE us s/' ETC. IF INNIE, ORITE 0/0. IF ALL. IlTE Iii. | ~~~~~~~~~IK tE ANI1R Eo GIVEN AliSE A EtR OF IEtfERV0 XTEO NU HAMS ER OTL M OF TRE aIE IN il,fLf5 WhE ~~ OF~JESTlOgIS(OF4 AND 5). I I I I // I / I / I , }CODES: 1' // COCK~~~~~~~~~~~~~~~~~fINI AANS: l l | t { t / | / l ~ ~~~~~~~~~~ SWET SAJIANsAS.. CASSAVA.,Ii T | 1 __ | | I ,1c23 S .^w / / / ~~~~~~~~~~~~~~~~OThl rALN } // | // WCODES: I l I I _ / I ~~~~~~I / |/ | gFEE . 4 I I IP A It I 'l 81 ' I I I -,' ' I / I /'III1I . ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ PE _ $ICtIUon I. PAR? S1 F AIN I PU IS 1. lah=dmr or twmts an yw ahda in W 2 .5) II ACtIONt 2. M r, bo= aj Usd an ywrs shaba In tM past 12 _,ntho WLUAYSS EI] J. bu mwA m paid to tao Idabwa In the pwt 12 mwItoia INCUNI TO VUA Of PAWuS IN gin. I '. ho mAubad me fertitlizaer n yaw a riln the past 12 W::: . a LiIE II ~: tIumPfnm!!!IU5ha0e of fortitllUr for paw imob in (S "M ANONT I 1 S. 1?dxxbauauhod mae arsemic m-ar - yan w ahmha In the poet 7 ~: purchae of . tm o yw dah a in the _t 1s _ zoUnrJ: 11111I S. = 3omdotd ma patioilda an yaw *ab In tho pt 12 2!:.: r. 10 9. I *pMGm.!!)fxvhm o posticidaa fwr yaw shodasIn 10. Hid tvywr hbptd haneoses for tPaportitn Its crop dwing the nL ! . 2 z a 12)E1 II. *So mt did mubeort ot w rb ld _ upani trupotation of yew cre In the peat Iz a iinpo....)?I 12. oId ohold have aw r _een s clatad . hcr th gost Son. , aca -to tarhs.o act neiara. CtOrego* irrtian, fnt ing of nt traction, att.7 "PM,:tl ) , ] 13. I mach djdwrw hrod dfothoe "hter ir.uts for the preduetian or crops th.pa1. e.. [ PA 49 S E C T I O 1 1. PA IT E . SKES OF PRWUCTS FII NI EVROIM CROPS Mm I would like to ek you sow quetilm about the processing by your houehotd of their crqe to ske products for sale. t. wa-e*ld. iJ thwti,months. roc (e *d r or crops for sale? for eN e, by waking and selling bemia beer. mie breow. .: PMT F) 11 | nL wt,1ho vnt2 Uhl. much o lt inc .dtoe N c noe those ga,gold 1.. L ii to 3 they es;ntept h~~~~~~~~~~~~~~~~~TE ruloeYS--_ Noas jucetC r nE-. ___*-110_ _ ____ _n -i______ __ ___ __ 5ocal bau t beer ES--n. 4-NO0 ____ __ 1___ = _ _ ____ lsoent pane cowuct YES-- ____t ___ 1__ ___1__ ___ I_____I Lo alr Fina p l bES-_ _ _ _ _ ..._ _..._I ___ _ 4-llD _ .. I__ ____ swuzm or j e YES-_ __ _ _ _ _ ___ vI__ _ i i_-_ = ___ __ ___ _ _ Locat Imee bree YES-- Illoet beer YES--n_ __ _ _ __ _N < I - 111I _ ____ _e__ ilred cbeer YES-..________ .-N O Casa fur E s- _ ES-u. ~____ _ _ _ ~ GrevmdrIt oil YES-- Green coffee beas TES--. _____ Driedruits or YES-__ i __ __ Other --IYES-. NO T I- ___ _ -A.3 W _K_ __..4___ _____._P R . 3-7T|| INEINhIT: DAY .......3 WEEK ..4 NO T02ii 1 u..5Y 6||* P AR T F| S I c I1O tt II. P A F I F. AN T oOL S tw wNf of the tottlel toots ar e d by mers of your houtehotdi WRITE TtlE WttElR OF EACt TOW Itt Ttte UK. NOe" O 3 mttchtes ] 5 shovtels [I r SIckle: E ] 9 | g ED [l 11 Others: [ * I I~~~~~~~~~ 2 ARe " 4 Pickts 6 a Pmss [0 tO =I7. [ i I. P A S T I sEtc T IO o II. P A A I 0. FA t E I P t T (-IF THE ANSWER TO I IS lS. ASK QESTIONS 2-11. t - - 2 3 4 5 6 7 a 9 10 11 (sIneh..~ s0 saaieopr .et r f I,t Yoft"DIh Eh 1 Hw .Hotsyell dte,f =of Li pra. rt 7. C t. nece- oia ralitu soci earn pur ou dok~ba ouldtk | 5hef for wa old *hht7S;..1I...1 . ~ff SCA h9geofd ,1eerghh tQg..:f ri7h {t T E&.iU?I LRx! N ~ r.:.Fag fRt 5 th"on 1, n7 ?1d1 t1 M.t i did tol§E3lFttE 3 2 DD!~ AltIT *oU8;s- ltEt AROIJT R?.Il l t ________ Plou TEA.. .___r . I ?-iia dmE _H__ mi-_ - I Carusth7 YES-- l l _ _ _ .. r f flu~~~~oltl? TEE-. m m - -1ld 4htto1.112 man m lo ~ ot~I:d veicl TEA-. _ ________________1 ________ _ Draft enleals | TEA-.. |I_|_h 1 I t t_ . - -e I_m Other egJltmw,E YES. {_1_1______ _ .._ J l YS.. I YES..._I itUefitSl | mh o | t |. EI O STlES- PACE 50 tDref ontsat ITES-, | | I|I | >2-11 | | E tt D O~~~~~~~~~~~~~~~~~~~~~~~ F I I O tt|FACE so S E C t I O V 12: t I V EI I TO C K DESIGNATED RESPONDET:_ WDE: - INTERVIEIE' CO WAS THIS PERSON INTEVtIEW_|? tYES....I 10 .2.LI SECTION 12. LIVEITOCCK PANT As ANU IIIAEL fil miE" E ttlo 1 I i YES ASK UNSTIONS 2-13. 2 3 4 5 7 9 I I 12 13 0urliq S clb. t la es eI mn If they aasted to hawing the Ms a liumc New aNy Nowl mNUN Nowa sy did they Ni eNy kewmal leum t u~ersof I Id7 | el ea * ;t atlheseUtu nsstTZ t I.. t=.. oE4eo et, W 2 r r a togeth.. t tel... eaeiel...l I ...? ~~~~~~~~~~Ualls ...i I I... tedy? Nethe b ' ye e- te lt .. ..erbnriedo ss y =VI of' . 1ee. helod I lh. ey L a 1 ~ iiIger ydcere*e aehodmr t~jd 0 wereer Cattt *r lm los o ef M - 7 O ' * - r o_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Coattle Incldin YES-a . _____ _ _ __ _ Coils? Y E 11 . ___ _ _ I _ _ I __ __ _ _I __ _ ___*_ Theth?*o-r .d _ _ Pt.s7 t~1 ?-" - _ _ ___ ___ ___ _I ____ ___ _ _ _ _ _ or tatler ,S?s YES-. : il_ _ _ _ _ _ _ _ ___ ________ --Nt ____ ____ ________ _ ______ I I __r_ __se_nt?_ Chickens? YES- YE, ..ITE.. II-EX so A_ - I - - MI - - I -A -c I - - C Itgs? YES-- {specteN: __ __ _ I-t .__ _____ _ ____ __ _ _ _ ___ _ _ _I Pigks? trk YES-F_ _ _ _ _ _ ___ _ _ _ _ _ 0 lskats? YES-, _____ other 7nimls? VES-. _ __ _ _ _ _ _ _ _ _ _ _ _ I_ _ _ _ 2 3 4 S 6 7 a 9 10 ti t2 3 YAny *rh dIX if lboy pte to During the Now ul mac steE- move eny NolT h did t, 1hiveEs ?u ri,e ofgyes re.te e al ul h sr a. mem f ywe=s d t for behiese 0 el 12 1 veear ouse- the it Ig~ one h..hse ' .'I iv t fve aold tn~er rsvda .. resed ...E ~ ~ ~ ~~ @Id emned ~~~~gs Sode?. =11he. theysd T3 r eybuy? the Intgey wlre fsnh at the sree a hoys the !vt 1rn l'e e1te17~t sIpr- pa-bsent sonlbs?; aun=ts?n YES... 1 -t----- YE.YES..ES. 1iINtmERROE 'mO . OE O MUNO.RYES .... S lEDE MIVEN T (0.S WIED SHOO (.4) S E ANOiT Ca.ho* NUh SP SPRSNSA PRESENTS a. 2.13 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~M T A S..PE SECTION OJ PM Si S E C T I ON 1 2 . L I V E S T O C K _PA It T S. S A L E O F A N I M A L P O D U C T PART C. L I V E S T O C K E X P E N D I T U R E S 1 DugIng the at 12l;Zt! ne.... enl_ nyeh of or hreh.oetd IF THE AISWER TO 1 IS YES, ASK 2. sodm;old Pre*cgLtt1u frmta aias o e=mete ml k pro&cits, 2 YESr6he p-t I. 'l 1 7pt In the pest 12 months (sfnee,..., Now much neave itt the members YES ..... I ~~~~~~~~~~~as member of you hoeodseto o rhm h spente PART ~~~~~~~~~~~an the toilroing ie i 3 nth aet mth NO.2..... PART C) 0 to rl so vestock? nc .j 2 3 4 PUT A Cq10STS1§lTIW 1|- IET PtXICT| | ldt*ROSS Ior THE [E_ II ~~~~~~~~~~~~~~~~~~~~APPROPRIAE SI ABE FEDu FOR ALL AENe BoeFOR Duringthe pst 12 onthshitvq hey f how mch bu your owehod IA,i tus d etr. GOING TO 2.5ANOIT mwIt o oII.. p objtabelo reeie fr, th sale a; r Ineldnet ~~~N~~~~wthp~~~~~ ~ *M11 1 | EeP7 _- | n_tl7X? £ys t°r| tES . I- _r animIr 4h fj5*rd)i7~ t =i_te PUT A CROS IN T|E F NEXT P IODU CT herding? APP IlATE BOX ULOW. I adlbrfrhrig E- GOING TO ujtidings and _ YES-, BIFTEeGOING TO__________________ nl 1.- of pinew Mltk or milk p4mhcts? Ofincluding tt? -NO Em? ~~~~~~~YES-, I,c;cids Wpays for YSs Ems? F ---~~NO .7No Skmedhides? YES- sterinheservS-b colot 't.? aNO 00~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ YES-s 1~sportof Eiml, YES-s Other an4mel or bee YES-s o~alin n th e mte E- CeesIon fofd.g YS- Pacagng of nimal mW YES-s polry pouts? F a-No exffvmes for T lOX I a C I I ON 1 3 : PARt As IAWERSlIiP OF FISNIttC E01PhEtt '1WVI- DESICliltED ItE tINIDEt IDl CtODE:| LINtYEVIEWI1E THIS tSOs ItNTETVIE1? LiIIIiiiil _I 2 3 4_ 5 6 _ _ r-. ,~1t Dld1yW~eii ~el~ old yuc Did you Ol-chase aul uo c eh lid a1 Did h1v 9 I e lns sti 2yoihgll5 m v m~h! Bta je; .Ilf,Il or rtX5: ,5) 2s|t ; | ITE $or coat . 8 fr - a, es1 the t e pea§ if r tTEVEillE Didt YE S 1 uch. didlbSYE Kw Did 1 . I1 E°lt+ 0any 2LYtBtlBTE9olXI^ a,1 IS Z)eo fg 5 ..fl9 ttO21 )i° - l5?"T{ 81.~~~~~~~~~~~~~~~~~~~~~~ii.94. tt 12 __t A' could iMr1t E-1 i._'l M pei OM _A._S Eam REVENUES ONILY YE- VE .... IOW ~ E¶TIRtI YES~ ...I EtPMIt.RES AL jj,pjFM 11 8OXr5Xj] NO....2 t. 5) NO....2 67) No ...2 .-,,,__________ ___ _ MIA AJ"T AllT A__M_ Boots YES-. _ *UxNyrt _ _ - - -_ Ft vrw In 13 etS o' r ES.-O tsoker or drier YES-- _______ s-N _________ Fishing ltes uA hooks YES-. . __--_ -_ -_ Pidlt. YES-. Pressure to" YES-. Qthtr fshb or smoking or YES-, 7SthafIsjno cooIn *-ltO__ _5 _ _ __ _ __ - - - - mir. 2-S PARtr S pAE 52 S a C T I a S 11 F I I I I a 1, P A C T * U I 1c1 o e O__ I 2 3 4 In ptl .1an utfn.twtt di d do e t Abowut hoew °E? ofn tvou~uaw m m 1 be p_t 1Zwthrke did _ ~r awe'w oheur Ilay1eho llo~~ ~~ es r1ge P.r IS"... an g' mLhtv 8. tff'IlAI mJ* .1JPW4ATI - yM ^jt O2 S. WOF TS DAYS PER IK CATCES M DAY ANJTTINEIUNIT No* flahiag 1 - _ _ _ _ __ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ IrmUn4 ea I ithins? las-rn ________ stetfmIn ry out f tshing? lES-s _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ '.in W %ten 9(t soul :Ufs did=~ r~W oftyWhe utd mt C.PAStT C111 C>T wn ..ith n. In, the Det 12 mikeo did y s, ote or dry yew flab or"to? l Wlt N o lo rLI S S c T IO o Ix s I r INN I as c A a I C a x P a Y O I I U x f. Ser IO ii: * IUU PARTl C d ESPEUDSWUto ,im m ai ETEM Nu them wXS ~ ~ ~ ~ ~ ~ ~~N AMXT 0 laF2thepe .. UIE.U. pi s... xt.3 h1_ Uirl Ltb tn UoI nvs-. Labr In boa YES- -o -- .-No~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ sowkine or drying YES- Auction fe? YES-* loxes YES-_ -.-xO _ PEs (eg mrket fee)? YES a __ _ __ _ _ * O ___ _ -e Wteks? YES- Rent for storase YES- Trarwportatiwn YES- _ Petrot and dieset fuel YtS _ . ~ ~ I -x _= Esrosans YES-. Wait YES-a Lienseez YES-. 4-NC -I _ .-xO _ _-No Thread for *eIng net YES - Bfl5WaS ~~~~YES-* Otts""x YESP -5 PACE 53 SECT ION 1 4 . NO - f AR M S E L F - E P L OY E T n ...t Il woFll gOth!!I " js 3h.. tneedorualnss, a,,l rt 8Foj f! & 6fnid I" t Miss of the y re of your hote hotd. CCWUETE THE WHOLE SlEIIW fOh EACH ENTERPRISE IF THE RESPUSENT Is HOT AVAILUWLE, ASK ABOUT IAKE NEW APPOINTMENTS To SEE ALL THE EEFOSE GOINS To TIE NEXT. tHE SECOW AID THEN TtE tHI0 EfERPRI SE. RESPONENTS HOT AVAILABLE. P A R T At I N F a H D A T I o N _ N URIlt1 ltERVIEWER- 11 A D I 0 f I 11 E I U * I 11 E I S | A 11 E 0 F T 11 E * E S T I I 11F 01 11N E C VMfr 11t tTRIM6^ | c 1 a 0 D 1 HAKE .F T.E BUS NESS YES. Y .. t~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~0 ....2 o S e, 71 10 1112 13 14 IS put ong 1 N Now, wo, ehih raof four r frequently do oit leat yr may hve frgst No do wf or lt| t0 j * NWaped aOl Ia T Sr EtI l f YOU II I 3 1I thn .tj anbIa OInorLrurn f I rpaumR.eetntt.stf.1' eah a 'fomny~ re'o e ~l~aaa~ t RI thIRbltgesle hlu our: K nife JtRT a fljh a I' y o IF0 TE I I I UNIT Ipr n?o d e tha a: 2tG' J.." ?'ltn flCa& r It fu 1 OI 0 I InT I I I I II Ir-nr a I-1' op TrI ?on e her ~.I~Yi*thlI ~ i~lR~T ~Ya . re FSaaei In TiftaI lm M OU WTHS (A 12)1 WMEN ID CODE ID EWE ID EWE 00 .:: . 12).~ Mw ilg1 ANOiT _]_T"E L HSERiS o9 U N J11 AtUAIT 5 I C T I a h 1 4 . | ANT R . * X P E 110 1 TU I E S __fwt 12 a often how muh Now Was wri t riw to ten ilow mb Nao imat R-Uo mt{p -t - _ - -aj ateriale 4N0 1 was 1 IA.tiflo fOr |YES-, I Arti,jlo for IYES-. I Artlttes t or IYES-. I I I I 4No ~ ~ ~ ~ ~~ as o - oc -v A pay 0o4-00t Nentel of wmio Nentml~~~~~~~~~~~UVof 3?Jl o. ! at ofitOl atoiiD t __ I._.? I._... - . . .................... macllr.ory 4ES-N maci my * 4-NO machinery _ -N m -1 _ _1_|_| |TRR V | -1th i id I 3 ariultce*d 11ES-. - I- Illiwc e~nd IYE-, IjjI I I I Na^i1terane and IrEs-.0 r I I I - Y- Frs l o l _ l,S-_._ l Lreprlts 11_ 1 1 _ 1 _1 Irepllrs a T. L',1 t_1 aiapr I IYES- -| _ 1__ |rOr |raepart - |fuet ad oil -Fl lO - t *fd aL! MES: - - YES-.- El tlt YES-. Et M i d. .I- |EleCtricity __ |ECRBt _! -EEtrC - mV- I~ I I-N |Watr4N Water 4-NO_I _ m m Il l _ -|_ _ - |Wter 4-NO - - - - -_ ALLht r Y" | | ||1 " 1A" 1 1 1_ A | rio AL -M 0ol~~~~~tcr YES-. oali~~~~~~~~~~~~~ or YES~~~~~~~ OoITiK a.- YES-.nfAN T AMYI- {^,q,lw-N t^; yES-1Wz-1== T tote. *^1 =-I monrt lytale. N - m - - |- 1 la _ ..ES-. .. Araiuel too.. .ES-. _Arv ies tot . RentCl | tO | - or licen e r ticon| Co | -No - 1 4a!I s 7. - No- F - mm-s | *2-6 | PMYC t |*2-6 * PAIIT t .*2-6 Ai | TIIE EIIIT: SAY .3 111K .4 NONtNl.........S YEAII..!!J PACE 54 IS t T I O i 14. P A C I C: ISCOte I 2 3 4 S6 789 10 II 12 lea: t_is r . r.:P7, ch h or Fofosin a lats i h. lat 1Ithr Iit S |l .Ftt.,t".7 sce 1a i. .'. 2k |traceB pt P oa..... xta cm~ Iin !t&W ___ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~teS lAlk.E Th 't lES V 1 lE5 a mr~,1 SIL or lis titantha mn awaFo r S vau_o ., s v an ..eVi sou 7: 14 T ..... . INThS Th5 T {; 4 AT t; 1l! AT I;IJ! AT X~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~g i~:..~~r..Pt rjr~y e#r It I -1.0O I E. I¶7t t n_ _ IeII11 E_ I I I I' I - I I I * IA I . I I YE I 1~ 1-- E 11 1'---1 ': --.II .III Oe.I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~rtlem t4 TSr . -.M. t h19 1 22 7 't11 IT i T 1115 HOSTS A IM9 T Ny AHW2i T {WI A*SUT *f Sll uiw.ur [aj I 1Il bL] H I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~YS . E ..iYS...II E 13 14 I s 11 t' o1 1 1 22 Aft. ki Ic nI I wa I dI I II -IIfor a ? A n 11"1 a o,r N ~~i~~~caa ~~~~~ I a or I -~~~~~~~~~~ 'P w o ista . otg Iote1oe~ rca1 s r aa~' E.~= lr Mt -d, Mnaa9: t Uaa(11a ' er.s agt jdo s . WY t av.va atf Or ~ ~ ~~~~~~~re a -Ca v ra Tr no tter Ull q,' forpte or "[otry NoE E...ITryrltfM or'.. n1 YES t.. ofE Il LII LIIILIIIIILF IIIILIIEIorIZIItILL"r orIg Sl____ FE111111111 H 1111111ld sE C T I O 1 1 4. P A X t . A * s Et S F I * I E tad I ry. Dom bu s If oWted to Did r business at UI luiB i'wr.ca did aOur g nd I2`. | did _ u 1MLMZUkO,~TUL "F __________Z _ f) AONT .6) f AIflT ~' Buildings and land Yes-. _ _ _ _ _ __ _ _ _ _ _ Vtehl to b Ist Ster VES-> °c°the@wSlt ES-. M ___________ _________ ______._ ___ _____ _____ _ _.___ ..___ ....__ thrLrwsablag z 14ol 0t dUt btebt5°gt for YES- NEXT BUSIESSJ lulidinp~~~~~~ ~ ~~~~~~~~~ dns twd di Your_; TEm -iC . . . Bildino (etad iwt you YES- | _u u . P atbun"i iK.' ''cs | 2 |h di N t||*tEXY lUSlESS B SN S r utwa Sg*a3 31.1 [ ilots sin jout ..4701-: alsr t Ii Ordlrr'lXtjl?s l.M|gt T Building nrd ltd | t YES- _ _ _ _________ t nwc s*y t NO_ ot_er____.-NO| I e p -nt. YES- | m - I | | - -____ Oths1 durobtshla &o . for YES-' . NEXT ICtlIS i T t 0 olid your bLInairo tm M r,De bin,,s if wanted tolDd yourbsnsifs p3 if: li". i a BUvSI NES VMS(LI~ -101 i - . 41a rn tt s , ~ ~ ~ ~ ~ ~ ~ ~ ~ hdidytur~~~~~~~~~~~~~~se,1 ~~~ [iiI ~~~~~No. .... Z.INEXT ITEI Buildings and land YES-. _______ _______ _______ trc f.1. I _ 4-NO ~]J ToOC 1OAN I r4OOft. YES-. ________ ________ ________ otho1 dursbtem,1dsfor YES-. _________I_________________ STU I mnn no your4----- O-- .__ _ _ _ _ _ ....._ _ __ __ _______________________ _______________ P~~~~~~~~~~~~~~~~~~~~~~~~~ACE ST SiEteIe Is a eIlsO * EMSProMS Tl NEAD OF OSIIteMOLD YuIdjlkernllter l,{ Iau WdJ4Iis, ru x etlni je I "d ""I t= 6 17 ft 1 D e " D Etl ItI VN P Z t EttI11 ti J PART As ISP! AND 011111,11511P 0r OWELL INS Whfelsb huldInp usd re_m yu housuhotd occ%? I MAIN TM! of WALLIN 2 OW IMW iRttLDIttCA DOES TIRS MIEiLD OCUPT , .~~~~~~~~~~~~~~~~~~ - Ir cUPI ETf euEstlett -27 FORl EAett *UUDltit OCOftRtE tit E lWSTEIIOEC _____ _______ _ 4 S - I D O 1. tZ .3 1i t5 16 tt MATERIAL Of ITh HEK M 0( - =.. kosh leI1lh'i eEneyuik.ea th ettIsatln OUJTSIDE AUIt IHE SbT oct.n th.te Tvg..?. i se,_patont? oNeqnr*Is,1 B ItS L *RICI4 RTi.I ClASS Ft' lesT PLIES) LiMTAIN. .. 2 uE7n pymetas Vt Ath? itt y LI IN00111* EC.: ~ EM..1 EET1Al Ming to~ l --- ~e ~ gtIN orItS WIMANN 3 I(E A- SICTTRA ICAI r vingfo INEITD h T utsE'... it R *E i ItatHS D COI IDalDE_ FItT_ ItESUII AID AITI 'UN ITS 3 . _ .- _ W_.- = = --_WEE T== . . = [1 1 PLANES .. ABO 6 [RON . 4 CUTAN b ul?US.ILT my 1~S ~~~~{NRI6.INC L,0 ifER ENl ....S..OID... YES... I I CI ATSMEST6... OTEsC o.. A..2 PURCHASED .. .3 NO. 2 NX * U ~~~~~~~~~~OTHER LERnEXT OACE) Oei) KiT: UI.DM UM ($PECIFY).a ED~~~~~~~~~~~~I (SPECIFY)A. ROWIS TEARS I~~~~~~~THS ICD E ID COD A*AMU TIE IT ANWMT AIflI MI I ______________________ ___________ 23_ _ _ _ _ _ _ ______ _ _ _ _ _ _ _ _ _ _ _ S EIC T ION 1 5 I N DU SI o | A X I A C E X J _ S 19 20 21 22 23 24 25 26 27 is this fir,W s oinchMoney Did yhc par row nch us Wh d tid you Do t lAhst Ithe ig partor fi.o WhoPsry I rt gydtnc rlls nt nt s.l; It renithid 7ng ~din Po7 t*at how P devis 1= - g;t do % rtg part U ed 7 °7 t * S.1dst C. nh7o f.bLt Mln pouhdP rto6ll:UV 1 I I af. lTl iditM In asI L r ony 5449 Y. 1 r t-t DOIITa KT Iiio1 d-I c1lr 1 _ ___ _~U5 Io _ _ELAE.I n I ~~~~~thve househowLd, ZOarbe? dcm PRV RELATIV. ........ TiNt UNITS: rgo tr egeny o PRIVATEisii I I o~~~th a i# IDUS. GTENCY..:: I OC 2A[111111 ::JPY5P I fS. ....I E YEAV...PAY.S..1 YT....... I --- . nu - 2 PRI AE No..D2 W.. iwa. 00. I; El"GOPC~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~O 2EO~RE. ilrnw DUAL. YE l~~~~~~~~~~~~~~~~~~~~~~~~~~~IME NO. ft D~iT 1MW.. MrRRIT UNIT AN"MT lENIN YEAR AMflT UNIT EYBILIG 3 -4 PAGtS 56 SEC T ION 15: 1OUS ING PART 6: lOUSING EXPENDITURES 1. Do eny bare of your hoemhold own ny other dwiltlp II. Now aw mm r eeived fra the eolt of the dwelting? YE. .1F NO ( m t9) AIMT: 2. Di yasr houehol boroe=me to buyo bultLd this hoime, eNWd2. is your has ehold utit repayig the detst? 12. oat is the source of drinking water for your household? 3. How auch wss the tast psyment? RAE _ R . VE . ANMOT: .11 11..I.....S.E.....P~tA:::::: 4. Now often *re they _dt7 K!IJhR LAkE,SPRIHC POD S N1 OF TINES: .1 .......E.. TINE NlIT: 13. Nsw mch mc your hoaiehotdse tast water bitlt? 5. lid h.... i26thshou ehotd rent out thee. other dweltlngrs A|T: Yo.:::l I. (n (PROBE IF JOINT METER OR SHARED SILL) 6. How a wh we ieclvefIn rental Income In the pact 12 oonths 14. what mment of time wes covered by that biltt AVAJIMT: | | IIUNER: Lull] | TIME UNIT: 7. f you rnted to rent thee other dwellnos to somone else, 00 hole uch r nt licutd yeu bo *btr to get tor t lS. Did you selt sray of this water to soeaon else? AMIMT: YE17S [ i TINE LMIT, 16. what fractfon of this water wae cold? TINE UNIIT:!t HI / 8. If u wanted tp sel these other dwetllngs today, how ch wou d you be eb e to get for ths? I i fn the houehold salt ao dwetling In the post 12 d7 e(tno? INTERVI fFJ N MD=I OR 56Pii; RErf nont [111 DISTANC[E: No.::::z I. 12) I 10. What wee the e_in reason for setiLng this dwelting? CCES: FOOT. * DISTANCE CWOE: MOVD FROl THE AREA ...[...L.ili TO PAY FOR MEDICAL CARE. ... F MIiI:4 SEAIN OF OWNER. ........._______ OTHER ...... ........ 3.18, IEXT PAGE TIME UINITs Afi 4 ffi :6 1 ale Ion I s S I a a I t ta boutTNO hN PnuaStu atn E lm ) ld. INM dte Wr hAeteld dit_=g Of met Of itS d Im.? 25. Mmne n, maths _uw_p_imn _u guued by ti biil? W ASTtbM TUC. X TlugtlKll t lii t w ziA :::::::::: a :::,f f. Iuor oft ofim byeVow t S.Edzr th 8 " d pay fur tlb. diuputI? l ii TINlE UNlTZ1- C i i | 1 2r~~Z. Ob Nt t, of V. household In th. post 2e. See. yr dittlir huv u toitet or int riel ) on .. . 21. otw t pu of toilet Is umd by wur howsholdl t . jj 22. Mot Is thu mi uwce of lighting fur paw dwuling? [i1 1 wel§lg;s";jX^;*^ [tj] o lt (for hget ) D. Do you hen a joint or Iidividt*l electric _t_r_1 1_e ___ JOINT 1CIO 1 El 6 24. Now much ws Ab i*t etorie bill for puw headeold? (IF WOTlMNI, WItE ZERO) AMOUNt TIME *AIT, " M4 :....| PACE ST S E C T I ON 1 6 DU H A S L E 00 DS NO US EI 0 L D ANNUAL E I P E A N I T U 4 E s A N D A S S I S T A 1 C E | P A C T A s D U I A I L E G O O D S RESPoaDENT, THE WEAD OF HSHOLD ItSt,Cllos: _ 2 3 4 7 PtteaHgeur sit th - 1 aimod by Vn; ot j Vsethi7. In sht Now T chYld IYOU f ted to 01J flH&LINh?ULU yoar OL i0on I rg~e P8O~ ~ sef'r N bS4T1JflE~JT~ 1TT j Fg 81 1;T l 1 F . t | . !.whmotuelad hoew.... M of: scwpiIer red1~- TID, ~~~~~~~~~~~5USISE flU GINGTO3 t. Do tho mbsr of ywur houeelmod hve ..... DESCRIPTIO OWE ID CODE VEM AMT AWRT ITEM COE YES NO 40_ _ 1 licycel"? 41 t dlo/ccsscttc ptlVs7e? 42 3 _ _ N=ee" ptn7 U _ S3 choMrctiffs.1wi lc blopm 44 Sewlng mshInes? 45 5 _ fetorbilkes? e 5 Refrlgertore or freters? 47 6 F rans? 4 I II VIds, eQp*Int/tClevIeis7 se _ I I I o I Cars.ether vehiles?c S1 _ _I I- |IIIIIIl Fu mnIture wud rugs? 52 I 0 Lontern. d laimat? 53 Pat$ nd Pam? 54 e0 Other dsr ble oo7? S5 I5 12 11____ - ___I__I I_l_I_I11 ____1 1__ -_ ___I__ I- 1_ --1 13 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ | I C T I 1 6 D U IAN LE E eODS. K OU INE h OtD ANMUAL EX PE 1 D 1 1 UI E 2 AND AS$ IS tAN CE |PA F A DU KA * CLE O ODS RESPONDENT: TUE EAD OF DUSEhOLD 2 3 _ 6 Pie deerflg Olitt the ... t 1... wred by m_oet of ef th mthlo InA ht I W.d,d Iu It wt Nt d te U POWr 00d01d? OeU '4a A"hene; e f rtj li !te we pep fer thtl eel r RIC) _ .cuto Xe . ie a _ G00D DaU UE5a I Wl OX C0DE ID CCDE tEAA A Ae 2 _ _ _ -ZE~IPTIU C.E . - _UR ________ .EAl Fi - - ...I IE I II____ __ I -I I'--':: __ _ :_-_I _I JI J? _I_ I I I - I-__-_ ,. l - I | - I 1-------'' 1-- i~TS. i t W th 1 I I_____ 11 1 I I__ I_ 1ss1~ ~ ~~~bw mos Iim To 3Ir I; . i .1 11 13t1 1 .. . I I I l I I I~~~No. WA 37 39 I - I I I 1 1--. 1 1 rXI _ _ _ _ _ _ _ _ _ _ J _ _ _ I- -* * _ _ _ _ _ _ _ PACE 5e 421 _ _ |s E CT IO o 16 t e: p A R T 5: |flIlIIA 2 a D T e s | | P A RRT C: R E C E I P t o F A S S I S T A 1 C E 10 the p*t 1p *ISftwI y itS b s, he Mow sch Id the I In th tIthe( t1 nowthe W rn ge e8|ilI 11=11" "lot She amtng eclji5 nhJts W ed( li[2. T T Sw kEljtJ!sTIo 2. T r ,. Nom r alrI YES-. fl * _ I Lutheran ChurdhELCT? YES-.1 a-MO _-M |7s iuaiX ucbels} | S HO 1 z |CathoUic church? YES-.. Seventh Day Adventist? YES IL YES-. __ _ _ _ __1_ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ BPitchen IUMg Y7( pt ES-.. mosue? YES., - .~~~~~-- LEnter.W end 1mz YES-. Other1re IL7ue YES -..O VC^rp t end rus? | lES- ~ N_ |Party erreanzatians? |ES-.. _ 1 t7&eL. bedhrets IYtES-. * 1Cooperative unionS |7ES- | ICb. Pt@;, > 1 ; 1 t -°Sociat U@tfore Office? YTES-. Govarr_unt Cls.s/ticerise YES-. Tenl rd Crm7 -l°| ^ PARTAGE7 tES-- 1=1n elan? ef he deld | tES || x | |orld Vision? YES-.. |Dist of household YES- IJAiWATA? |E-t. *,',ch". |YES-.i |thet.lurWt5rY Mroup? |YES-. |. PART C |. sECTION - PA 59 0~~~~ 12 1 *ECttlol 1r. I OOD COIISUMIPtIOH, .aRIT I: COIBSUMIP ION Of HNNE PROUCUT ION IF THE AlSNEl TO I Is YES, ASK 2-7. 1 ~ ~ ~~~ ~ ~ ~ ~~~~~2 3 5 6 7 IlNERVIENEt R Duntn t at 1 Dynu ,hich mntlh of the Iet 12 NOtha (sic .1 How te oi Nou Now ofto n lu went. the ddyour houseAGid c ~~~~~~~mstHA...ECROPJ ... thai the tilE maths oft. I t :j-0110 th...wCtbsof..tIte AREER RACK TO THE PAIN SECTION, PART S. YPeAer VOW rFr ?p *w Iiur co1istee dd t the TIf |Tsehold eat me a vu to &; t e | U T5'.r1 did to t PUt~ ACR OPPI"is ITf ES .ECPIt-eS .... ,-1 IESEl, ta. h:; eoff or soro t tES-- 1^~~~~~~~~~~~~~~~~~~~.prtw HJH. .,,I N_ " - THISr? .Y .IT IaNTNS. _FOR NM _ N R NNEPENT 131 M3 1t? ..ICR_P-...? Ott INC CROP t_5 ~T ~ how i the a Iny I ESCOSED013 aO.. NOT CNIEDNOT CONSR5TM u l CglLYZ (r}7 e 1~~~~~~~~~~~~~~~~n 10 i DM TIE U __ _bs PUT Amos' w NE~~~~~~~~~~~UlP~~~J1ATE YES...IP T*N)..... D2 SE UR, ~ fIE6¶JNm PURI AWCALML ITS...i NXT MWAN. C.4 ,01iref'-miS N NO. 2 "mTlETNEIEA .I STIONS-. ~~~~~~~~(p NEWlFOOD) FA EB MJAR MAYIA JUNf HAU. AUG SET OCT NOV IDEC ITINES UTRIll AIJT TIE itT ANOIT Ta coff ee or Cocoa at YES- Cooking bmww..? YES-. ____a. __ _ __ Sweet ssns TES-.. __E.3_. ._ _ ________l e-;O WE , mm__m-_ _ Ha _ _ _ __ _ _ ____ __ __ Other bs-m.n.? YES-.. ...a ..___ = Cos wsav (rew)? YES-* _________ _____ Two Cone OOy- or sweet YES-& t_JtE P_D | pot*toee? IIt 1, IIX iC Irish potatoes YES-on "Size? TES-s_____ Millet or sorgihn? YES-.~____ __ U ** ~ ~ ~ __m Rice? YES-i ____ Neei.pa, ops or TES-s ___ other pEise.? H _ , i m _ _ - - - _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ Grounvk.ts? YES-. OAESTION I. MANEST PACESPT MM Inc PAGE 60 I E C T I e 1 . F o o D C O N S U N P T I O N1, PA 3 I I X C e 1 S U M P O I 011 0 F N O N E P P OD U C T I 0N If TE NIEI TO I s YES, ASK 2-7. I ~~~~~ ~ ~ ~ ~ ~ ~~2 3 1 6 7 INtEVIELR Dwiw the et 72 0lngfchmn of tho ltt t2 m .. (sIte' Now often dwre Now sich nlow oftet Aw'lr Fo thet odgYi yawc uui of the g#t 1q...a (CO "'I .. ht the thts emtha of the PoulI t the montha of t lep. REFER IACK TOE AI FM SECTION. PART . m ot y uhL roO Ie rai n *m to bzt5the mu Idt. iT 1yYS . COI. . VON L aj n vuli) t j(.=. tan- -~ SSLll0X~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~ ;| WU to L;th 14d lw-E E 1 1I ?tJarLC,m or FONt A "OUTH$ NPENTIONPED BY TNE IESP ENT In W .~ r~J. ft@5hjmT10 fT&tott/oll jiiI~'jL, meeLersItyo7w IXOE'h | MONTHS t_UPEDS? HE_E _i.?r~T'ny1' the_~. iII TIPS WC7 -O? uc Ea. _w_l". I H P - _ H a . - a__ .1117 MNIN~~~~~~~~~S NOT10¶ WEN IUUCtPNY HE .1PM .O.. SSIDPO ~HIE ER'f Felywt"r ....T. NOr..._ - tim no l[ AH-_, StUf loPe Isdo BoYES-..M h riW i Is WANOGRW d .-a m ? i - _ _ " _ _ IF - a ___ __ _ _ _ _ CltNu __lt 7Ei, ii Mii Ii _ _*i ___ i _ 1 _____ _ _1 Paleroil/oil palm? YES-.. * ilium I. EU ii w iii ii * If NM Ii _o B__ ___I ______ Avocado? TEE-.. ~~~~~~~~~~i M ii * i*~~~~ m.u ii a iiiii ml iiN) ..I_ NO i__ 1 Mangonret?t *rd ESn -a _ _ * jI 3. _ ~ _i ""_l _ ____ _ ___ ___ __ -m ~EIES IE IEUU I E R IU. TIME 5 o - DEC _ _ _ _ _ _ _ _ _ _ _ s- H O ' " ~ ~ ~ ~ ~ ~ ~ ~ M u m U E l M * i l u i u l i i i M U _ _ _ _ _ _ _ _ _ _ _ u i 1 I I l" t i O P IN II I & CtlES?lX 4-,O IlEltlu PACE _. U Mi MuiM_X_ __ i ___ _IT ______ DA *Suar. csip, hEAO S o.. ON E INS-I 0ECN Sufmt ronect? YES- I leeka s andt ree YES-.. _ _ ___ PaMtE, VON W/1IAlloWS SK ARYEIS- MNOSAO S 6ARR?ALOHRSAOS SECTION IF. FOOm CONSUNPTIOI, PAR sT ColNSUNPTIoN OF NONE PeODUCTION IFNE AISll TO I IS 11S. ASK 2-7. | INttRnr-S w!Uttel qlt w hjche3;PS of the Iht t2 $ tht (Sim* Npe t diri kw No. Cheh INgtEEVIERI piwI t 12 SaIl s.f the mnsh !Z 7 c.td 1F s_enll , ... l - h t f %t e 2l of mFus sac TO TNE lAM mat.. PARIt Soo MM !rl t ll o101 DEC halhol Ud sttT 't did .______ ____ _ _ _ _ _ _ _TI~~~;~~~ ~ __ F_ ~~¶' ~rwf~ nItWITe Ic _______ If IFN_ N _ E_ _ _i _ ___ _ _ Ith:ff? !pdzl" iES _. ii " *" " mM WiE*1"ill ___ ___ _ m Irk.. ATurry, red r, ttl-- __ _ _ _ _ _ _. __ _ - ___ o(th er1e.d.er treF sI YE- . u N Ei a aU Eai E. __ __ _ _ ___ _ Cj .UESTICN I. tEXT PACt JA lE*E tta APII NAY JUII J WAUG SEPC tlOV DEC IAA AJ IF TIE ANSWER TO 1 IS YES. ASK 2-7. 3 4 5 67 Duriug tb ,t Ii the. ,he If THE AMSUES TO drfng rAids eons of thre fret 12 months (fTrE. .)no Kom ofte ft Neow HMm oft dwn Who - 1; alonal~~~~~~~~~IS tEo 9 = h oPuoho l 2i a SEW.0 ' Is rei t o erhr 5 : , tho = Str Of t adid " t ambes|g 0Sl*2Pt i, c= 2W t1; t I ... IIT"EWliRTE ... IthCEl ant a of lg t0z a -: th ;if |v Wni lirl!7w. nio to your Eus lra eesSo| syeu |t of houroId slett TES IW~N5~ s iSYES 1lS rliseho tlre...tITEhrJ... fr*senl s t CA _u _ di_ on soe _____ . -10 _ - OR " "" 11 1-1 lo _ _ R OEa UL7,12 (PARtT A) Io ft 1 LI IsN YES, ASl C-7. __C _ _ _. To lFtT TNESE SEmE. gj MNiA S W M" Y MTIJTIEPRI.U1 1 6ITCRI t TfE hm1"E t1. ¶)ng ...theEIi... tot If HNM PRONUCION sherason IF NWPO ION sessam7 ,ES liONUIDID o ft U lstM T...I No tCsONIED NoT CO|UNI:E| HO s T cONC AS I qTtSFIME RD NG I ERD |R EAuc TIE UNITSI Fil IslEt..~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~I TWE A.. I AMLL1 S OIRMIN I .JMONTH . T,. 9~~~~~~~~~~ - - INt TIME YEAR.. I ~~~~~~~~JAN [FED NAtAR INAT JiM JUL AUGO SEPT OCT NOV DC TNS UIT AIMART TINES UNIT ------- Chicken eggs? YES-- I I I I I 7 |s *1|||"!"- mci mU *" -_ _-I - l__ T"murt65ce" sor other YES-. _ _ _ _ _ _I . _ _ _ _ _ Duringt baauGn 9-re Sli |yn |l1 Wll- cost d- | s|-eas - JAN FE MAR AP _A J JIM lJUL AUG ISEPTIOCT NiN |DEC _ IF TiE ANSit To I IS YES, ASK 2-7 2 h t 12 th. have the If THE AN t TO srn hlch mnMl of the test 12 month rince .Now Oftep durI| Noe 1I *EO ofte In o ttT you hIueod *atq .USINltTS Iyu oshl oss.te. IEf cptured or the gOntiaof t im '¶t tne.somn.Rof%tsie I nestle o rae Idg WRITETRELON. Collectd by mo~ersot yur hminhotd? vli) to uy the id to I'..rtin ri uebIrS) t66_yrr ~rj:..t 1 ) t txJ cot sotedpr captured by leaf I~~~~~OR ALL TNSIN MENTIONED BT TNE RESPONDEN WRITE tM 1. **.sS see ch I. a.t Ase ~~ your Seoruebold? IO~~~~~~~~~~AALN"ONTHS NOT "ENTIOED NY TN tRES OIENT, MY __La 'tIOUaJ IFo t t1j;l c? . Ino CCOE 2.CTH thegriny Sh r COTH Sea on? INew54 CATCH Season YES WCNSIMED (SI CATCH) . 1... NoTI COANSUE NOT CONSIME NO (DID NOT COSIr IRODUI RNV OUmN R ESO,TM iT OMN CATCH).......2 sEASO MNI OUIE', TNESuNIR TIMES Az .6. eCT OITMEM.t DAYi. HUTi A CROSS IN TE APPRNOPIATE IX ITENI MONEEK TO LQUSTION L F. IEGON I I HTIME TIME YEAR... 13".71TIONS ~_________ __ j_ FE ]A APR NMAY IJUN JUL AUG SEllT OCT INOV DE-fC ITIMES UNIT ANnM TMS NT TN Fish? TESs ____ Incvw,lmildng gom ItS-s ____ Edbibe Insects? YES-.- - -I * - '- __ j ESM t AP NAT JU JL UGSET OCTINOV DECI * £ETIONS 2-7 S E C T I O 1 I 7 . F OO D C O 1 S U N P T ITO 11, P A R 1 C . I S f OO D E X P E NDIT 1 U R E S, S E A S O N A L F OO D S IF TNE ANSSER TO 1 IS YES, ASK 2-8. _ 2 4 - - 3 - S W the t 1i mnth I 5 in=. O. Oths If th,t st 12 the s i ) Rsl nthow ofr iii dr .tt O new oft t * r dq ct the f tve nch ~~~~~~~ ~~~~~~~~~r yLw ueh1oI buy ..(FOOD IEN)..$ thW o ot of BOiBfl ~r of Lve thpy " t !F.°O I,t'l.e7S" o or IrainÆhe tUI aK d,! oh b1l nun tgl c your spd enlt a inee terOmt camuipt Ion? snst ) e.ol I)ach B1ed'I did si~elch K"ousiold cvte PU RU ISWNtNTIENO NIE"1.R...lTNag MTE"I.-? t re dnIy 5"i . mdrn osiey vst fOR ATH NE SOT "WOUNMENTIONEDi THEIESPARNSMOENT 1 ; . [F IE h1 .. ? the Sc ny ( ...? the dra ,Y COWE 2. HOl T tem?5CSi I lC t? YES NT~~~~~~~~~IFRT1501 If NOT pONTNoSfm11 No I1 IID NOT U§::::2SASOSHNO!V OI "EAS GaNE iv. TIM1E UNIT:S YES ~~~SUJGST ~~~ DURING TIlE S~~~~INE T AZRTINES TIl ! RY IP FOR2^O, IIONSE 2 FOII COIE JAii FES IR S Pt MA JIM JUL LIUG SEP OCT NOV DEC TlIlES UblV-1 IN TIKES T--. A1" lNUMt TEN)I AT YER.. Cooking n ?ES..-IE NN E S v .-lb7 ii _ --_ E _ " - _ " - _ _ _ _O _INE_ _lT Sweet tsT .ES- T n _ aCos in wau other form? YES-. ___ ___ __ -NO k m _" ii a i ii al _i i . - . iii _i _i Rte assva? TES-. Drlrd csava? TES- -~~S * UI li U - U WEU - - -I _ __ _ m_ t'-) Zseeva In any other form? YES- 00 _ _ ___~ ~~__ t rowntIwor on? TINE TM tO.., TEAM.___ Localh rlcol Ic beveregee YES-a. _______ ___ _M the d t atSC¢f he *.NO . a ^E 1m U EU _ ^ E H_ _ ____ _ - _ _ Y Fre{sh m1WeIlk?E J A yES-a. _________SPI_CTDE _ _ _ _ _ _ _ _ _ _ _ _ w in m u Im 1 U Eu M iE l E i - s. semi _ _ JAM YEN MAE API NAT Ji~~~ JIlLIfANotKSEPTIF NONOV DEC TO IESTIOMI . I TIME - - - - SECTiON IT. FOOD CONSUNPTS@U, PART C-2 eOOe EIXPENDITURES, PON-SEASONAL FODSe IF TAlA W_ 10 1 IS lVI, AUK 2-6. 4 - ~~~~~En ~ddM TewlT0 1sjterhlt 9= 1 I e°tur 1teW X ........ L TI!7 ...Bt4141th" T e9X at = so U@E W lT .IT: A 0~~~~~~~~~~~~~~~~~~~~~~~ VE IDFaT? ci:::}} .E O Ia mIli Uil NO I.~~~~~~~~IUE ANO . UlRSl TIE .VS.. N T TO rXESTIllS 2-. E I _ FED 165 4_JAL APU AM JL A P OCIT NVN DEC TIES I ,I AAMT I rET A Awcat flow, breed YES-. ~~___ __ _ ___ ib i- " i_ i in i " ___ _- Macroni rnd operghtl? YES-* __ __ ___ ___ 1Mm_E HiE m U E-E i 1 _ _ __ _ n Biscults, cakes or bW? YES-m Other oils? YES-. I-,4 E.. _ _ ___ J_riat1" _r . YES-* Solt? YES- _____ .5,0 * iEnEE.hiEEE .i. in.iin.i_ ____ Chltkm ffck ord other YES-* p-w tryo |kx &M ote - """ __ _ Seat? YES-. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4Xj~~.-o NW " E-"_ _ _ _ mittn d wt7oat? TEE-: a__ I_ __ Pork? itS . ___________ ___S._ seby food, sxcludio milk? YES- ______ -b ___ _ " *I] ElM_11 _ U" E -_ 1 _ _ Sodas (coke, fott, etc.)? YES- ______ ~~~~.-NO ~ E E E E E U E Ii JAMI FES Mit APM MY AM A IL SE OCT NW DEC PACE 1 SEIC TION 1 7 . FOOD CONlUNPTIONl PART C - 2: FOOD EX PE NO IT UE E AS, N- S I A S O N A L F O O O S If THE ANSWER TO I IS YES. ASK 2-6. 1 ~~~~~~~~~~~2 3 6 @ OUT 5 (ci jaa;, dd lMom V rflt e .1I 8 IfTE often tdd tef r own c_mit on? eentCds qun CtX ed Xsr tii ~tin vet FO' AL NOTNS HETNIION T T I lE E L n 1. thee. 3... FUAi. fTHSn NONET101 E EX TE =oh.? ;t* 7 UO (DID NOKBiT IUT).2 }gNS~j0 T NIJLEDUWT TimS UNIT: MUA RSS IN E= r~.AT i InII YES ...I jj J Other alcoholic bevrae YES-..…-__ _ _ _ _ Yest, baking power? YES- T- Nilk Powder? YES-w Tl7d eats, fish, weo YES-. or rult? M,§ M M M M M M1 M M _ = -I= other proprd foods YES-. -Gtherjoour crope Y_ _ _ _ s (spif>:__)7 Nd k_ - ___F_ - _I_ _ _J ._ [}3 ~~~~~~~JAN FEB AS APR NAT JUW1 JUL JAUG SEPTOCT nOV D>EC * E t T I o 1 1 8 . EX PEND IT UR E S T NHOUSE NOEDO MEW MER S PA IT A. RESPONDENTS: ALL HMSEHOLD MEMBERS 42- sE CT ION IE. E xPEI* I 1URE S II t b US Ell OLD NI MI EIs, PA IT As t GO DIS III 01 S A o EX P EOItU S I * I r X E PA S 1 2 NON T t* Semi I _ golie to ask youdaout certela iten you may hve ;a Dred In the past 12 mnths trince. .. By acqaIrad. I man Item that you boht for yorelf, mde for yotrself, or that wre given to you. J A. In Oa pat 9 onths (slm* .... ha" you .ect red um ...1 I...? tECS IKE A1111 TO NESTIWN 'A' FOR EAC ItEN. IOU ASK GUESTI 'X5 FOR ALL ITEMS ACUItI O. tit 1b the Vw(( of Ofl df the, ...tI I... thet you hovIe "Wired In the pest 1Z months tCiac...)? ~~~~~~~~~35 t iIA Is AA 1 & 0 S t 6 Lu nA is m E 96 ICA l0s TuAv or t cl orfootwmear? grxye.N pietIrIts. U5mbrol lea NedEchos? note I |tang N r * | bIm La 1k |:::oth gir nt. kc f.t _-!' I .a [MONTEP AMO AJ T MMmi E Anmay LANDT EJ AIUAT AWI IMA AMN EH.IJ MM. LA PACE 65 I I C T I ox 1IS . EXPEND IT TUPER ESYBY | NOUENOLA t NE. ERS TO BE ASKED AOUUT ALL NOUSENOLD NENUERS 1S I T YEARS AND OLDER. a- sicilTl 14. INPINDITORES IS IkOUSEIIOLh NENII SS. PART St IKPEUOITURI SINCE ROU ND ONE Pf.O I gIn la k you about Itm that you hv purchased lI,.* my lsr vIsit, 2 weks ago. I - Interested enty In Item you prchased for yourseltf or smw eIse fc1tk v nLar _uney, and nDt It_s ptdchsad A.lst ( watMt (2 weeks ntp, hm you prchased ... I... I ECM Tff AMn TO 1 ESTION $A PoR EAQI ITEM. ASK ESTIOS 'U' 101 ALL ITENS PW'MeS s. kw ich s yeu spent for ...I 3... sInce my last visit? UA tO 2A A is 4A 4E 5A 6A 4 rA O A as 9A 9 10A I0T 1 I A 12 ousI"I lc su2v "I Gtobi Ito ~ ' ~ oue lotteries? =tn 1I e oh Fow.tt4 3h1 tis grdeaco eaIera of esGasoline Envltlii jktce I- 3 at).1A TEL::j I2 I ____ c E t A 01 2U9 .:.___ INNIIM? " AIRNI-:::iEI AMUWJE NJ l :::I__ 2!::A -P PAmE 64 SECTION 19 . : ITTANCES P A N T A. IOREOIhI A IAD tEN I T TANCES RECE I VED TO BE ASKED OF ALL NOUSENOLD NEINE RS. ( T NOSE I 5 AID OLDER R E S P ON D F O R T H E N S E L V E S. A D U L T S f O R C N I L D R E N. 0o ~ ~ ~ ~ ~ ~ ~ ~ ~ FE HLRE OQ U e 3~~~~~~~~~~-3 _ *-~~~~~~~~~~~~ 139 -! S EC t I e N 1 9 I E I T T A N C I S A N D C N E D I T, P A R T I * O A OU I h C AND A E N I T T A N C E 8 A E C E I V E D (COT.) _ 4 5 6 7 9 tO t 12 _3 9 Iuj1uutdlIke,~~eek~~,,~, ~ y~,.IIAPt".. s~~y* o Vag Tbre a tint wig the 14,t you ch. has Mom I b .Edo~ ~msr 0 EIgiN .-T~sis~rn 6t&T- Inaitv~!. ~t h* n 1 u!I..s l M r. n ottnlrarm Tnror Pt Oh,O V W Yn I ' 0 "UrIm n I I II NUroug0~U 12Or e ___ t_ we _e_ , 2 ..... YES ... Y~II ES-1 YES.::: v... YS... I ..: : Co~~~~~~~~1 CODE .. ...o& .j:t NO.. 0) NOD,. O....2 Co13) N ....2 (P 40) - M Utl~~~t. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~~~~~~M u m _ _ _ _ _ _ _ _ _ I__ _ MX U N! I I _ _ _ _ PAGE 6 S I C T I 0 il I O I I f I T T A li C E S A 11 0 C A E D I T. P A I T A, s I A E o u I t a A Ni 0 i E I I TA N C E I R E C E I V E 0 (cONT. _ l. U15 IS 16 17 la 19 20 21 22 23 24 V Oe I N u ° . f ,i n D r lL ? v I i th e ij m m tI. eN i o w U J h d o D i dd OXrtmn SEI T r 'or 'f 1- E YE. IC ;ht ww Ir 'di .. hm ! 6U1 t .Iw .:.j E.. YS.. t l :iicAtI.t i E. i} 1- ID E iffS 2 1- I-o] la.!.t ..Z ANO... I ...C. la21) YES. .262.) Ai -.. Yr-* 2 40 PAGE 69 * I C TISa I e i A I I T t A 1 C i 5 A N D C A E D I t, P A i T A: D o S R OI I I 1 Q A ND i E i I T T A 1 C E S I C E I V e D( (CCT.) 25 27 Z 29 30 31 32 33 34 3 KMw 1wwIdilIks * . ~1T5 lave~~*.. w?rCY~I ypy gas jltre a** Miligth"t yo .9 R9iN mdic do Rdi tth l ilin X M t9 u e t D r tt S la 2 . in DJ°i;t-jl. u 5 1tf tt MHrh t'n ea o rB Tor rI ,II I~~~~~~~~~n .6'1t v gs. ,. ,i 4n E L §s11,, t a I r ,-, I@l ~~ ~~~ ~ ~ ~ a~~~~~a&j::::~~~~~~~an or oT U5 RH MO...? (.32) I Mewt,On.... 2tIts care PACE 70 o- ls !~~~~~~~~~~~~~~~~~~~ UN- L: U> B ~~~~p3I~~~~~~~ 143 * a t I I a a I C . R EI T A 1 C t S A 1 0 a 11 I .EC IUi . _E .AUE P A I T S. LIND I MS AND t IN I TIARC I S 8 T tO St ASKED F ALL N OUSINOL N I SES tI 5 E AI tS OR O l DE R. SECT ION I e I * E N I t T A N C E S A N C C E IT 1. PA A A T S L C E X D I A N X A I E I T T A X C E S S EN T 2 IddToo m~ _ D Iurl IJ rh t 12 Fnr tr Jn weu dvfl . dt t . 40) maonths? If5 WHM fUR iUsS INE SENT FOR5 SIC .~~ ~~~ wE S S nE k L SCK PEXSONS EI C INfNSEE TO rESE NIL WEE. POL PAGE 72 S E C T I O P I It l f I T A a C I A A a D C R S D I t. P A t T Slt L I W D 1 A S A R E S I IIT TA t E * S EN T 3 _ _ 6 7. _ 9 10 -I - 2 13 Iwi lik AOas a timPerJpo cw,ed rmony We At U.D o "U Ohrn u Smi |ra,d Uk^ 1| ........ . .. . ot: mek1e h i .gr2.LN* .5>.iIv?n.t to raugo re ii or= l 0 ..ha. N WmU with do. o l di 1 U,about thto~~-.s a sdn or any pe,thr Or eop9tYOUb Onl.~re . to yr to __ live? nsent or ths S1be rW =~ iite w , I 91 te n R o O-wAy orvh!eeo orIIohall dt f Se Pile/her relmtImi wip th Ifif VLSE7; t chst iet'l *7.:ar r?LEE,l to you? vo .111. ii 5t5 t Wmyougo I1ldIn 2h n "Mt I;.S I. Sl||ECTIO 2d 1 7M -N:;i |E| D o Ci IdlE ...~~~~~~~~~~~~~~~~~~~~~~~~E NL IN VES n w ID CM 90 ....2 ... NO.n........ APMM ANOL~ ~ ~~~~~~~~MM AImMT PAcif 73 S E C T I ON 1 9: E E N I T T A N C E S A N D C R E D I T. P A H T It L E h D I V G AND R E A I T T A I C E S S E N T iS 15 16 is 1S 19 20 21 22 23 24 now I woutd ilkagotok& sawe u CPY THE Doe" Weredoec Lt. O heere don ON twe In Don WY t , I k c Did ror" tin bu sheee poiprsoan to CMILD IIvIMA IJM IEJsong? to spec fl reason rs e:on for a.h n it thl. laben t to ~hrPIOt92D her gifts or tonas CODE h Icost In for *ondIng this t? en or thee. D LIIN". ,n nhe tfto 1LSEisERE IN,OF In t v, IncPilOEDEs. t ) SERVICE 2. VIL"LACGEI? Ohe aee In bLnAr yo!dIce rc.r oMDIA Eiont f. his/her r|1otiDRlnlp to yuif r YnTs 1 NUSIMIND VIlE Eager..... DDING IMP¶MSEj t : I RES. NT . 5 YES.1EYEs. ....... 5~~~~~~~.. en... O III ~~~~ ?spoeliv: 1.24 ~~~HMN IMUNT ANMXT______ PACE 74 S IC TItaN A9 E NI TTIA N C IS A N C REDI 1T. P AU A UI L NDII R 116 A ND0 ENI T IA UC ES SEN IT 25 ~~~ ~~~26 27 28 29 30 31 32 3343 I onbm Om . TelI... ..ot masons 'IOsn Tlr thT ;s P or pf sot l oan Kett re D Is t e vit rIc i 11rnt Is htI bs. relationship to you? U 2 2 ' NIS UN a VIeres. :3iCl~ fh I ~ ~~~~~ 1 II ~~~~~~~~TESj ~ ~ t tr3 2! i D?Wh00.. ES ....I yes .... ~~ ID ~E NO.2 ,JUMT ispsnt Know ..... NO. NO. No..ES? _______ 00 PAN 7s SECt CII l9i CE7 I ITTACEIS AS CEI I T PA1 *R : LENS I N A4t IN I lt ANc lENT (ENS) 36 Jr 1 St 40 _ 41 42 43 I~~~~~~~~~~~~A *rM1, F.om Now otl doa vw 00 ati ;-bg§t,rtiteat N..u.keuny hve ~ ~u .zlt * l.d iavhsvu~~.amr I~1tIle e u fle pub weIrt to a~~~~~~~~~~~~~~~~~~O Id to or e PAStT C VILA V.$ ..1 YE.. .1 No ... 2( IU S.... 2to, MT. 2I-1' m maw_ _ _ _ _ _C) 'JCw PAGE PA S EC ITe 19. RENINTTANCES P A 1 t C. TO BE ASKED Of ALL MOUsENOeL N E N * 1 Y E A R S OR O L D E R. C) Stc II g 9. PAUl Ct SAVINGS TO KSIAS L OF ALLM MEh S 15 Eh AnORLON tl I I ----1-2 1 4 I 6 7 a 9 10 No *w~amt do you Wmn - 4id Do m*wo Sew of ten dortchpnIaaidetn oft -"ot heeta t my c Wmr"di toIn I hb did h.TOSE ooiUeoo hn =i Ott diVs~ ~~ !~~~,.t. ~~~~~ he. 't. ___o_ ____t _ _V_fro Mr. 09r5. . , .... =_ _ mu ~~ twa as *s~~~~~~~ 3? tea ~ ~ (O.3?.' A. b. semie u) o14eetjw _ _. _ _= _-- __._. l~~~~~~~~~~~~~~~~~~~~~~~oO Mi .w. th M. 2I1 ____ -___ I- 1______ I-I I_______ _______ ______ 1 I I_______ _______ I _______ I_______ I 1 __ I __E__te'_ I ' I_f_tn w I I-l_I_I ___I II1--] 1 1_1 1 11. 11 TEIW NA WIMp T1 ~~~~~~~~~~~~~~~~~ TI '.d W1Nuug kill PH IMU¶!" 411 I: I ur E~~~"1e I x i 3- oH . U ±5 _ is s@O U _ 1! o U .- -~~~~ S5 - S E CTIION 2 0:IN OT A LI T PARPt A: F NORTIIT PHUSEHNDL D MEN aERIS Itmihe oRal reofyouI IEIIOE ~~~~45 6 I t IT It th q qOF aet wastwretation betw.T .e ptd usea Dide 'COPY THE JD CM, i ~ EETIEIDCT OF ,TdAS ECEASVg URmoR NV" Her r ea. t ah up9hheal . IAuEI I I HA TH.IE ROTHEN AND/ IHNJ. R ITR N/SS 11IA montw,hs ,i h atDCASD ~ tSCrn~ee THER OF THE have a YRT R O H EARS OLD? PS ~ ~ ~~~nau:, ECEASED PERSN FROM jEI lt*r or VECEAE PESO Eto" MIEE KW A LtST OF INg NAMES OF ~ ~ ~ ~ ~ ~ ~ ~ Re'?diod EIt THE H(RSEIIOL ROSTER. o~hr HE RTER. SIN5 A,' ~~~~~~~~~~~~~~~~~~~~~~~~~~~.M 1(ETION ) (Sg in Es HEIERIS Who VIED HN THE PT i "II SICE SPIAJE .....................ther) ty S TWIARSA A RE~~~~~i SCEX. KEERIE S T A ER.TE.......I....ilyInin hoLusehotd? H AND A H WI1TH HEtM HOLD. ROHH 1HE.EASM5h chold? NCISE' AL' TOe CR15 PEST P ESCe SOlID ~TER............E.......1 15.. U EASK EO C6IN -1FO AVKSNO H LIST. NIECE NE1E.: :.......... L oriI ORTEAISTPRONJO- ES..I E ..I E a , tONR NEXT ON. MALE.. SBRWOHERSITEINLII.:2: B M~~~~~~~~~~~~~~~~~mi OTHER I LF UNDER Ho.. .2 HO. 2 N. B OT~~~~~~~~~~~~~~~~~~~~0HER ELT4 PRA' :: ~ EAlts 1 No ... .2 UNRELAE SRATR AAi:jSISTERS OR BROTHERS OTHER URLAE PRO ... LA ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~~~~~~~~~~~~~~~A SE CT Ion 20 PORTAL I T * P A D T A: |ORTAIIT OFNaSIENOL S SEco.)L t~~~S 15 16.. lE1 .. E 1 T5 19...tE 110 2 I 151 ..30 2E p5 ...DA19EI "0 2 ZT 171 alE ID CM OF AL2 CNiPn Old. . .. IMedETqd l at kind .1 lo,k Iii~uT7~ve IE GEE PERON mmii).e fIL a, er 1K191013W N ROSlIER hCUSd,.It ROSTER (SuCTIon coupleted tfa 35151E RCEASEDFAIMING ........ RDa NOR IEMH~±. LIMA% MSKLE ..~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~. 61ST TNE IDcoi ESW SPR N Of ~~~~~~~~~~~ALL Of TUEN. R TTO . TES...I 153 ?ES:::1 173 US:::l~~~~~~~~~~~~~~~~~~~~~~~~~~~_ CD (A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~N (A ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~~~~~~~~~~~~~~~~~~~~~~U TE M La in,"TjiADIIIN .... a~~PGE 5 NEIC I I 0N 2 0: MORItT AL IT V P A RT A: NOTALIT Of HWSCOLNEHRERS (COHT.) 20 ~~~~~~~2 2324 Zs 26 Zs 2 29 Now1- ging DU .0fti-.18 ~,m;ujogOrSbJI& pt0 that ..I1AME).. hod For a'owh DIITlon.AT to ask youea o - Pe .. sr. ness Wht mas wrong? If DIACANCA NOT If NEIGhT LOSS IF SUIN RASII NOT If FEVER HOoT we. .DDT ET . tOeE~ an Lioes esh CITED... NOT CITED... CITED.... CITED... lIeIIsorPAST I MN. CIS? death. 116~~~~TRFF IC AEIAA I PA IN ON PASSING J.-'ad Ar3he ao reea ovrecurrent57wade? sse (EPRT .0 * ~~~~~~~~~~~ACCIET . HE * OH . . rwn r de o wa I? Usr fore aefth or N Cig WWII- NOE. CI L. Smo 'I A. T A5 U0 '~: 1 U AIGRILI Sul IKN NSH.IN OT INJANt....I IEER H .A ..l VISE....I L. 23) YES ......I Y ES.....I YE ....ITEN ..... IS YES..... In khat - I ...~~~i CFY .......25NO 2 HO.1 2 No ....... H . 2 no.0 ... 2 Ho .....I P ..O . 2.HO 2 sway? ~~DO43 DON'T DONC DS'TDEW awmy? VWn. .3IC. 24) KMii. VJWI.3 ICO.... 33 PANE 81 SICII ON 20: N ORrAVAL P AtT As IUALUTWIUIWUOfIUIRS(WT.J _ 0 13-mmbt*}t"tbirtT Arvl e l 3Ed 35 34 r-* > 11" t-° thittait esabisdm o wrevisited SA..Isui t bv th 01 d~.i~i.1M.1ga. t" of or rt }crdre| tti Et : nl ^nI tr Mt MtE~ JM l5 I°[7 t r7" 1 _n Mt; c SDhISi I ,rhl 2r eit7 ALsmn t tre . 9t A tcl i ? iiiii; tes , A cheN, or i tat Sea R . led torl E . deat I O Xe.;; . 2 s- s5s tVsX i 5PN I A>C l D iElS l b ..... ItEc3 ,s \.. UIUIC. . .. PRRH111.mmwsmamNRGEb 'IDInaiA....2 PNM O5RP PAYMENTS U0 CAIN. i . I(40 0 .....2 35) ~~~~~~~~~~~~~no ... .2 34) ALY.t ....6 rn f5LeO COULE itRE JPLC. ELSEIAiER.3 tt 40) ILLNESS COES AIDS/NIV ............. 1. AYSETE; ................2* *ILHAAZIA/ SNISTOScUASIS . CAUER .............7 4 DIAIRRHEA ..S....... DYSENTERY......... 6 FRACTUORE ..7....... GONCRRHEA ..............S INTESTINAL PARASITES ..............9 NALARIA ........ 10 PALUTRITION (KWASNICRKOR/ AAMhlh) ........11 MEASLES.. 12 LAI TETA IPJS........ 17 @ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~TYPIIOID .........t9 tMEINY INFECTION .. (SPEYHIY) I.. OTRER ILLNESS (SPECIFY). .. 2 OTHR INJURY (SPECIFY) ........24 DON'T aNmG.........2 S E C I I a O 2 0 a Y o I A L I TT P A R T A: wORTALITY OF idSEIIOLD HEUERtS (50) ,7 35 39 40 41 42 43 4 45s _ is U~a~j nasa W s this heWlth TEthe at did the prctitioner w Iat lttrEws do mtVi* Now I -aoir to _t ~~isAintt passed ~~~~~ at? mom i~~ciuhr a m ..IAiI.aa er,fng from? th1psaaot POSS aww~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ItIP?~~E tew. so. .2 F~~i1 iWIAJIZANjA.. UCLIDE TA yVAtgift (.1*) PTH-1 ~ 5501 Vi~S IN¶IIMt YES [111ufr1 MC 2 th.I A~~~~~~~~~~~~~~~~~~~~~~~~~~~PM5 S E C T IO 11 2 0: O R T A L I T Y PA R T *: TALITY OF REATl S 1. Do you have an relatives eAo were living away from your household wrd Wio died In the test 24 months? That Is, since ..(SANE MOTH TWO YEARS AGO)..? YES ..... No . 2 (OEND) PROMPT FOR OLD PEOPLE, INFANTS. CROSS REFERENCE WITH SECTION 3 (PARENTS DIED, LAST 12 IOTNS) AND FERTILITY SECTION (CHILDREN DIED, LAST 24 MONTHS). MAKE A LIST OF THE NAMES OF ALL RELATIVES WHO DIED IN TIE PAST 24 wNgTHS (SINCE TWO YEARS AGO) AND RECORD THEIR SEX. ASK aUESTIONS 2-27 FOR EACH PERSON 0N THE LIST. COMPLETE ALL oUSSTIONS FOR THE FIRST RELATIVE PEFORE PROCEEDING To THE NEXT ONE. 0 S E C t OI Z a 2 NOR TA LI I P A R T I: | RTAtIITIW IATIVE| _ ies tol_te t 3 4 d. NI 7 -d DI1 qO i the ti bet W am .. E ID ISP ilES f-|'I. IT10O ARDOF Co"... r IIF! SRR sSEmtA ?J.~~ U!~2~~. ~iL. IL.c'wr.t Cad ~U4%ntu AIlWRTON II I MIE t__ yorKee * prn(n:r IK It II 'ISDTt~~ -IIIhROi0? _ Wlt_ I |ROS | 4I; DErtC Agort m ~~::::~~~ pea maay? Per. th PEAO ftF W,90wei.RLCEA1ORO 01~~~~~~~~~~~~~~~~~~~fC IK ~::::::: ~ 1~s5 ~ VS... IES..1 r IS I~~~hI~~~i......... I D..(.S O..2.O I0.. ~~ATID iiR ~ ~ ~ ~ t YAU - EA....T.-.. WINE'S PAIWER'S fISTER$/"" 13 IRS MR ID~~~~MTM 05 A IDdiE 51 CED CID II D f0 am F vg-s -FN-m-1 ME ewe cm MEICIF.~~~~~~~~~~~~~~~~~~~PA 0 IEt CT IO 2 0 * X 0VA I IT P A t I I I NO|TALIT F RELAtIVER (FT.J1| lTE ( S EETION 1 I. MAA10 "0 2 t ~~~~~~~~~~~~~~ll ....l 02 So2 vE. Y_ ...I TEO...I YES..1 (. .IT) U Ui_ EARS U~~~~~~~~~OWATItM 0% PAGE 85 IET C I I e N 2 01 NO T IA L IT P A R T I NRt|ALI?t OF RELATIWS(t) 13 20 212 I~~~~'t'-a 24 212h __ 2 23 MMPgfgto Oak CI.t a useh w bep lb.Uat did tb. b.ihnMfattislw dLe.114 I Nis TO JM NMO Sch did Tit"ol i MU mo liabour r--;- tEEIhalm 10* E. YE . IMW. M. A.u re - E. e' i p:d a .td b U&IEI 1~.1 1eath. «I - deato PAST I uRT i Y S l t Et l d eoattth.Li .i1i 1EP1 TO 0.131 UM Tfl.i st IL IE yI?It | ti gIEm |vc FIt?f | 02r- . %Cy, TCh dV.mUt trin lr.alint? tidmrat RA . I J llW P.S a I ~~.?'3LI~~¶ihiAau.. C~~~~AWL SE ILLKn COES MOVE. SEE ILLNESS CODS ANEW. YE PAGEI ILLNESS CODES AIDS/NIV .............,.1 ASTH..A.2 UILKA*ZIA/ SH ISTOS011IAS IS ..... CANCi ..........4 DIARRHEA .S DYSENTERY .........6 FRACTt tE.... E...... C011DRHEA ....... .. i5. INTESTINAL PMASITES Y.9 MALATRIA..............10 MALNUTRITION (KNASHIORKOR/ MARAUS) . II11 SEASEs. 12 MENINGITIS ........13 POISONING............. 14 POLIO............i SYPHILIS .16 TETAIN.IS . 1 TUBERCULOSIS ........S _ URIKARr iiTYPEOID ................. 19 URINARY INFECTION.....20 4P- WITCHCRAFT .21 OTHER STD (SPECIFY) .22 OTHER ILLNESS (SPECIFY) .*i 23 OTHER INJURY SPECIFY) .24 DONIT KUW. 25 Distributors of World Bank Publications ARGENTINA EL SALVADOR JAPAN SOUTH AFRICA, BOTSWANA Cao Hirsch,SRL Fusade Eastern Book Service ForsingLetilkl Galeria Gu me Alam Dr. Manuel Enrique ArauJo #3530 Hongo 3-Chome, Bunkyo-ku 113 Oxford University Pres Florida165,4th Floor- 453/465 EdiflcioSlSA,ler. Piso Tokyo Southern Africa 1i3 Buenos Aime San Salvador OI P.O. Box 141 KENYA Cape Town 8000 AUSTRALIA, PAPUA NEW GUWIEA, FINLAND Africa Book Service CEA.) Lid. 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Ltd. 02-06 Ist Fl., PeotFu industri Bldg. 24 New Industrial Road Singapore 1953 LSMS Working Papers (cont;'nued) No. 54 The Willingness to Pay for Education in Developing Countries: Evidence from Rural Peru No. 55 Rigiditf des salaires: Donnees microeconomiques et macroeconomiques sur l'ajusterrent du marche du travail dans le secteur moderne (in French only) No. 56 The Poor in Latin America during Adjustment: A Case Study of Penr No. 57 The Substitutability of Public and Private Health Care for the Treatment of Children in Pakistan No. 58 Identifying the Poor: Is 'Headship' a LUsefu Concept? No. 59 Labor Market Performance as a Determinant of Migration No. 60 The Relative Effectiveness of Private and Public Schools: Evidencefrom Two Developing Countries No. 61 Large Sample Distribution of Several Inequality Measures: With Application to Cote d'Ivoire No. 62 Testing for Significance of Poverty Dijfferences: VWith Application to C6te d'Ivoire No. 63 Poverty and Economic Growth: With Application to C6te d'Ivoire No. 64 Education and Earnings in Peru's Informal Nonfarm Family Enterprises No. 65 Fornal and Informl Sector Wage Determination in Urban Low-Income Neighborhoods in Pakistan No. 66 Testing for Labor Market Duality: The Private Wage Sector in C6te d'Ivoire No. 67 Does Education Pay in the Labor Market? The Labor Force Participation, Occupation, and Earnings of Peruvian Women No. 68 The Composition and Distribution of income in C6te d'lvoire No. 69 Price Elasticities from Survey Data: Extensions and Indonesian Results No. 70 Efficient Allocation of Transfers to the Poor: The Problem of Unobserved Household Income No. 71 Investigating the Determinants of Household Welfare in C6te d'Ivoire No. 72 The Selectivity of Fertility and the Determinants of Human Capital Investments: Parametric and Semiparametric Estimates No. 73 Shadow Wages and Peasant Family Labor Supply: An Econometric Application to the Peruvian Sierra No. 74 The Action of Human Resources and Poverty on One Another: TWhat W/e Have Yet to Learn No. 75 The Distribution of Welfare in Ghana, 198748 No. 76 Schooling, Skills, and the Returns to Governm-ent Investment in Education: An Exploration Using Data from Ghana No. 77 Workers' Benefits from Bolivia's Emergency Social Fund No. 78 Dual Selection Criteria with Multiple Alternatives: Migration, Work Status, and Wages No. 79 Gender Differences in Household Resource Allocations No. 80 The Household Survey as a Tool for Policy Change: Lessons from the Jamaican Survey of Living Conditions No. 81 Patterns of Aging in Thailand and Cote d'Ivoire No. 82 Does Undernutrition Respond to Incomes and Prices? Dominance Tests for Indonesia No. 83 Growth and Redistribution Components of Changes in Poverty Measure: A Decomposition with Applications to Brazil and India in the 1980s No, 84 Measuring Incomefrom Family Enterprises with Household Surveys No. 85 Demand Analysis and Tax Reform in Pakistan No. 86 Poverty and Inequality during Unorthodox Adjustment: The Case of Peru, 1985-90 No. 87 Family Productivity, Labor Supply, and Welfare in a Low-Income Country No. 88 Poverty Comparisons: A Guide to Concepts and Methods No. 89 Public Policy and Anthropometric Outcom7es in C6te d'Ivoire