LOCAL COMMUNITY QUESTIONNAIRE INTERCONNECTION: INTERCONNECTION MAPUTO – VILANCULOS Note for the researchers: • ___________________________ Fill out section A (socioeconomic data), section B (lifting of the easement range), section C (general comments) with community leaders and some of their councillors; INFORMATION ABOUT THE QUESTIONNAIRE Information about the Questionnaire Community / Neighbourhood Name Questionnaire Number (day / month / initials / interview of the day) : ___/___/___/___/___/___/___/___/___/ Name of the Interviewer:: District: Administrative Post: Is the village connected to the electricity grid? Yes No i Locality/Village: _____________ Area: Rural Urban Location of the interview GPS WP #: Information on the Community Leader and Interviewed Name of the Leader: Respondent’s cell phone number #: No Phone Is the interviewed the leader of the community? Yes No If not, what is the respondent name: _____________________________________ And what is his position: _____________________________________ Interconnection Maputo - Vilanculos 1 SECTION A: SOCIO-ECONOMIC DATA I. POPULATION Total population of the community: _________ inhabitants (source: Instituto Nacional de Estatística or Census) Number of houses II. ETHNIC GROUP / LANGUAGES Ethnic Group Describe What is the main ethnic group of the population What is the main language spoken by the population III. WHAT ARE THE MAIN OCCUPATIONS PRACTICED BY THE POPULATION (mark the two main occupations) Occupation Mark Farmer Shepherd Own account Private Sector Public Sector Other (specify): ______________________ Note: If there is no member in a specific category, please enter 0. IV. What are the main religions practiced by the population (Mark the two main religions) Religion Mark Catholic Muslim Animist Other (specify): _____________________________ Interconnection Maputo - Vilanculos 2 V. SOCIAL AND ECONOMIC INFRAESTRUCTURES PRESENT IN THE COMMUNITY Does the community have any of the following facilities/ social or economic facilities? If not Indicate where Infrastructure/ members of the Presence Number Facilities community use these services Primary: #_____ Primary: _______ Yes 1. School Secondary: #_____ Secondary: _______ No Technique: #_____ Technique: _______ 2. Health Unit Yes CS/PS:#_____ CS/PS: ______ No Hospital:#_____ Hospital: ______ Market:#_____ Market Name_____ 3. Market/ Yes Names: __________ Local: __________ Marketing Centre No 5. Administrative Service Name_____ Buildings Yes Local: __________ Number:#_____ (Administration, No Meeting room, etc.) Mosque: #_____ Mosque: #_____ Yes 6. Church, mosque, etc. Church: #_____ Church: #_____ No Other: #_____ Other: #_____ 7. Sacred and cultural Sacred Site________ site (local or historic Yes Local_______________ Number:#_____ building, community No burial sites, etc.) 8. Machinery/ Production Production Centre Centre_________ Yes (sawmill, mill, Number:#_____ Local_____________ No workshop, pottery, honey, etc.) 9. Water Supply (holes, Yes borehole____________ Number:#_____ font) No Local_____________ 11. Police Station Yes Local______________ Number:#_____ No 1. Is there any associations in the community? Yes No If Yes, you can list them: _____________________________________________________________________________ _____________________________________________________________________________ Interconnection Maputo - Vilanculos 3 SECTION B: Note to the facilitator: This section should be completed by the interviewer in the field with the help of community authorities (village leaders and representatives). The presence of woman should be requested to provide relevant information about the presence of sacred sites, heritage sites,, ceremonial or specific sites within the RoW. I. MAIN BUILDINGS There are government buildings, schools, church/ mosque or heritage, totally or partially located within the RoW, which have to be relocated? Yes No (If No, go to question II) Specify (Example: # Function primary school, Coverage Walls Floor Dimension GPS WP # health unit, hospital, fence…, etc.) 1. School 1. Grass 1. Sticks and stone 1. Clay 2. Temple of Worship 2. Zinc Sheets 2. Reed or stakes 2. Mud 3. concrete 3. Cement Width___ 3. Adobe Blocks m 3. Health unit 4. Tiles 4. Mosaic 4. Burned blocks with plaster 5. Concrete/ cement 5. Other Length___ 4. Hole __________ 6. Blocks 5. Not towed blocks m _________S 1 If other, specify: 5. Other __ 6. Towed cement block ____________ _________E 7. Other If other, specify: 7. Not towed cement blocks ___________ If other, specify: _______________ 8. Mansory with plaster 9. Other If other, specify: _____________ Interconnection Maputo - Vilanculos 4 Specify (Example: # Function primary school, Coverage Walls Floor Dimension GPS WP # health unit, hospital, fence…, etc.) 6. School 8. Grass 10. Sticks and stone 6. Clay 7. Temple of Worship 9. Zinc Sheets 11. Reed or stakes 10. Concrete 7. Mud Width___ 12. Adobe Blocks m 8. Health unit 11. Tiles 13. Burned blocks with plaster 8. Cement 12. Concrete/ cement Length___ 9. Hole __________ 13. Blocks 14. Not towed blocks m _________S 2 10.Other __ 15. Towed cement block 9. Mosaic _________E 14. Other If other, specify: 16. Not towed cement blocks ___________ If other, specify: 10. Other _______________ 17. Mansory with plaster 18. Other If other, specify: If other, specify: _____________ ____________ 11. School 15. Grass 19. Sticks and stone 11. Clay 12. Temple of Worship 16. Zinc Sheets 20. Reed or stakes 12. Mud Width___ 17. Concrete 21. Adobe Blocks 13. Cement m 13. Health unit 18. Tiles 14. Mosaic 22. Burned blocks with plaster Length___ 14. Hole __________ 19. Concrete/ cement 15. Other m _________S 3 15. Other __ 23. Not towed blocks If other, specify: _________E 20. Blocks ____________ If other, specify: 21. Other 24. Towed cement block ___________ 25. Not towed cement blocks If other, specify: _______________ 26. Mansory with plaster 27. Other Interconnection Maputo - Vilanculos 5 Specify (Example: # Function primary school, Coverage Walls Floor Dimension GPS WP # health unit, hospital, fence…, etc.) If other, specify: _____________ 16. School 22. Grass 28. Sticks and stone 16. Clay 17. Temple of Worship 23. Zinc Sheets 29. Reed or stakes 24. Concrete 17. Mud Width___ 30. Adobe Blocks m 18. Health unit 25. Tiles 31. Burned blocks with plaster 18. Cement 26. Concrete/ cement Length___ 19. Hole __________ 27. Blocks 32. Not towed blocks m _________S 4 20. Other __ 33. Towed cement block 19. Mosaic _________E 28. Other If other, specify: 34. Not towed cement blocks ___________ If other, specify: 20. Other _______________ 35. Mansory with plaster 36. Other If other, specify: If other, specify: _____________ ____________ Interconnection Maputo - Vilanculos 6 II. COMMUNITARY RESOURCES, SACRED PLACES AND HERITAGE Are there any community resources (natural areas( where families collect products), pastures, community forest, plantations, etc.), sacred, ceremonial or heritage sites, totally or partially located within the RoW, which must be reallocated or compensated? Yes No (If not, go to question III) Element: GPS Area of collection of natural Element name Coordinates # products (forest, swamp, etc.), plantation, pasture, (when applicable) sacred site, cemetery, etc. 1. Forest plantation 2. Grassland 3. Sacred site __________S 1 4. Cemetery ____________ __________E 5. Other If other, specify: ________________ 1. Forest plantation 2. Grassland __________S 3. Sacred site __________E 2 ____________ 4. Cemetery 5. Other 6. If other, specify: 1. Forest plantation 2. Grassland 3. Sacred site __________S 3 4. Cemetery ____________ __________E 5. Other 6. If other, specify: ________________ 1. Forest plantation 2. Grassland 3. Sacred site __________S 4 4. Cemetery ____________ __________E 5. Other 6. If other, specify: ________________ Interconnection Maputo - Vilanculos 7 SECTION C: GENERAL COMMENTS After explaining the project and the visit of the RoW with the traditional authorities, what are their perception of the project? Did they mentioned any recommendations or concerns? End of the community Interview! The local authorities that answered the questions MUST SIGN the community attendance list. Interconnection Maputo - Vilanculos June 2017 8 QUESTIONNAIRE TO THE FAMILY AGGREGATE (HOUSEHOLD) A-FAMILY AGGREGATE IDENTIFICATION Name of the Head of the F.A. Inquirer Name (Questionnaire Nº) House Identification: Province Maputo/Gaza/Inhambane District Neighbourhood / Community City block House coordinates LAT. LONG. Date / / d d m m y y Presentation Good morning (afternoon, evening), my name is __________________ and I work for Consultec, Lda, which was hired by EDM to carry out a field survey with the objective of getting to know the economic activities of the population. The information collected in this questionnaire will be confidential. We would like to know if it would be possible to take some time from the head of the family to answer the questions. Start Time : h h m m House Location House Number Observation: C - RECREATION C.1 - Onde passam os membros do agregado os tempos livres? 01 At Home 02 At Friends House Se 01 passe para D1 03 In Sacred Places 04 In the Church 05 Playing Football 06 Cinema 06 In the neighbourhood bars / tents 1 07 Other place, C.2 - Any member of the Familiar Aggregate Participates in one of this activities 01 - Yes 02 - No Meetings in the Community Microcredit Program/Xitique Education Comitee School Comitee Health Comitee D - MANAGEMENT OF CONFLICTS AND SOURCES OF INFORMATION D.1 - To whom do you usually go to solve conflicts that you have with other people in the community? 01 Neighbourhood Leader 02 Community Police 03 Religious Leader 04 Family/Friends 05 Police (PRM Police Station) 06 Nobody 07 Other (specify) D.2 - What are the most reliable forms of communication to receive and give information? 01 Radio Receive Information 02 Television 03 Journal Give Information 04 Religious Leader 05 Friends/Family 06 Other (specify) E - HOUSEHOLD CHARACTERISTICS E.1 - What is the most spoken language at home? 01 Portuguese 02 Other (specify) E.2 - What religion is practiced by the majority of the family? 01 Catholic 02 Zione / Siam 03 Evangelical 04 Animist 05 Muslim 06 Other (specify) E.3 - How many wives does the head of the Household have? (For those who have more than one wife) If fewer than 02 wives move to F1 E.4 - Do all wives live in the same yard? 2 (For those who have more than one wife) If they do not live in the same yard, indicate the name of the village where the other spouse (s) live. 01 Yes Wife's Name 02 No Place where she lives Wife's Name Place where she lives Wife's Name Place where she lives F - GOODS, INCOME AND AGGREGATE STANDARD CONSUMPTION F.1 - What belongings does the family own Amount 01 Yes Radio 02 No TV Telephone/Celular Glacier Cooker Bed Bicycle Motorcycle Cart Car Truck Computer Other F.2 - Main Income Activities 01 Sale of products produced on the farm 10 Employee on behalf of others 02 Sale of livestock species (cow, goat, pig, chicken, duck) 11 Public services 03 Sale of fish 12 Other (specify) 04 Sale of firewood/charcoal/stakes/Grass 05 sale of Traditional drinks 06 Businessman (specify) 07 Informal trade 08 Formal Trade 09 House Rental F.3 - What is the monthly average of the total income of the household? 01 Less than 1,000.00 Mt 02 Between 1,000.00 and 5,000.00 Mt 3 03 Between 5001,00 and 10,000.00 Mt 04 Between 10,001.00 and 20,000.00 Mt 05 More than 20,000.00 Mt (specify) F.4 - Does any member of the household practice hunting? 01 Yes 02 No 01 If yes indicate where hunts F.5 - Does any member of the household practice fishing? 01 Yes 02 No 01 If yes, indicate where do they fish G - HABITATION G.1 - The house where you live is: 01 Own 02 Rented 03 Loaned 04 Other (specify) G.2 - How many buildings there are in this plot? Discriminate Conventional Which Infr Code Amount (01) infrastructure will aes Precarious be impacted truc (02) ture 01 Main house 02 Secondary House 03 Outside cottage 04 Sleeping room 05 External Kitchen 06 External bathroom for bathing 07 external Latrine 08 Livestock fencing 09 Barn 10 Poultry 11 Tent G.3 - How was the house where the family live acquired? 01 Bought (from whom) 02 Rented (to whom) 03 Inhereted (from whom) 05 Built on is own 04 Donated (specify by whom) 06 Other (specify) 4 G.4 - In what year was themain house acquired/built G.5 - Does the family have title of land use of the property (DUAT)? 01 Yes 02 No 03 I do not know If the property is rented indicate the name of the owner. Contact: G.6 - What was the year that the house was built? G.7 - In what year did you started to live in this house? G.8 - What is the type of material on the wall of the main unit? 01 Reed or stringray 02 Stingray or clay 03 Burnt Brick with plaster 07 Mansory house with plaster 04 Brick without plaster 08 Mansory House without plaster 05 cement blocks with plaster 09 Other (specify) 06 Cement blocks without plaster G.9 - What is the type of roofing material of the main unit? 01 Grass 02 Zinc Sheets 03 concrete Slab 04 Ceremic Tiles 05 Other (specify) G.10 - What is the type of material on the floor of the main unit? 01 Clay 02 Adobe 03 Cement 04 Tiles 05 Other (specify) G.14 - what kind of fence does the house have? 01 There is no fence 02 Fence with plants/ Shrubs 03 Wood fence / stakes 04 Mansory wall 05 Shark net 06 Other (specify) H - PUBLIC SERVICES PROVIDED BY THE HOUSEHOLD 5 H.1 - What is the main source of water? 01 Pipped water in the yard 02 River/Lake 03 Public Fontenary 04 Borehole in the yard 03 Other H.2 - What treatment do you give to drinking water? 01Boil 02 Do nothing 03 Other (specify) H.3 - What is the main source of energy to light the house 01 Electricity (EDM) 02 Paraffin/Kerosene 03 Candle 04 Generator 05 Firewood 06 Flashlight 07 Other (speficy) H.4 - How much do you spend per month on fuel/ energy to light the house? 01 Nothing 02 Less than 50,00 Mt 03 50,00 to 100,00 Mt 04 100,00 to 200,00 Mt 05 200,00 to 300,00 Mt 06 More than 300,00 Mt H.5 - What is the main source of energy for cooking 01 Electricity (EDM) 02 Charcoal 03 Gas 04 Firewood 05 Other (specify) H.4 - How much do the family spend per month on fuel/ energy for cooking? 01 Nothing 02 Less than 50.00 Mt 03 50.000 to 100.00 Mt 04 100.00 to 200.00 Mt 05 200.00 to 300.00 Mt 06 More than 300.00 Mt H.5 - What do the family do with the trash? 01 Bury in the yard 02 Burn in the yard 03 Throw in the trash bin 04 Garbage collection 05 Other (specify) 6 H.6 - How are the toilet facilities? 01 Individual Latrine 02 Improved Latrine 03 Collective Latrine 04 There is no toilet 05 Other (specify) I - SOCIAL SERVICES - Health I.1 - Where do the family members get treated in case of illness? If (02) indicate where the health center you use is located. 01 Traditional Medicine 02 Modern Medicine 03 Other I.2 - Do any member of the household have any chronic illness? 01 Yes If Yes (01) indicate the illness 02 No I.3 What were the main diseases of the household in the past 12 months? 01- Malaria 02- Tuberculosis 03- Asthma 04- Cough 05- DTS Infections 06- HIV-AIDS 07- Diarrheas 08- Cholera 09- Other (describe) L - Agriculture L.1 - Does the Household practice agriculture? 01 Yes 02 No If not, jump to L.3 L.2 - If yes, what culture produces and sells Code 01 Produced for own consumption 02 Produced and sold 03 Did not produced Maize: Corn cob___/ threshed___ Sorghum Millets Nhemba beans Sweet potato Peanut Pumpkin Cabbage (Cauli) 7 Cucumber Tomato Papaya tree Mango tree Banana tree Sugar cane Other (specify) L.3 - Does the family raise or livestock? 01 Yes 02 No If not (02) jump to L.5 L.3 - What livestock Code 01 Raise for own consumption 02 Raised and sold Amount 03 Do not raise Chicken Ducks Goats Pigs Sheep Other (specify) L.4 - Does the family have any fruit tree in the yard? 01- Yes If 02 jump to M.1 02- No L.5 - Quantity record Amount Mango tree unit Papaya tree unit Avocado tree unit Lemon tree unit Orange tree unit Banana tree unit Sugar cane unit 8 Malambi unit Indian Jujub unit Coconut tree unit Other (specify) unit unit unit unit N - ATTENDANCE EXPECTATIVE N.1 - If the family has to leave this place for the implantation of a transmission line of EDM, Lda, what would be your expectation of compensation? (Maximum 3) 01 Receive the value of the property in cash 02 Receive a house in a similar place as the one that lives 03 Receive a house with improved conditions 04 Did not inform 05 Does not know 06 Other (specify) OBSERVATIONS h h m m End Time : 9 B-COMPOSITION OF THE FAMILY AGGREGATE Last Education Marital status with the head of the family relationship Occupation Profession/ Completed aggregate Degree of Gender Level Age Nr Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Note: member number 1 is the head of the family aggregate Filling instructions: Gender: 01 Male 02 Women Age: In years (from the date of birth indication) Marital status: 01 Married 02 Single 03 Widowed 04 Divorced 05 Separated 06 Conjugue 07 Other Profession / Occupation: 01 Farmer/Forestry/Fishing 02 Industry 03 Construction 04 Transport 05 Trade 06 Services 07 Public Sector 08 Own Account 09 Unemployed 10 Other (specify) Degree of relationship with the head of the family aggregate: 01 husband/wife 02 Father 03 Mother 04 Son/Daughter 05 Grandchild 06 Grandmother/father 07 Other (specify) Last Education Level Completed: Number (the highest grade completed (01 Primary 02 Secondary 03 Technique 04 University 05 None 06 Minor 07 Other ) 10 QUESTIONNAIRE FOR THE BUSINESSMAN A-BUSINESSMAN IDENTIFICATION Businessman Name Interviewers Name (Questionnaire Nº) Company Identification: Company Name Province Maputo/Gaza/Inhambane District Neighbourhood / Community City block Business coordinates LAT. LONG. Businessman Adress Province District Locality Neighbourhood / community Date / / d d m m y y Presentation Good morning (afternoon, evening), my name is __________________ and I work for Consultec, Lda, which was hired by EDM to carry out a field survey with the objective of getting to know the economic activities of the population. The information collected in this questionnaire will be confidential. We would like to know if it would be possible to take some time from the head of the family to answer the questions. Start Time : h h m m Observation: 1 B - Business Activity B.1 - What is the activity that you practice in here? 01 Trade 02 Service Company (specify) If 02 or 06 specify 03 Mechanical Office 04 Locksmiths/Carpentry 05 Grinding 06 Other (specify) B.2 - How did you acquire this infrastructure? 01 Bought 02 Inherited 03 Rental 04 Loaned If 03 or 04 Indicate the name of the owner 05 Built 06 Other (specify) Contact B.3 - The owner has a Title to Use the Land (DUAT)? 01 Yes 02 No B.4 - When (year) did you start using this infrastructure? B.5 - What is the monthly turnover of your company? 01 Less than 1,000.00 Mt 02 Between 1,000.00 and 5,000.00 Mt 03 Between 5001,00 and 10,000.00 Mt 04 Between 10,001.00 and 20,000.00 Mt 05 More than 20,000.00 Mt (specify) B.6- What is the type of material used on the walls of the main unit? 01 Reed or Stingray 02 Stingray and clay 03 Burnt Brick with plaster 07 Mansonry house with plaster 04 Brick without plaster 08 Mansonry house without plaster 05 Cement Blocks with plaster 09 Other (specify) 06 Cement blocks without plaster B.7 - What is the type of roofing materials of the main unit? 01 Grass 02 Zinc sheets 03 Slab 04 Tiles 05 Other (specify) 2 B.8 - What is the type of material on the floor of the main unit? 01 Clay 02 Adobe 03 Cement 04 Tiles 05 Other (specify) B.9 - Is the infrastructure connected to the electricity grid? 01 Yes 02 No B.10 - Is the infrastructure connected to the water supply network? 01 Yes 02 No B.11 - What is the size of the infrastructure X Meters OBSERVATIONS h h m m End Time : 3 QUESTIONNAIRE TO THE FARMERS A-FARMERS IDENTIFICATION Farmer Name. Interviewers Name (Questionnaire Nº) Farm identification: Province Maputo/Gaza/Inhambane District Neighbourhood / Community City block Farmland coordinates LAT. LONG. Farmer's Adress Province District Locality Neighbourhood / community Date / / d d m m y y Presentation Good morning (afternoon, evening), my name is __________________ and I work for Consultec, Lda, which was hired by EDM to carry out a field survey with the objective of getting to know the economic activities of the population. The information collected in this questionnaire will be confidential. We would like to know if it would be possible to take some time from the head of the family to answer the questions. Start Time : h h m m Observation: 1 B - Farm B.1 - How did you get this farm? 01 Bought 02 Inhereted 03 Rental 04 Loaned If 03 or 04 Indicate the name of the owner 05 Given by the leader 06 Other (specify) Contact B.2 - Does the owner have the Land Use Right title (DUAT)? 01 Yes 02 No B.3 - When (year) did you start using this farm? B.4 - What crops do you produce and sell? Code 01 Produced to own consumption 02 Produced and sold 03 Did not produce Maize: Sorghum Millets Bean Sweet potato Peanut Pumpkin Cabbage (Cauli) Cucumber Tomato Cassava/Manioc Potato Lettuce Sugar Cane Other (specify) 2 B.5 - Is there any fruit tree in this farm? 01- Yes If 02 jump to B.7 02- No B.6 - Indicate the fruit tree that are in the farm Amount Mangoe tree unit Papaya unit Avocado tree unit Lemon tree unit Orange tree unit Banana tree unit Cashew tree unit Malambi unit Tangerine tree unit Coconut tree unit Other (specify) unit unit unit unit B.7 - What was the total income received from the sale of crops from the last campaign? 01 Less than 1,000.00 Mt 02 Between 1,000.00 and 5,000.00 Mt 03 Between 5001,00 and 10,000.00 Mt 04 Between 10,001.00 and20,000.00 Mt 05 More than 20,000.00 Mt (specify) B.8 - Did the farmer use any agricultural inputs in the last campaign? 01Yes 02 No If Yes (01), indicate which inputs Improved seed Organic Fertilizer Irrigation Tractor Animal Traction Chemical Fertilizer 3 Describe the size of the farm presented on GPS Hectares OBSERVATIONS h h m m End Time : 4