TZA-NBS-DSR-2008-v01 National Bureau of Statistics Office of the Chief Government Statistician, Zanzibar Accelerated Data Program 2011-02-03 NADA Version 01 (Public use file for web dissemination) Tanzania Disability Survey 2008 First Round DSR 2008 TZA-NBS-DSR-2008-v01 National Bureau of Statistics Office of the Chief Government statistician, Zanzibar

Margie Schneider

Irenius Ruyobya

Mayasa Mwinyi

N'yampule Madai and his team

Dr. Frida Tungaraza

Prof. Innocent Ngalinda

Ahmed Makbel

Aldegunda Komba

Sango Simba

James Mbongo

Tito Mwisomba

Emilian Karugendo

Seif Kuchengo

Neema Ngure

Mayasa Mahfoudh

Amour Bakari

Mbwana Othman

Haroub Ali Masoud

Joy Maongezi

Doroth Semu

Kaganzi Lutachwamagi

 Ministry of Health and Social Welfare Human Science and Research Institute of South Africa UNICEF UNFPA UN systems Country Offices Census and Survey Technical Working Group (c) 2008, National Bureau of Statistics NADA Government of Tanzania Developments Partners Director General Demographic and Health Survey, Special [hh/dhs-sp] The 2008 Tanzania Disability Survey was the first of its kind to be conducted in the country. The major objective of the survey was to determine the prevalence of disability in the country. The survey also intended to determine living conditions among people with activity limitations. The survey covered the whole of the United Republic of Tanzania and produced regional estimates. Information was collected from all selected households and individuals with and without disability and health difficulties. Version 01(Public use file for web dissemination) HEALTH [8] HEALTH [8] This report presents findings of the 2008 Tanzania Disability Survey. The survey was conducted by the National Bureau of Statistics (NBS), in collaboration with the Office of the Chief Government Statistician, Zanzibar (OCGS) and the Ministry of Health and Social Welfare. This was the first time for Tanzania to carry out such a comprehensive survey on people with disabilities. The survey was household based and covered both Tanzania Mainland and Zanzibar. The major objective of the 2008 Tanzania Disability Survey was to determine the prevalence of disability in the country. The survey also intended to determine living conditions among people with activity limitations. It is anticipated that results generated from 2008 Tanzania Disability will contribute to the improvement of the living conditions among people with activity limitations in Tanzania; initiate a discussion on the concepts and understanding of “disability” and monitor the impact of government policies, programmes and donor support on the well being of the population with activity limitations. Tanzania Tanzania Mainland and Zanzibar Clusters Individuals, Households, Children Persons aged 15 years and above and Children aged 0-14 years. Sample survey data [ssd] Household: Identification, Interviewer visits, Household Roster, Household Particulars Individual: Identification of personal with difficulties, Functioning, Causes and History of Difficulties, Awareness and/or needs of services, Education, Employment and Income, Assistive Devices. Children: Identification of child with Difficulties, Difficulties and Environmental factors, Child's difficulties, Education, Assistive Devices. National Bureau of Statistics The survey was national representative and information was collected from all selected households and individuals with and without disability (measured as activity limitations). The primary sampling unit for the survey was the census enumeration area (EA) and the ultimate sampling unit was the individual household members. The survey utilized a three-stage systematic stratified random sampling design involving clusters (EAs), households and individual household members. The desired confidence level for the survey was 95 percent (za/2 with 1.96), with an error margin (E) of 2 percent in estimating the parameters. The expected prevalence (P) of mild and severe cases of disability was estimated to vary between 10 and 20 percent (P=0.15) of the country's population. Details on sampling procedures are attached as Annex II. Face-to-face [f2f] Development of survey questionnaires started in 2006 with technical assistance from Human Science and Research Institute of South Africa. Three types of questionnaires were used. These were the household questionnaire that was administered to all selected households, and individual questionnaires that were administered to children aged 0 -14 years and adults aged 15 years and above. (Annex I). Two pre-tests were conducted before the survey. Questionnaires were pre-tested on 25 households in Kibaha District in October 2006. The main objective of the pre - test was to test the way in which respondents understood and interpreted the main questions on difficulties used to identify the population with activity limitations. Observations from this pre-test were used to improve the questionnaires before conducting a relatively bigger pilot survey in Dodoma Municipality in July 2007. A total of 18 interviewers and 4 supervisors were involved. Training was done in 5 days and data collection lasted for 10 days. A total of 154 households were successfully interviewed. The household questionnaire was used to list all the usual members and visitors in each selected household. Basic information was collected on the characteristics of each person listed, including his/her relationship with the head of the household, age, sex, marital status, education and economic status. For children less than 18 years of age, survival status of the parents was also recorded. The household questionnaire also included questions on activity limitations of the respondent. These screening questions were used to determine persons with disabilities. All those who reported at least one activity limitation were further interviewed individually. Household questionnaires also collected information on household characteristics including main source of drinking water, toilet facilities, source of energy, building materials and possession of certain assets. Information on food security, use of mosquito nets and deaths of children less than five years of age was also collected. The adult questionnaire was used to collect information from all person aged 15 years and above who were identified in the household questionnaire as having some form of disability. The questionnaire collected information on the following topics: ·Activity limitations and participation restrictions; ·Environmental factors; ·Awareness, need and receipt of services; ·Education and employment; ·Assistive devices and technology; ·Accessibility in the home and surroundings; ·Inclusion in family and social life; and ·Health and general well-being. The children questionnaire collected information from all children identified as having disabilities and collected more or less the same information as in the adult questionnaire. Data collection begun in the first week of July 2008 up to mid November 2008. There were twelve data collection teams, ten on the Mainland and two in Zanzibar. Each team consisted of a supervisor, six or seven enumerators and a driver. Supervisors were responsible for the overall administrative work in the field including checking the quality of the questionnaires before sending them to NBS headquarters in Dar es Salaam for processing. Officers from NBS, OCGS and Ministry of Health and Social Welfare visited the teams periodically to review their work and monitor the data collection exercise. The main respondents for the household questionnaire were the household heads or any other responsible adults in the household. For the detailed questionnaires, adults answered as direct respondents but proxy respondents were used for children under 15 years of age and adults who were unable to respond. A total of 100 field staffs were recruited by the NBS and OCGS to serve as enumerators. Supervisors were permanent staff from the same offices. Organisations of People with Disability were also represented by four participants who had a responsibility of clarifying terms used in the questionnaires. Besides participating in training representatives from these Organisations was also part of supervisory teams. The main training was held in June 2008 for three weeks in Morogoro Region. Trainers were from the National Bureau of Statistics, Office of the Chief Government Statistician, Higher Learning Institutes and the Ministry of Health and Social Welfare. The training involved both theory and practical exercises. Fieldwork As a part of fieldwork several activities were implemented. These include listing, sampling, data collection and supervision of field teams. Listing Before the listing exercise, supervisors and enumerators were trained on map reading and listing. The listing of households in each selected EA was done a few days before the data collection exercise to ensure accurate and up to date information. Supervisors ensured that all households in the EA were listed according to the given instructions and EA map. Supervisors had also the responsibility of selecting households to be interviewed. There were two sets of sampling weights for the survey. The first set was the cluster or EA weights based on their selection from the 2002 Population and Housing Census EAs frame. The second set comprised household weights based on listing of households in all the selected EAs. Information in this report is based on weighted data. Data processing was done centrally at NBS headquarters in Dar es Salaam. Data processing started concurrently with the fieldwork. The data processing personnel included supervisors and a questionnaire administrator, who ensured that the expected numbers of questionnaires from all clusters were received. There were also five office editors and ten data entrants. The CsPro computer package was used for data processing. The data entry and editing phase of the survey was completed in December 2008 The total responding households were 6,882 out of the anticipated 7,025 with a population of more than 35,000 compared to the expected 32,000. The overall response rate for households was 98 percent. Confidentiality of respondents is guaranteed by section 20 of Tanzania Statistics act number 1 of 2002. Before being granted access to the dataset, all users have formally agree: 1.all identifying information such as the name and address of respondent has been removed; and 2.the information is disclosed in a manner that is not likely to enable the identification of the particular person or undertaking or business to which it relates. 3.not attempt to identify any particular person or undertaking or business; 4.use of information for research or statistically purpose only; 5.not to disclose the information to any other person, organization 6.when required by the Director General, return all documents made available to him to the Director General; 7.comply with the directions given by the Director General relating to the records. 8.every person involved in the research or statistical project for which information is disclosed pursuant to this section shall make the declaration of secrecy set out in the first schedule. National Bureau of Statistics National Bureau of Statistics National Bureau of Statistics "National Bureau of Statistics, DisabilitySurvey Report 2008 (DSR 2008), version 1.0 of the public use dataset(December 2009) provided by the National Bureau of Statistics, www.nbs.go.tz" Tanzania NBS considered three levels of accessibility: 1) Public use files, accessible by all 2) Licensed datasets, accessible under certain conditions 3) Datasets only accessible on location, for certain datasets The dataset has been anonymized and available as a public use dataset. It accessible to all for statistical and research purposes only, under the following terms and conditions: 1.The data and other material will not be redistributed or sold to other individuals, institutions, or organization without the written agreement of the National Bureau of Statistics. 2.The data will be used for statistical and scientific research purposes only. They will be used solely for reporting of aggregated information, and not for investigation of specific individuals or organizations. 3.No attempt will be made to produce links among dataset provided by the National Bureau of Statistics, or among data from the (National Bureau of Statistics) and other datasets that could identify individuals or organizations 4.No attempt will be made to re-identify respondents, and no use will be made of the identify of any person or establishment discovered inadvertently. Any such discovery would immediately be reported to the National Bureau of Statistics. 5.Any books, articles, conference papers, theses, dissertations, reports, or other publications that employ data obtained from the National Bureau of Statistics will cite the source of data in accordance with the Citation Requirement provided with each dataset. "The user of the data should acknowledges that, National Bureau of Statistics is the original collector of the data , the authorised distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences without a written agreement from the National Bureau of Statistics" DISABLED_14 This dataset file contains information related to Children Disability, includes identification of child with difficulties, difficulties and environmental factors, physical environment and attitudes of others, Health information. 0 205 DISABLED_15+ This dataset contains information related to people with difficulties 15 years and older includes Identification with person with difficulties, difficulties in doing certain activities, health and general well-being. 0 243 DISQUESTION1 This dataset file contains information about Health Information for female aged 0 - 14. 0 11 DISQUESTION1 This dataset file contains information about Health Information for Female aged 15 and above. 0 14 HHSECTION4 This dataset file contains information about Child Mortality for all children aged (0 - 17). 0 15 DISQUESTION6 This dataset file contains information related to child assistive devices 0 10 DISQUESTION6 This dataset file contains information related to Individual assistive devices. 0 17 DISSECTION3_14 This dataset file contains information related to Children Aged 0 - 14 includes, aware and needs of services. 0 8 DISSECTION3_15+ This dataset file contains information related to Individual Aged 15 and above includes, aware and needs of services. 0 17 HHROSTER This Dataset file contain information related to household includes household roster, difficulties in doing certain activities 0 70 HHSECTION2 This Dataset file contains information related to household includes household particulars, and Child mortality. 0 55 Household Information Education Social and Health Assistive Devices Diseases Death Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara District District District District District Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban Line Number Of Person With Difficulties Line Number Of Person With Difficulties Line Number Of Person With Difficulties Line Number Of Person With Difficulties Line Number Of Person With Difficulties Age Of Person With Difficulties Age Of Person With Difficulties Age Of Person With Difficulties Age Of Person With Difficulties Age Of Person With Difficulties Age Age group Age group Age group Age group Age group Age 1 0 - 4 2 5 - 9 3 10-14 4 15-19 5 20-24 6 25-29 7 30-34 8 35-39 9 40-44 10 45-49 11 50-54 12 55-59 13 60-64 14 65-69 15 70-74 16 75-79 17 80 + Age group Age group Age group Age group Age group Age 1 0 - 4 2 5 - 9 3 10-14 4 15-17 5 18-19 6 20-24 7 25-29 8 30-34 9 35-39 10 40-44 11 45-49 12 50-54 13 55-59 14 60-64 15 65-69 16 70-74 17 75-79 18 80 + Sex Sex Sex Sex Sex Sex Child 1 Male 2 Female Is the person reporting the person with difficulties or someone else? Is the person reporting the person with difficulties or someone else? Is the person reporting the person with difficulties or someone else? Is the person reporting the person with difficulties or someone else? Is the person reporting the person with difficulties or someone else? Child 1 Yes 2 No 3 Both Line Number Of Person Line Number Of Person Line Number Of Person Line Number Of Person Line Number Of Person Child Interview Results Interview Results Interview Results Interview Results Interview Results Child 1 Completed 2 Refused 3 Not at home 4 Incomplete interview 5 Other 9 Missing Do you/your child have difficulty seeing? Do you/your child have difficulty seeing? Do you/your child have difficulty seeing? Do you/your child have difficulty seeing? Do you/your child have difficulty seeing? Does [NAME] have difficulty seeing? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty seeing, even if wearing glasses? Do you/your child have difficulty seeing, even if wearing glasses? Do you/your child have difficulty seeing, even if wearing glasses? Do you/your child have difficulty seeing, even if wearing glasses? Do you/your child have difficulty seeing, even if wearing glasses? Does [NAME] have difficulty seeing, even if wearing glasses? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty hearing? Do you/your child have difficulty hearing? Do you/your child have difficulty hearing? Do you/your child have difficulty hearing? Do you/your child have difficulty hearing? Does [NAME] have difficulty hearing? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty hearing, even if using a hearing aid? Do you/your child have difficulty hearing, even if using a hearing aid? Do you/your child have difficulty hearing, even if using a hearing aid? Do you/your child have difficulty hearing, even if using a hearing aid? Do you/your child have difficulty hearing, even if using a hearing aid? Does [NAME] have difficulty hearing, even if using a hearing aid? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty walking or climbing steps? Do you/your child have difficulty walking or climbing steps? Do you/your child have difficulty walking or climbing steps? Do you/your child have difficulty walking or climbing steps? Do you/your child have difficulty walking or climbing steps? Does [NAME] have difficulty walking or climbing steps? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty remembering or concentrating? Do you/your child have difficulty remembering or concentrating? Do you/your child have difficulty remembering or concentrating? Do you/your child have difficulty remembering or concentrating? Do you/your child have difficulty remembering or concentrating? Does [NAME] have difficulty remembering or concentrating? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty with self-care, such as washing all over or dressing? Do you/your child have difficulty with self-care, such as washing all over or dressing? Do you/your child have difficulty with self-care, such as washing all over or dressing? Do you/your child have difficulty with self-care, such as washing all over or dressing? Do you/your child have difficulty with self-care, such as washing all over or dressing? Does [NAME] have difficulty (with self-care such as) washing all over or dressing? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty communicating in your usual language (for example understanding or being understood by others)? Do you/your child have difficulty communicating in your usual language (for example understanding or being understood by others)? Do you/your child have difficulty communicating in your usual language (for example understanding or being understood by others)? Do you/your child have difficulty communicating in your usual language (for example understanding or being understood by others)? Do you/your child have difficulty communicating in your usual language (for example understanding or being understood by others)? Does [NAME] have difficulty communicating in his or her usual language, (for example understanding or being understood by others)? Child 1 No 2 Some 3 A lot 4 Unable Do you/your child have difficulty seeing and recognizing a person you know from 7 meters away? E.g. across a street Do you/your child have difficulty seeing and recognizing a person you know from 7 meters away? E.g. across a street Do you/your child have difficulty seeing and recognizing a person you know from 7 meters away? E.g. across a street Do you/your child have difficulty seeing and recognizing a person you know from 7 meters away? E.g. across a street Do you/your child have difficulty seeing and recognizing a person you know from 7 meters away? E.g. across a street Does your child have difficulty seeing and recognizing a person he/she know from 7 meters away? E.g. across a street Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty seeing and recognizing an object at arm’s length? Do you/your child have difficulty seeing and recognizing an object at arm’s length? Do you/your child have difficulty seeing and recognizing an object at arm’s length? Do you/your child have difficulty seeing and recognizing an object at arm’s length? Do you/your child have difficulty seeing and recognizing an object at arm’s length? Does your child have difficulty seeing and recognizing an object at arm's length? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty hearing someone talking on the other side of the room in a normal voice? Do you/your child have difficulty hearing someone talking on the other side of the room in a normal voice? Do you/your child have difficulty hearing someone talking on the other side of the room in a normal voice? Do you/your child have difficulty hearing someone talking on the other side of the room in a normal voice? Do you/your child have difficulty hearing someone talking on the other side of the room in a normal voice? Does your child have difficulty hearing someone talking on the other side of the room in a normal voice? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty hearing what is said in a conversation with one other person in a quiet room? Do you/your child have difficulty hearing what is said in a conversation with one other person in a quiet room? Do you/your child have difficulty hearing what is said in a conversation with one other person in a quiet room? Do you/your child have difficulty hearing what is said in a conversation with one other person in a quiet room? Do you/your child have difficulty hearing what is said in a conversation with one other person in a quiet room? Does your child have difficulty hearing what is said in a conversation with one other person in a quiet room? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty moving around inside your home? Do you/your child have difficulty moving around inside your home? Do you/your child have difficulty moving around inside your home? Do you/your child have difficulty moving around inside your home? Do you/your child have difficulty moving around inside your home? Does your child have difficulty moving around inside his/her home? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty walking a long distance such as a kilometer (or equivalent)? Do you/your child have difficulty walking a long distance such as a kilometer (or equivalent)? Do you/your child have difficulty walking a long distance such as a kilometer (or equivalent)? Do you/your child have difficulty walking a long distance such as a kilometer (or equivalent)? Do you/your child have difficulty walking a long distance such as a kilometer (or equivalent)? Does your child have difficulty walking a long distance such as a kilometer (or equivalent)? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty in using your/his or her hands and fingers, such as for picking up small objects or opening and closing containers? Do you/your child have difficulty in using your/his or her hands and fingers, such as for picking up small objects or opening and closing containers? Do you/your child have difficulty in using your/his or her hands and fingers, such as for picking up small objects or opening and closing containers? Do you/your child have difficulty in using your/his or her hands and fingers, such as for picking up small objects or opening and closing containers? Do you/your child have difficulty in using your/his or her hands and fingers, such as for picking up small objects or opening and closing containers? Does your child have difficulty in using his/her hands and fingers, such as for picking up small objects or opening and closing containers? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty concentrating on doing something for ten minutes? Do you/your child have difficulty concentrating on doing something for ten minutes? Do you/your child have difficulty concentrating on doing something for ten minutes? Do you/your child have difficulty concentrating on doing something for ten minutes? Do you/your child have difficulty concentrating on doing something for ten minutes? Does your child have difficulty concentrating on doing something for ten minutes (i.e. a short time)? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty remembering to do important things? Do you/your child have difficulty remembering to do important things? Do you/your child have difficulty remembering to do important things? Do you/your child have difficulty remembering to do important things? Do you/your child have difficulty remembering to do important things? Does your child have difficulty remembering to do important things? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty washing your/his or her whole body? Do you/your child have difficulty washing your/his or her whole body? Do you/your child have difficulty washing your/his or her whole body? Do you/your child have difficulty washing your/his or her whole body? Do you/your child have difficulty washing your/his or her whole body? Does your child have difficulty washing his/her whole body? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty feeding yourself? Do you/your child have difficulty feeding yourself? Do you/your child have difficulty feeding yourself? Do you/your child have difficulty feeding yourself? Do you/your child have difficulty feeding yourself? Does your child have difficulty feeding him/herself? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty generally understanding what people say? Do you/your child have difficulty generally understanding what people say? Do you/your child have difficulty generally understanding what people say? Do you/your child have difficulty generally understanding what people say? Do you/your child have difficulty generally understanding what people say? Does your child have difficulty generally understanding what people say? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty talking clearly so people can understand you? Do you/your child have difficulty talking clearly so people can understand you? Do you/your child have difficulty talking clearly so people can understand you? Do you/your child have difficulty talking clearly so people can understand you? Do you/your child have difficulty talking clearly so people can understand you? Does your child have difficulty talking clearly so people can understand him/her? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty starting and maintaining a conversation? Do you/your child have difficulty starting and maintaining a conversation? Do you/your child have difficulty starting and maintaining a conversation? Do you/your child have difficulty starting and maintaining a conversation? Do you/your child have difficulty starting and maintaining a conversation? Does your child have difficulty starting and maintaining a conversation? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty analyzing and finding solutions to problems in day to day life? Do you/your child have difficulty analyzing and finding solutions to problems in day to day life? Do you/your child have difficulty analyzing and finding solutions to problems in day to day life? Do you/your child have difficulty analyzing and finding solutions to problems in day to day life? Do you/your child have difficulty analyzing and finding solutions to problems in day to day life? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty getting along with people who are not close to you/him or her? Do you/your child have difficulty getting along with people who are not close to you/him or her? Do you/your child have difficulty getting along with people who are not close to you/him or her? Do you/your child have difficulty getting along with people who are not close to you/him or her? Do you/your child have difficulty getting along with people who are not close to you/him or her? Does your child have difficulty dealing with people he/she does not know? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty getting along with people who are close to you/him or her? Do you/your child have difficulty getting along with people who are close to you/him or her? Do you/your child have difficulty getting along with people who are close to you/him or her? Do you/your child have difficulty getting along with people who are close to you/him or her? Do you/your child have difficulty getting along with people who are close to you/him or her? Does your child have difficulty getting along with people who are close to him/her? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty getting new friend? Do you/your child have difficulty getting new friend? Do you/your child have difficulty getting new friend? Do you/your child have difficulty getting new friend? Do you/your child have difficulty getting new friend? Does your child have difficulty making new friends? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Do you/your child have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Do you/your child have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Do you/your child have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Do you/your child have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Does your child have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can (because of a health problem)? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty taking care of your/his or her household responsibilities? Do you/your child have difficulty taking care of your/his or her household responsibilities? Do you/your child have difficulty taking care of your/his or her household responsibilities? Do you/your child have difficulty taking care of your/his or her household responsibilities? Do you/your child have difficulty taking care of your/his or her household responsibilities? Does your child have difficulty taking care of his/her household responsibilities (because of a health problem)? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Do you/your child have difficulty in day-to-day work/ schoolwork)? Do you/your child have difficulty in day-to-day work/ schoolwork)? Do you/your child have difficulty in day-to-day work/ schoolwork)? Do you/your child have difficulty in day-to-day work/ schoolwork)? Do you/your child have difficulty in day-to-day work/ schoolwork)? Does your child have difficulty in day-to-day schoolwork (because of a health problem)? Child 1 No difficulty 2 Some difficulty 3 A lot difficulty 4 Unable to do 8 Not applicable Join in community activities like anyone else can? Join in community activities like anyone else can? Join in community activities like anyone else can? Join in community activities like anyone else can? Join in community activities like anyone else can? Join in community activities like anyone else can? Child 1 Easier 2 More difficult 3 Sometimes easier and sometimes more difficult 4 Don't know Taking care of you household responsibilities? Taking care of you household responsibilities? Taking care of you household responsibilities? Taking care of you household responsibilities? Taking care of you household responsibilities? Taking care of your household responsibilities? Child 1 Easier 2 More difficult 3 Sometimes easier and sometimes more difficult 4 Don't know In day-to-day work / schoolwork? In day-to-day work / schoolwork? In day-to-day work / schoolwork? In day-to-day work / schoolwork? In day-to-day work / schoolwork? In day-to-day work / schoolwork? Child 1 Easier 2 More difficult 3 Sometimes easier and sometimes more difficult 4 Don't know In the past 12 months, how often has the accessibility of transportation been a problem for you/your child? In the past 12 months, how often has the accessibility of transportation been a problem for you/your child? In the past 12 months, how often has the accessibility of transportation been a problem for you/your child? In the past 12 months, how often has the accessibility of transportation been a problem for you/your child? In the past 12 months, how often has the accessibility of transportation been a problem for you/your child? How often has the accessibility of transportation been a problem for you and your child? (By accessibility we mean the ability to get in and out of the transport.) Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem In the past 12 months, how often has the information you/your child wanted or needed not been available in a format you/your child can use or understand? In the past 12 months, how often has the information you/your child wanted or needed not been available in a format you/your child can use or understand? In the past 12 months, how often has the information you/your child wanted or needed not been available in a format you/your child can use or understand? In the past 12 months, how often has the information you/your child wanted or needed not been available in a format you/your child can use or understand? In the past 12 months, how often has the information you/your child wanted or needed not been available in a format you/your child can use or understand? How often has the information you or your child wanted or needed not been available in a format you can use or understand? (e.g. Braille for Blind people) Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem In the past 12 months, how often has the availability of health care services and medical care been a problem for you/your child? In the past 12 months, how often has the availability of health care services and medical care been a problem for you/your child? In the past 12 months, how often has the availability of health care services and medical care been a problem for you/your child? In the past 12 months, how often has the availability of health care services and medical care been a problem for you/your child? In the past 12 months, how often has the availability of health care services and medical care been a problem for you/your child? In the past 12 months, how often has the availability of health care services and medical care been a problem for your child? Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem In the past 12 months,how often did you/your child need someone else's help in your home and could not get it easily? In the past 12 months,how often did you/your child need someone else's help in your home and could not get it easily? In the past 12 months,how often did you/your child need someone else's help in your home and could not get it easily? In the past 12 months,how often did you/your child need someone else's help in your home and could not get it easily? In the past 12 months,how often did you/your child need someone else's help in your home and could not get it easily? How often did you need someone else's help to assist with your child in your home and could not get it easily? Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem In the past 12 months,how often did you/your child need someone else's help at school or work and could not get it easily? In the past 12 months,how often did you/your child need someone else's help at school or work and could not get it easily? In the past 12 months,how often did you/your child need someone else's help at school or work and could not get it easily? In the past 12 months,how often did you/your child need someone else's help at school or work and could not get it easily? In the past 12 months,how often did you/your child need someone else's help at school or work and could not get it easily? In the past 12 months, How often did you need someone else's help to assist you with your child at school or work and could not get it easily? Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem In the past 12 months,how often have other people's attitudes toward you/your child been a problem at home? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at home? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at home? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at home? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at home? In the past 12 months, How often have other people's attitudes toward your child been a problem at home? Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem In the past 12 months,how often have other people's attitudes toward you/your child been a problem at school or work? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at school or work? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at school or work? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at school or work? In the past 12 months,how often have other people's attitudes toward you/your child been a problem at school or work? In the past 12 months, How often have other people's attitudes toward your child been a problem at school or work? Child 1 Alway 2 Often 3 Sometime 4 Seldom 5 Never 8 Not Applicable 9 Not Specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problem 2 Big Problem Illness Illness Illness Illness Illness Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Loss Of Employment Loss Of Employment Loss Of Employment Loss Of Employment Loss Of Employment Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Displacement Displacement Displacement Displacement Displacement Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Separation Separation Separation Separation Separation Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Divorce Divorce Divorce Divorce Divorce Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Theft/Robbery Theft/Robbery Theft/Robbery Theft/Robbery Theft/Robbery Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Accusation Of Witchcraft Accusation Of Witchcraft Accusation Of Witchcraft Accusation Of Witchcraft Accusation Of Witchcraft Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Conviction For A Crime/Imprisonment Conviction For A Crime/Imprisonment Conviction For A Crime/Imprisonment Conviction For A Crime/Imprisonment Conviction For A Crime/Imprisonment Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Other Other Other Other Other Thinking about the important negative life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child A birth A birth A birth A birth A birth Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Marriage Marriage Marriage Marriage Marriage Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Employment Employment Employment Employment Employment Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Death Death Death Death Death Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Other financial gain Other financial gain Other financial gain Other financial gain Other financial gain Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Sports, education, political achievements Sports, education, political achievements Sports, education, political achievements Sports, education, political achievements Sports, education, political achievements Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Ceremonies Ceremonies Ceremonies Ceremonies Ceremonies Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Other Other Other Other Other Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Injury Injury Injury Injury Injury Thinking about the important positive life events listed below, please indicate the number of times you or your child have experienced each of these during the past 12 months Child Thinking about your/your child's general physical health (things like: sickness, illness, injury, disease etc.) Thinking about your/your child's general physical health (things like: sickness, illness, injury, disease etc.) Thinking about your/your child's general physical health (things like: sickness, illness, injury, disease etc.) Thinking about your/your child's general physical health (things like: sickness, illness, injury, disease etc.) Thinking about your/your child's general physical health (things like: sickness, illness, injury, disease etc.) Thinking about your child's general physical health (things like: sickness, illness, injury, disease etc.) - on a scale from 1 (poor) to 4 (very good) - How would you describe your child's overall physical health today? Child 1 Poor 2 Not Very Good 3 Good 4 Very Good 9 Don't know Thinking about your/your child's general mental health (things like: anxiety, depression, fear, fatigue, tiredness, hopelessness etc.) Thinking about your/your child's general mental health (things like: anxiety, depression, fear, fatigue, tiredness, hopelessness etc.) Thinking about your/your child's general mental health (things like: anxiety, depression, fear, fatigue, tiredness, hopelessness etc.) Thinking about your/your child's general mental health (things like: anxiety, depression, fear, fatigue, tiredness, hopelessness etc.) Thinking about your/your child's general mental health (things like: anxiety, depression, fear, fatigue, tiredness, hopelessness etc.) Thinking about your child's general mental health (things like: anxiety, depression, fear, fatigue, tiredness, hopelessness etc.) - on a scale from 1 (poor) to 4 (very good) - How would you describe your child's overall mental health today? Child 1 Poor 2 Not Very Good 3 Good 4 Very Good 9 Don't know Felt worried and anxious? Felt worried and anxious? Felt worried and anxious? Felt worried and anxious? Felt worried and anxious? . I'd like to know how often, during the past month, your child have experienced each of these. (Check one box for each problem) Child 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time Felt so down in the dumps, nothing could cheer you up? Felt so down in the dumps, nothing could cheer you up? Felt so down in the dumps, nothing could cheer you up? Felt so down in the dumps, nothing could cheer you up? Felt so down in the dumps, nothing could cheer you up? . I'd like to know how often, during the past month, your child have experienced each of these. (Check one box for each problem) Child 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time Felt calm and peaceful? Felt calm and peaceful? Felt calm and peaceful? Felt calm and peaceful? Felt calm and peaceful? . I'd like to know how often, during the past month, your child have experienced each of these. (Check one box for each problem) Child 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time Felt down-hearted and depressed? Felt down-hearted and depressed? Felt down-hearted and depressed? Felt down-hearted and depressed? Felt down-hearted and depressed? . I'd like to know how often, during the past month, your child have experienced each of these. (Check one box for each problem) Child 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time Been happy? Been happy? Been happy? Been happy? Been happy? . I'd like to know how often, during the past month, your child have experienced each of these. (Check one box for each problem) Child 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time Compared with other children, does (NAME) has/had a problem of delaying sitting, standing or working? Compared with other children, does (NAME) has/had a problem of delaying sitting, standing or working? Compared with other children, does (NAME) has/had a problem of delaying sitting, standing or working? Compared with other children, does (NAME) has/had a problem of delaying sitting, standing or working? Compared with other children, does (NAME) has/had a problem of delaying sitting, standing or working? Compared with other children, does or did [name ] have any serious delay in sitting, standing, or walking? Child 1 Yes 2 No Compared with other children, does (NAME) have difficulty seeing during a day or a night? Compared with other children, does (NAME) have difficulty seeing during a day or a night? Compared with other children, does (NAME) have difficulty seeing during a day or a night? Compared with other children, does (NAME) have difficulty seeing during a day or a night? Compared with other children, does (NAME) have difficulty seeing during a day or a night? Compared with other children, does [name ] have difficulty seeing, either in the daytime or at night? Child 1 Yes 2 No Does (NAME) seem to have difficulty hearing? Even if using a hearing aid, hard to hear or completely unable? Does (NAME) seem to have difficulty hearing? Even if using a hearing aid, hard to hear or completely unable? Does (NAME) seem to have difficulty hearing? Even if using a hearing aid, hard to hear or completely unable? Does (NAME) seem to have difficulty hearing? Even if using a hearing aid, hard to hear or completely unable? Does (NAME) seem to have difficulty hearing? Even if using a hearing aid, hard to hear or completely unable? Does [name ] appear to have difficulty hearing? (uses hearing aid, hears with difficulty, completely deaf?) Child 1 Yes 2 No When you ask (NAME) to do something, does he/she know what you are talking about? When you ask (NAME) to do something, does he/she know what you are talking about? When you ask (NAME) to do something, does he/she know what you are talking about? When you ask (NAME) to do something, does he/she know what you are talking about? When you ask (NAME) to do something, does he/she know what you are talking about? When you tell [name ] to do something, does he/she seem to understand what you are saying? Child 1 Yes 2 No Does (NAME) has problem on walking or moving his/her hands or his/her hands and feet are weak or hard and dry? Does (NAME) has problem on walking or moving his/her hands or his/her hands and feet are weak or hard and dry? Does (NAME) has problem on walking or moving his/her hands or his/her hands and feet are weak or hard and dry? Does (NAME) has problem on walking or moving his/her hands or his/her hands and feet are weak or hard and dry? Does (NAME) has problem on walking or moving his/her hands or his/her hands and feet are weak or hard and dry? Does [name ] have difficulty in walking or moving his/her arms or does he/she have weakness and/or stiffness in the arms or legs? Child 1 Yes 2 No Does (NAME) has Epilepsy, hard and dry or unconscious? Does (NAME) has Epilepsy, hard and dry or unconscious? Does (NAME) has Epilepsy, hard and dry or unconscious? Does (NAME) has Epilepsy, hard and dry or unconscious? Does (NAME) has Epilepsy, hard and dry or unconscious? Does [name ] sometimes have fits, become rigid, or lose consciousness? Child 1 Yes 2 No Does (NAME) learn to do things like other children of his/her age does? Does (NAME) learn to do things like other children of his/her age does? Does (NAME) learn to do things like other children of his/her age does? Does (NAME) learn to do things like other children of his/her age does? Does (NAME) learn to do things like other children of his/her age does? Does [name ] learn to do things like other children his/her age? Child 1 Yes 2 No Does (NAME) talking clearly so people can understand him/her? Does (NAME) talking clearly so people can understand him/her? Does (NAME) talking clearly so people can understand him/her? Does (NAME) talking clearly so people can understand him/her? Does (NAME) talking clearly so people can understand him/her? Does [name ] speak at all (can he/she make him or herself understood in words; can say recognizable words)? Child 1 Yes 2 No (IF HE/SHE HAS 3 - 9 YEARS OLD), does his/her conversation not a problem (Does not well understood by the people other than his/her close mate? (IF HE/SHE HAS 3 - 9 YEARS OLD), does his/her conversation not a problem (Does not well understood by the people other than his/her close mate? (IF HE/SHE HAS 3 - 9 YEARS OLD), does his/her conversation not a problem (Does not well understood by the people other than his/her close mate? (IF HE/SHE HAS 3 - 9 YEARS OLD), does his/her conversation not a problem (Does not well understood by the people other than his/her close mate? (IF HE/SHE HAS 3 - 9 YEARS OLD), does his/her conversation not a problem (Does not well understood by the people other than his/her close mate? (For 3-9 year olds): Is [name ]'s speech in any way different from normal (not clear enough to be understood by people other than the immediate family)? Child 1 Yes 2 No (IF HE/SHE HAS TWO YEARS OLD), Does (NAME) able to mention at least one thing? E.g. a cup or a spoon? (IF HE/SHE HAS TWO YEARS OLD), Does (NAME) able to mention at least one thing? E.g. a cup or a spoon? (IF HE/SHE HAS TWO YEARS OLD), Does (NAME) able to mention at least one thing? E.g. a cup or a spoon? (IF HE/SHE HAS TWO YEARS OLD), Does (NAME) able to mention at least one thing? E.g. a cup or a spoon? (IF HE/SHE HAS TWO YEARS OLD), Does (NAME) able to mention at least one thing? E.g. a cup or a spoon? (For 2-year-olds): Can [child] name at least one object (for example, an animal, a toy, a cup, a spoon)? Child 1 Yes 2 No Compared with other children at his/her age, does (NAME) seem be stunted in growth or difficult to understand? Compared with other children at his/her age, does (NAME) seem be stunted in growth or difficult to understand? Compared with other children at his/her age, does (NAME) seem be stunted in growth or difficult to understand? Compared with other children at his/her age, does (NAME) seem be stunted in growth or difficult to understand? Compared with other children at his/her age, does (NAME) seem be stunted in growth or difficult to understand? Compared with other children of the same age, does [name ] appear in any way mentally backward, dull or slow? Child 1 Yes 2 No Do your child have any health problem or disability? Do your child have any health problem or disability? Do your child have any health problem or disability? Do your child have any health problem or disability? Do your child have any health problem or disability? Does your child have any of the following health problems or disability? If yes, please tell me what type of health problem or disability do you have? Child What caused your child's difficulties? What caused your child's difficulties? What caused your child's difficulties? What caused your child's difficulties? What caused your child's difficulties? What caused your child's difficulties? Child When did your child's difficulties start? When did your child's difficulties start? When did your child's difficulties start? When did your child's difficulties start? When did your child's difficulties start? How old was your child when the difficulties started? Child Born with difficulties 98 Don't know If your child started having difficulties as a child, who was responsible for his/her upbringing? If your child started having difficulties as a child, who was responsible for his/her upbringing? If your child started having difficulties as a child, who was responsible for his/her upbringing? If your child started having difficulties as a child, who was responsible for his/her upbringing? If your child started having difficulties as a child, who was responsible for his/her upbringing? If your child started having difficulties as a young child, who was responsible for your child's upbringing? Child 1 Both Parents 2 Father 3 Mother 4 Grandparents 5 Relative 6 Govt. disability institution 7 Private institution 8 Other If your child started having difficulties as a child, where were your child brought up? If your child started having difficulties as a child, where were your child brought up? If your child started having difficulties as a child, where were your child brought up? If your child started having difficulties as a child, where were your child brought up? If your child started having difficulties as a child, where were your child brought up? If your child started having difficulties as a young child, where was your child brought up? Child 1 Both Parents 2 Father 3 Mother 4 Grandparents 5 Relative 6 Govt. disability institution 7 Private institution 8 Other War War War War War Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Domestic violence (in the home) Domestic violence (in the home) Domestic violence (in the home) Domestic violence (in the home) Domestic violence (in the home) Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Non-domestic violence (outside the home) Non-domestic violence (outside the home) Non-domestic violence (outside the home) Non-domestic violence (outside the home) Non-domestic violence (outside the home) Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Political violence Political violence Political violence Political violence Political violence Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Treatment Treatment Treatment Treatment Treatment Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Animals Animals Animals Animals Animals Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Fire Fire Fire Fire Fire Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Accident (vehicle or other) Accident (vehicle or other) Accident (vehicle or other) Accident (vehicle or other) Accident (vehicle or other) Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Other Other Other Other Other Has your child ever been injured as a consequence of the following? Child 1 Yes 2 No Je, maumivu aliyopata mtoto wako yalisababisha ulemavu Je, maumivu aliyopata mtoto wako yalisababisha ulemavu Je, maumivu aliyopata mtoto wako yalisababisha ulemavu Je, maumivu aliyopata mtoto wako yalisababisha ulemavu Je, maumivu aliyopata mtoto wako yalisababisha ulemavu Was the injury your child suffered the cause of his/her difficulties? Child 1 Yes 2 No Je, mtoto wako amewahi kuonewa/kushambuliwa kwa sababu ya ha Je, mtoto wako amewahi kuonewa/kushambuliwa kwa sababu ya ha Je, mtoto wako amewahi kuonewa/kushambuliwa kwa sababu ya ha Je, mtoto wako amewahi kuonewa/kushambuliwa kwa sababu ya ha Je, mtoto wako amewahi kuonewa/kushambuliwa kwa sababu ya ha Has your child ever experienced violence because of his/her difficulties? Child 1 Yes 2 No Je, mtoto wako amewahi kuishi kwenye makazi ya watu wenye ulemavu Je, mtoto wako amewahi kuishi kwenye makazi ya watu wenye ulemavu Je, mtoto wako amewahi kuishi kwenye makazi ya watu wenye ulemavu Je, mtoto wako amewahi kuishi kwenye makazi ya watu wenye ulemavu Je, mtoto wako amewahi kuishi kwenye makazi ya watu wenye ulemavu Has your child ever lived in an institution for people with disabilities? Child 1 Yes 2 No Medical rehabilitation Medical rehabilitation Medical rehabilitation Medical rehabilitation Medical rehabilitation Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Assistive devices service Assistive devices service Assistive devices service Assistive devices service Assistive devices service Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Educational services Educational services Educational services Educational services Educational services Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Vocational training Vocational training Vocational training Vocational training Vocational training Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Counselling services for person with difficulties or his/her parent/family Counselling services for person with difficulties or his/her parent/family Counselling services for person with difficulties or his/her parent/family Counselling services for person with difficulties or his/her parent/family Counselling services for person with difficulties or his/her parent/family Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Welfare services Welfare services Welfare services Welfare services Welfare services Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Health services Health services Health services Health services Health services Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable Traditional healer/faith healer Traditional healer/faith healer Traditional healer/faith healer Traditional healer/faith healer Traditional healer/faith healer Which services, if any, are you aware of and your child has ever needed and received? Child 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 still receiving the service 9 Others 10 Not applicable When did your/your child's difficulties start? When did your/your child's difficulties start? When did your/your child's difficulties start? When did your/your child's difficulties start? When did your/your child's difficulties start? How old was your child when the difficulties started? Child Born with 98 Dont know Do (NAME) attending any training centre or pre school, such as Government or private including nursery school education or day care centre? Do (NAME) attending any training centre or pre school, such as Government or private including nursery school education or day care centre? Do (NAME) attending any training centre or pre school, such as Government or private including nursery school education or day care centre? Do (NAME) attending any training centre or pre school, such as Government or private including nursery school education or day care centre? Do (NAME) attending any training centre or pre school, such as Government or private including nursery school education or day care centre? Does [NAME] attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care? Child 1 Yes, Government pre-school 2 Yes, Private pre-school 3 Yes, NGO pre-school 4 Yes, CBO 5 Yes, Other groups 6 No, Does not attend any facility/ stays at home 7 Studying primary school 8 Studying secondary school 9 Too young If you/your child attending training/training centre, in the past two weeks, how long (in terms of hours) do (NAME) attended? If you/your child attending training/training centre, in the past two weeks, how long (in terms of hours) do (NAME) attended? If you/your child attending training/training centre, in the past two weeks, how long (in terms of hours) do (NAME) attended? If you/your child attending training/training centre, in the past two weeks, how long (in terms of hours) do (NAME) attended? If you/your child attending training/training centre, in the past two weeks, how long (in terms of hours) do (NAME) attended? If your child does attend a programme or facility, about how many hours did [NAME] attend in the last 7 days? Child Pre-school/early childhood development services Pre-school/early childhood development services Pre-school/early childhood development services Pre-school/early childhood development services Pre-school/early childhood development services What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Mixed / normal school 2 Special school 3 Special class in mainstream/ regular school 4 Did not go to school / Not applicable Primary school Primary school Primary school Primary school Primary school What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Mixed / normal school 2 Special school 3 Special class in mainstream/ regular school 4 Did not go to school / Not applicable Secondary school Secondary school Secondary school Secondary school Secondary school What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Mixed / normal school 2 Special school 3 Special class in mainstream/ regular school 4 Did not go to school / Not applicable Vocational training Vocational training Vocational training Vocational training Vocational training What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Mixed / normal school 2 Special school 3 Special class in mainstream/ regular school 4 Did not go to school / Not applicable Regular pre-school Regular pre-school Regular pre-school Regular pre-school Regular pre-school What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Yes 2 No 3 Not Applicable Regular primary school Regular primary school Regular primary school Regular primary school Regular primary school What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Yes 2 No 3 Not Applicable Regular secondary school Regular secondary school Regular secondary school Regular secondary school Regular secondary school What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Yes 2 No 3 Not Applicable Special school (any level) Special school (any level) Special school (any level) Special school (any level) Special school (any level) What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Yes 2 No 3 Not Applicable Special class (remedial) Special class (remedial) Special class (remedial) Special class (remedial) Special class (remedial) What type of school does or did your child mainly attend in pre-school, primary school and secondary school? Child 1 Yes 2 No 3 Not Applicable How old were you/your child when you first started regular or special school? How old were you/your child when you first started regular or special school? How old were you/your child when you first started regular or special school? How old were you/your child when you first started regular or special school? How old were you/your child when you first started regular or special school? How old was your child when he/she first started regular or special school? Child 97 Not applicable 98 Dont know Did you/your child study as far as you planned? Did you/your child study as far as you planned? Did you/your child study as far as you planned? Did you/your child study as far as you planned? Did you/your child study as far as you planned? Did your child study as far as you planned for him/her? Child 1 Yes 2 No 3 Still studying 4 Not applicable 8 Dont know Do you get any financial support (cash or kind)? Do you get any financial support (cash or kind)? Do you get any financial support (cash or kind)? Do you get any financial support (cash or kind)? Do you get any financial support (cash or kind)? Do you (ADULT CARE GIVER) receive any assistance in cash or kind to help you with your child? Child 1 Yes, cash money 2 Yes, kind 3 Yes, cash and kind 4 No 8 Dont know Where do you get financial support? Where do you get financial support? Where do you get financial support? Where do you get financial support? Where do you get financial support? Who do you receive this assistance from? Child A Family B Friends and neighbours C Government D NGO E Disabled people's organisations F Other G Dont know Kitchen Kitchen Kitchen Kitchen Kitchen Are the rooms and toilet accessible? By accessible we mean that your child can get in and out easily and use the facility most of the time. Child 1 Yes 2 No 3 None 8 Not spplicable Bedroom Bedroom Bedroom Bedroom Bedroom Are the rooms and toilet accessible? By accessible we mean that your child can get in and out easily and use the facility most of the time. Child 1 Yes 2 No 3 None 8 Not spplicable Living room Living room Living room Living room Living room Are the rooms and toilet accessible? By accessible we mean that your child can get in and out easily and use the facility most of the time. Child 1 Yes 2 No 3 None 8 Not spplicable Dining room Dining room Dining room Dining room Dining room Are the rooms and toilet accessible? By accessible we mean that your child can get in and out easily and use the facility most of the time. Child 1 Yes 2 No 3 None 8 Not spplicable Toilet/Bath Toilet/Bath Toilet/Bath Toilet/Bath Toilet/Bath Are the rooms and toilet accessible? By accessible we mean that your child can get in and out easily and use the facility most of the time. Child 1 Yes 2 No 3 None 8 Not spplicable The place where she/he play The place where she/he play The place where she/he play The place where she/he play The place where she/he play Think of your child getting in and out of the places, and tell me for each place whether it is generally accessible to your child or not. Child 1 Yes 2 No 3 Never 4 None Available The place where she/he school The place where she/he school The place where she/he school The place where she/he school The place where she/he school Think of your child getting in and out of the places, and tell me for each place whether it is generally accessible to your child or not. Child 1 Yes 2 No 3 Never 4 None Available Shops/banks/post office Shops/banks/post office Shops/banks/post office Shops/banks/post office Shops/banks/post office Think of your child getting in and out of the places, and tell me for each place whether it is generally accessible to your child or not. Child 1 Yes 2 No 3 Never 4 None Available Hospital or clinic Hospital or clinic Hospital or clinic Hospital or clinic Hospital or clinic Think of your child getting in and out of the places, and tell me for each place whether it is generally accessible to your child or not. Child 1 Yes 2 No 3 Never 4 None Available Place of worship Place of worship Place of worship Place of worship Place of worship Think of your child getting in and out of the places, and tell me for each place whether it is generally accessible to your child or not. Child 1 Yes 2 No 3 Never 4 None Available Other Other Other Other Other Think of your child getting in and out of the places, and tell me for each place whether it is generally accessible to your child or not. Child 1 Yes 2 No 3 Never 4 None Available Do you/your child use any medication or traditional medicine for your/his or her problem? Do you/your child use any medication or traditional medicine for your/his or her problem? Do you/your child use any medication or traditional medicine for your/his or her problem? Do you/your child use any medication or traditional medicine for your/his or her problem? Do you/your child use any medication or traditional medicine for your/his or her problem? Does your child use any medication or traditional medicine for his/her health problem? Child 1 Yes, hospital/clinic/private doctor 2 Yes, traditional 3 No Do you/your child use an assistive device? Do you/your child use an assistive device? Do you/your child use an assistive device? Do you/your child use an assistive device? Do you/your child use an assistive device? Does your child use an assistive device? Child 1 Yes 2 No Dressing Dressing Dressing Dressing Dressing do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Toileting Toileting Toileting Toileting Toileting do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Bathing Bathing Bathing Bathing Bathing do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Eating/Feeding Eating/Feeding Eating/Feeding Eating/Feeding Eating/Feeding do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Cooking Cooking Cooking Cooking Cooking do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Shopping Shopping Shopping Shopping Shopping do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Moving around Moving around Moving around Moving around Moving around do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Finances Finances Finances Finances Finances do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Transport Transport Transport Transport Transport do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Studying Studying Studying Studying Studying do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Emotional support Emotional support Emotional support Emotional support Emotional support do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Other Other Other Other Other do people in the household or family help your child with? Child 1 Yes 2 Sometimes 3 No 4 Not applicable or not necessary Do you/your child go with the family to events such as family gatherings, social events etc. Do you/your child go with the family to events such as family gatherings, social events etc. Do you/your child go with the family to events such as family gatherings, social events etc. Do you/your child go with the family to events such as family gatherings, social events etc. Do you/your child go with the family to events such as family gatherings, social events etc. Does your child go with the family to events such as family gatherings, social events etc. Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Do you/your child feel involved and part of the household or family? Do you/your child feel involved and part of the household or family? Do you/your child feel involved and part of the household or family? Do you/your child feel involved and part of the household or family? Do you/your child feel involved and part of the household or family? Does your child feel involved and part of the household or family? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Does the family involve you/your child in conversations? Does the family involve you/your child in conversations? Does the family involve you/your child in conversations? Does the family involve you/your child in conversations? Does the family involve you/your child in conversations? Does the family involve your child in conversations? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Does the family help you/your child with daily activities/tasks? Does the family help you/your child with daily activities/tasks? Does the family help you/your child with daily activities/tasks? Does the family help you/your child with daily activities/tasks? Does the family help you/your child with daily activities/tasks? . Does the family help your child with daily activities/tasks? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know If YES or 'sometimes', do you/your child appreciate it or like the fact that you get this help? If YES or 'sometimes', do you/your child appreciate it or like the fact that you get this help? If YES or 'sometimes', do you/your child appreciate it or like the fact that you get this help? If YES or 'sometimes', do you/your child appreciate it or like the fact that you get this help? If YES or 'sometimes', do you/your child appreciate it or like the fact that you get this help? If YES, does your child appreciate it or like the fact that he/she gets this help? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Do/did you/your child take part in traditional practices of your community and culture? Do/did you/your child take part in traditional practices of your community and culture? Do/did you/your child take part in traditional practices of your community and culture? Do/did you/your child take part in traditional practices of your community and culture? Do/did you/your child take part in traditional practices of your community and culture? Does/did your child take part in traditional practices of your community and culture? (e.g. initiation ceremonies) Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Are you/your child included in community activities such as weddings, funerals, meetings, etc? Are you/your child included in community activities such as weddings, funerals, meetings, etc? Are you/your child included in community activities such as weddings, funerals, meetings, etc? Are you/your child included in community activities such as weddings, funerals, meetings, etc? Are you/your child included in community activities such as weddings, funerals, meetings, etc? Is your child included in community activities such as weddings, funerals, meetings, etc? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Do government officials and service providers treat you/your child with concern and respect? Do government officials and service providers treat you/your child with concern and respect? Do government officials and service providers treat you/your child with concern and respect? Do government officials and service providers treat you/your child with concern and respect? Do government officials and service providers treat you/your child with concern and respect? Do government officials and service providers treat you and your child with concern and respect? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Are you/your child aware of Organisations for people with disabilities (DPO)? Are you/your child aware of Organisations for people with disabilities (DPO)? Are you/your child aware of Organisations for people with disabilities (DPO)? Are you/your child aware of Organisations for people with disabilities (DPO)? Are you/your child aware of Organisations for people with disabilities (DPO)? Are you aware of Organisations for people with disabilities (DPO)? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Are you/your child a member of a DPO? Are you/your child a member of a DPO? Are you/your child a member of a DPO? Are you/your child a member of a DPO? Are you/your child a member of a DPO? Are you or your child a member of a DPO? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know Are you/your child a member of any other organisations, such as church or community organisations? Are you/your child a member of any other organisations, such as church or community organisations? Are you/your child a member of any other organisations, such as church or community organisations? Are you/your child a member of any other organisations, such as church or community organisations? Are you/your child a member of any other organisations, such as church or community organisations? Is your child a member of any other organisations, such as sports, church or community youth organisations? Child 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Dont know In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at your home? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at your home? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at your home? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at your home? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at your home? In the past 12 months, how often have other people's attitudes toward you because of your child been a problem at home? Child 1 Always 2 Often 3 Sometimes 4 Seldom 5 Never 8 Not applicable 9 Not specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problems 2 Big Problem In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at school or work? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at school or work? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at school or work? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at school or work? In the past 12 months, how often have other people's attitudes toward you been a problem because of having disabled child at school or work? In the past 12 months, how often have other people's attitudes toward you because of your child been a problem at school or play? Child 1 Always 2 Often 3 Sometimes 4 Seldom 5 Never 8 Not applicable 9 Not specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problems 2 Big Problem In the past 12 months, how often have you been discriminated because of your disabled child? In the past 12 months, how often have you been discriminated because of your disabled child? In the past 12 months, how often have you been discriminated because of your disabled child? In the past 12 months, how often have you been discriminated because of your disabled child? In the past 12 months, how often have you been discriminated because of your disabled child? In the past 12 months, how often did you experience prejudice or discrimination because of your child? Child 1 Always 2 Often 3 Sometimes 4 Seldom 5 Never 8 Not applicable 9 Not specified When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Child 1 Little Problems 2 Big Problem 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Seeing Problem Seeing Problem Seeing Problem Seeing Problem Seeing Problem Hearing Problem Hearing Problem Hearing Problem Hearing Problem Hearing Problem Mobidity Problem Mobidity Problem Mobidity Problem Mobidity Problem Mobidity Problem Cognition Problem Cognition Problem Cognition Problem Cognition Problem Cognition Problem Selfcare Problem Selfcare Problem Selfcare Problem Selfcare Problem Selfcare Problem Communication Problem Communication Problem Communication Problem Communication Problem Communication Problem Life ActivityProblem Life ActivityProblem Life ActivityProblem Life ActivityProblem Life ActivityProblem 1 Mainland 2 Zanzibar Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es Salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 North Unguja 52 South Unguja 53 West Town Unguja 54 North Pemba 55 South Pemba District District District District District Village/Area Village/Area Village/Area Village/Area Village/Area 1 Rural 2 Urban Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Line number of person with difficulties Age of person with difficulties Age of person with difficulties Age of person with difficulties Age of person with difficulties Age of person with difficulties Age of person with difficulties Individual Age group Age group Age group Age group Age group Age of person with difficulties Individual 1 0 - 4 2 5 - 9 3 10-14 4 15-19 5 20-24 6 25-29 7 30-34 8 35-39 9 40-44 10 45-49 11 50-54 12 55-59 13 60-64 14 65-69 15 70-74 16 75-79 17 80 + Sex of person with difficulties 1 Male 2 Female Is person reporting with difficulties or someone else? Is person reporting with difficulties or someone else? Is person reporting with difficulties or someone else? Is person reporting with difficulties or someone else? Is person reporting with difficulties or someone else? IS THE PERSON REPORTING THE PERSON WITH DIFFICULTIES OR SOMEONE ELSE? Individual 1 Yes 2 No (someone else is reporting on behalf of...) 3 Both 9 Missing Line number of person reporting Line number of person reporting Line number of person reporting Line number of person reporting Line number of person reporting 99 Missing Date of interview Date of interview Date of interview Date of interview Date of interview Intervies results Intervies results Intervies results Intervies results Intervies results 1 Completed 2 Refused 3 Not at home 4 Incomplete interview 5 Other 9 Missing Total number of visits Total number of visits Total number of visits Total number of visits Total number of visits Interviewer code Interviewer code Interviewer code Interviewer code Interviewer code 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Supervisor Supervisor Supervisor Supervisor Supervisor Editor Editor Editor Editor Editor Data entrant code Data entrant code Data entrant code Data entrant code Data entrant code 1.1a Do you have difficulty seeing? 1.1a Do you have difficulty seeing? 1.1a Do you have difficulty seeing? 1.1a Do you have difficulty seeing? 1.1a Do you have difficulty seeing? Do you have difficulty seeing? Individual 1 No 2 Some 3 A lot 4 Unable 1.1b Do you have difficulty seeing, even if wearing glasses? 1.1b Do you have difficulty seeing, even if wearing glasses? 1.1b Do you have difficulty seeing, even if wearing glasses? 1.1b Do you have difficulty seeing, even if wearing glasses? 1.1b Do you have difficulty seeing, even if wearing glasses? Do you have difficulty seeing, even if wearing glasses? Individual 1 No 2 Some 3 A lot 4 Unable 1.1c Do you have difficulty hearing? 1.1c Do you have difficulty hearing? 1.1c Do you have difficulty hearing? 1.1c Do you have difficulty hearing? 1.1c Do you have difficulty hearing? Do you have difficulty hearing? Individual 1 No 2 Some 3 A lot 4 Unable 1.1d Do you have difficulty hearing, even if using a hearing aid? 1.1d Do you have difficulty hearing, even if using a hearing aid? 1.1d Do you have difficulty hearing, even if using a hearing aid? 1.1d Do you have difficulty hearing, even if using a hearing aid? 1.1d Do you have difficulty hearing, even if using a hearing aid? Do you have difficulty hearing, even if using a hearing aid? Individual 1 No 2 Some 3 A lot 4 Unable 1.1e Do you have difficulty walking or climbing steps? 1.1e Do you have difficulty walking or climbing steps? 1.1e Do you have difficulty walking or climbing steps? 1.1e Do you have difficulty walking or climbing steps? 1.1e Do you have difficulty walking or climbing steps? Do you have difficulty walking or climbing steps? Individual 1 No 2 Some 3 A lot 4 Unable 1.1f Do you have difficulty remembering or concentrating? 1.1f Do you have difficulty remembering or concentrating? 1.1f Do you have difficulty remembering or concentrating? 1.1f Do you have difficulty remembering or concentrating? 1.1f Do you have difficulty remembering or concentrating? Do you have difficulty remembering or concentrating? Individual 1 No 2 Some 3 A lot 4 Unable 1.1g Do you have difficulty with self-care, such as washing all over or dressing? 1.1g Do you have difficulty with self-care, such as washing all over or dressing? 1.1g Do you have difficulty with self-care, such as washing all over or dressing? 1.1g Do you have difficulty with self-care, such as washing all over or dressing? 1.1g Do you have difficulty with self-care, such as washing all over or dressing? Do you have difficulty with self-care, such as washing all over or dressing? Individual 1 No 2 Some 3 A lot 4 Unable 1.1h Do you have difficulty communicating in your usual language? 1.1h Do you have difficulty communicating in your usual language? 1.1h Do you have difficulty communicating in your usual language? 1.1h Do you have difficulty communicating in your usual language? 1.1h Do you have difficulty communicating in your usual language? Do you have difficulty communicating in your usual language (for example understanding or being understood by others)? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(1) Do you have difficulty seeing and recognizing a person you know from 7m away? 1.2(1) Do you have difficulty seeing and recognizing a person you know from 7m away? 1.2(1) Do you have difficulty seeing and recognizing a person you know from 7m away? 1.2(1) Do you have difficulty seeing and recognizing a person you know from 7m away? 1.2(1) Do you have difficulty seeing and recognizing a person you know from 7m away? Do you have difficulty seeing and recognizing a person you know from 7 meters away? E.g. across a street Individual 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated 1.2(2) Do you have difficulty seeing and recognizing an object at arm's length? 1.2(2) Do you have difficulty seeing and recognizing an object at arm's length? 1.2(2) Do you have difficulty seeing and recognizing an object at arm's length? 1.2(2) Do you have difficulty seeing and recognizing an object at arm's length? 1.2(2) Do you have difficulty seeing and recognizing an object at arm's length? Do you have difficulty seeing and recognizing an object at arm's length? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(3) Do you have difficulty hearing someone talking on the other side of the room in a normal voice? 1.2(3) Do you have difficulty hearing someone talking on the other side of the room in a normal voice? 1.2(3) Do you have difficulty hearing someone talking on the other side of the room in a normal voice? 1.2(3) Do you have difficulty hearing someone talking on the other side of the room in a normal voice? 1.2(3) Do you have difficulty hearing someone talking on the other side of the room in a normal voice? Do you have difficulty hearing someone talking on the other side of the room in a normal voice? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(4) Do you have difficulty hearing what is said in a conversation with one other person in a quiet room? 1.2(4) Do you have difficulty hearing what is said in a conversation with one other person in a quiet room? 1.2(4) Do you have difficulty hearing what is said in a conversation with one other person in a quiet room? 1.2(4) Do you have difficulty hearing what is said in a conversation with one other person in a quiet room? 1.2(4) Do you have difficulty hearing what is said in a conversation with one other person in a quiet room? Do you have difficulty hearing what is said in a conversation with one other person in a quiet room? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(5) Do you have difficulty moving around inside your home? 1.2(5) Do you have difficulty moving around inside your home? 1.2(5) Do you have difficulty moving around inside your home? 1.2(5) Do you have difficulty moving around inside your home? 1.2(5) Do you have difficulty moving around inside your home? Do you have difficulty moving around inside your home? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(6) Do you have difficulty walking a long distance such as a kilometre (or equivalent)? 1.2(6) Do you have difficulty walking a long distance such as a kilometre (or equivalent)? 1.2(6) Do you have difficulty walking a long distance such as a kilometre (or equivalent)? 1.2(6) Do you have difficulty walking a long distance such as a kilometre (or equivalent)? 1.2(6) Do you have difficulty walking a long distance such as a kilometre (or equivalent)? Do you have difficulty walking a long distance such as a kilometer (or equivalent)? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(7) Do you have difficulty in using your hands and fingers, to picking up small objects or opening and closing containers? 1.2(7) Do you have difficulty in using your hands and fingers, to picking up small objects or opening and closing containers? 1.2(7) Do you have difficulty in using your hands and fingers, to picking up small objects or opening and closing containers? 1.2(7) Do you have difficulty in using your hands and fingers, to picking up small objects or opening and closing containers? 1.2(7) Do you have difficulty in using your hands and fingers, to picking up small objects or opening and closing containers? Do you have difficulty in using your hands and fingers, such as for picking up small objects or opening and closing containers? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(8) Do you have difficulty concentrating on doing something for ten minutes (i.e. a short time)? 1.2(8) Do you have difficulty concentrating on doing something for ten minutes (i.e. a short time)? 1.2(8) Do you have difficulty concentrating on doing something for ten minutes (i.e. a short time)? 1.2(8) Do you have difficulty concentrating on doing something for ten minutes (i.e. a short time)? 1.2(8) Do you have difficulty concentrating on doing something for ten minutes (i.e. a short time)? Do you have difficulty concentrating on doing something for ten minutes (i.e. a short time)? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(9) Do you have difficulty remembering to do important things? 1.2(9) Do you have difficulty remembering to do important things? 1.2(9) Do you have difficulty remembering to do important things? 1.2(9) Do you have difficulty remembering to do important things? 1.2(9) Do you have difficulty remembering to do important things? Do you have difficulty remembering to do important things? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(10) Do you have difficulty washing your whole body? 1.2(10) Do you have difficulty washing your whole body? 1.2(10) Do you have difficulty washing your whole body? 1.2(10) Do you have difficulty washing your whole body? 1.2(10) Do you have difficulty washing your whole body? Do you have difficulty washing your whole body? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(11) Do you have difficulty getting dressed? 1.2(11) Do you have difficulty getting dressed? 1.2(11) Do you have difficulty getting dressed? 1.2(11) Do you have difficulty getting dressed? 1.2(11) Do you have difficulty getting dressed? Do you have difficulty getting dressed? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(12) Do you have difficulty feeding yourself? 1.2(12) Do you have difficulty feeding yourself? 1.2(12) Do you have difficulty feeding yourself? 1.2(12) Do you have difficulty feeding yourself? 1.2(12) Do you have difficulty feeding yourself? Do you have difficulty feeding yourself? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(13) Do you have difficulty generally understanding what people say? 1.2(13) Do you have difficulty generally understanding what people say? 1.2(13) Do you have difficulty generally understanding what people say? 1.2(13) Do you have difficulty generally understanding what people say? 1.2(13) Do you have difficulty generally understanding what people say? Do you have difficulty generally understanding what people say? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(14) Do you have difficulty talking clearly so people can understand you? 1.2(14) Do you have difficulty talking clearly so people can understand you? 1.2(14) Do you have difficulty talking clearly so people can understand you? 1.2(14) Do you have difficulty talking clearly so people can understand you? 1.2(14) Do you have difficulty talking clearly so people can understand you? Do you have difficulty talking clearly so people can understand you? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(15) Do you have difficulty starting and maintaining a conversation? 1.2(15) Do you have difficulty starting and maintaining a conversation? 1.2(15) Do you have difficulty starting and maintaining a conversation? 1.2(15) Do you have difficulty starting and maintaining a conversation? 1.2(15) Do you have difficulty starting and maintaining a conversation? Do you have difficulty starting and maintaining a conversation? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(16) Do you have difficulty analyzing and finding solutions to problems in day to day life? 1.2(16) Do you have difficulty analyzing and finding solutions to problems in day to day life? 1.2(16) Do you have difficulty analyzing and finding solutions to problems in day to day life? 1.2(16) Do you have difficulty analyzing and finding solutions to problems in day to day life? 1.2(16) Do you have difficulty analyzing and finding solutions to problems in day to day life? Do you have difficulty analyzing and finding solutions to problems in day to day life? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(17) Do you have difficulty getting along with people who are close to you? 1.2(17) Do you have difficulty getting along with people who are close to you? 1.2(17) Do you have difficulty getting along with people who are close to you? 1.2(17) Do you have difficulty getting along with people who are close to you? 1.2(17) Do you have difficulty getting along with people who are close to you? Do you have difficulty getting along with people who are close to you? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(18) Do you have difficulty joining in community activities? 1.2(18) Do you have difficulty joining in community activities? 1.2(18) Do you have difficulty joining in community activities? 1.2(18) Do you have difficulty joining in community activities? 1.2(18) Do you have difficulty joining in community activities? Do you have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(19) Do you have difficulty taking care of your household responsibilities? 1.2(19) Do you have difficulty taking care of your household responsibilities? 1.2(19) Do you have difficulty taking care of your household responsibilities? 1.2(19) Do you have difficulty taking care of your household responsibilities? 1.2(19) Do you have difficulty taking care of your household responsibilities? Do you have difficulty taking care of your household responsibilities? Individual 1 No 2 Some 3 A lot 4 Unable 1.2(20) Do you have difficulty in day-to-day work/ schoolwork? 1.2(20) Do you have difficulty in day-to-day work/ schoolwork? 1.2(20) Do you have difficulty in day-to-day work/ schoolwork? 1.2(20) Do you have difficulty in day-to-day work/ schoolwork? 1.2(20) Do you have difficulty in day-to-day work/ schoolwork? Do you have difficulty in day-to-day work/ schoolwork)? Individual 1 No 2 Some 3 A lot 4 Unable 1.3(a) Join in community activities like anyone else can? 1.3(a) Join in community activities like anyone else can? 1.3(a) Join in community activities like anyone else can? 1.3(a) Join in community activities like anyone else can? 1.3(a) Join in community activities like anyone else can? Does your physical environment (building, roads, pavements, etc.) or the attitudes of other people make it easier or more difficult for you to…… Individual 1 Easier 2 More difficult 3 Sometimes easier and sometimes more difficult 4 Don't know 1.3(b) Taking care of you household responsibilities? 1.3(b) Taking care of you household responsibilities? 1.3(b) Taking care of you household responsibilities? 1.3(b) Taking care of you household responsibilities? 1.3(b) Taking care of you household responsibilities? Does your physical environment (building, roads, pavements, etc.) or the attitudes of other people make it easier or more difficult for you to…… Individual 1 Easier 2 More difficult 3 Sometimes easier and sometimes more difficult 4 Don't know 1.3(c) In day-to-day work / schoolwork? 1.3(c) In day-to-day work / schoolwork? 1.3(c) In day-to-day work / schoolwork? 1.3(c) In day-to-day work / schoolwork? 1.3(c) In day-to-day work / schoolwork? Does your physical environment (building, roads, pavements, etc.) or the attitudes of other people make it easier or more difficult for you to…… Individual 1 Easier 2 More difficult 3 Sometimes easier and sometimes more difficult 4 Don't know 1.4(1) How often has the accessibility of transportation been a problem for you? 1.4(1) How often has the accessibility of transportation been a problem for you? 1.4(1) How often has the accessibility of transportation been a problem for you? 1.4(1) How often has the accessibility of transportation been a problem for you? 1.4(1) How often has the accessibility of transportation been a problem for you? how often has the accessibility of transportation been a problem for you? (By accessibility we mean the ability to get in and out of the transport.) Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(1) When this problem occurs has it been a big problem or a little problem? 1.4(1) When this problem occurs has it been a big problem or a little problem? 1.4(1) When this problem occurs has it been a big problem or a little problem? 1.4(1) When this problem occurs has it been a big problem or a little problem? 1.4(1) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.4(2) How often has the information you wanted or needed not been available in a format you can use or understand? 1.4(2) How often has the information you wanted or needed not been available in a format you can use or understand? 1.4(2) How often has the information you wanted or needed not been available in a format you can use or understand? 1.4(2) How often has the information you wanted or needed not been available in a format you can use or understand? 1.4(2) How often has the information you wanted or needed not been available in a format you can use or understand? . In the past 12 months, how often has the information you wanted or needed not been available in a format you can use or understand? (e.g. Braille for Blind people) Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(2) When this problem occurs has it been a big problem or a little problem? 1.4(2) When this problem occurs has it been a big problem or a little problem? 1.4(2) When this problem occurs has it been a big problem or a little problem? 1.4(2) When this problem occurs has it been a big problem or a little problem? 1.4(2) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.4(3) How often has the availability of health care services and medical care been a problem for you? 1.4(3) How often has the availability of health care services and medical care been a problem for you? 1.4(3) How often has the availability of health care services and medical care been a problem for you? 1.4(3) How often has the availability of health care services and medical care been a problem for you? 1.4(3) How often has the availability of health care services and medical care been a problem for you? In the past 12 months, how often has the availability of health care services and medical care been a problem for you? Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(3) When this problem occurs has it been a big problem or a little problem? 1.4(3) When this problem occurs has it been a big problem or a little problem? 1.4(3) When this problem occurs has it been a big problem or a little problem? 1.4(3) When this problem occurs has it been a big problem or a little problem? 1.4(3) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.4(4) How often did you need someone else’s help in your home and could not get it easily? 1.4(4) How often did you need someone else’s help in your home and could not get it easily? 1.4(4) How often did you need someone else’s help in your home and could not get it easily? 1.4(4) How often did you need someone else’s help in your home and could not get it easily? 1.4(4) How often did you need someone else’s help in your home and could not get it easily? In the past 12 months, how often did you need someone else's help in your home and could not get it easily? Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(4) When this problem occurs has it been a big problem or a little problem? 1.4(4) When this problem occurs has it been a big problem or a little problem? 1.4(4) When this problem occurs has it been a big problem or a little problem? 1.4(4) When this problem occurs has it been a big problem or a little problem? 1.4(4) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.4(5) How often did you need someone else’s help at school or work and could not get it easily? 1.4(5) How often did you need someone else’s help at school or work and could not get it easily? 1.4(5) How often did you need someone else’s help at school or work and could not get it easily? 1.4(5) How often did you need someone else’s help at school or work and could not get it easily? 1.4(5) How often did you need someone else’s help at school or work and could not get it easily? In the past 12 months, how often did you need someone else's help at school or work and could not get it easily? Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(5) When this problem occurs has it been a big problem or a little problem? 1.4(5) When this problem occurs has it been a big problem or a little problem? 1.4(5) When this problem occurs has it been a big problem or a little problem? 1.4(5) When this problem occurs has it been a big problem or a little problem? 1.4(5) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.4(6) How often have other people’s attitudes toward you been a problem at home? 1.4(6) How often have other people’s attitudes toward you been a problem at home? 1.4(6) How often have other people’s attitudes toward you been a problem at home? 1.4(6) How often have other people’s attitudes toward you been a problem at home? 1.4(6) How often have other people’s attitudes toward you been a problem at home? In the past 12 months, how often have other people's attitudes toward you been a problem at home? Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(6) When this problem occurs has it been a big problem or a little problem? 1.4(6) When this problem occurs has it been a big problem or a little problem? 1.4(6) When this problem occurs has it been a big problem or a little problem? 1.4(6) When this problem occurs has it been a big problem or a little problem? 1.4(6) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.4(7) How often have other people’s attitudes toward you been a problem at school or work? 1.4(7) How often have other people’s attitudes toward you been a problem at school or work? 1.4(7) How often have other people’s attitudes toward you been a problem at school or work? 1.4(7) How often have other people’s attitudes toward you been a problem at school or work? 1.4(7) How often have other people’s attitudes toward you been a problem at school or work? In the past 12 months, how often have other people's attitudes toward you been a problem at home? Individual 1 Always 2 Often 3 Sometime 4 Seldom 5 Never 8 Not applicable 9 Not specified 1.4(7) When this problem occurs has it been a big problem or a little problem? 1.4(7) When this problem occurs has it been a big problem or a little problem? 1.4(7) When this problem occurs has it been a big problem or a little problem? 1.4(7) When this problem occurs has it been a big problem or a little problem? 1.4(7) When this problem occurs has it been a big problem or a little problem? When this problem occurs has it been a big problem or a little problem? Individual 1 Little problem 2 Big problem 1.5a(i) Death 1.5a(i) Death 1.5a(i) Death 1.5a(i) Death 1.5a(i) Death Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(ii) Injury 1.5a(ii) Injury 1.5a(ii) Injury 1.5a(ii) Injury 1.5a(ii) Injury Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(iii) Illness 1.5a(iii) Illness 1.5a(iii) Illness 1.5a(iii) Illness 1.5a(iii) Illness Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(iv) Loss Of Employment 1.5a(iv) Loss Of Employment 1.5a(iv) Loss Of Employment 1.5a(iv) Loss Of Employment 1.5a(iv) Loss Of Employment Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(v) Displacement 1.5a(v) Displacement 1.5a(v) Displacement 1.5a(v) Displacement 1.5a(v) Displacement Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(vi) Separation 1.5a(vi) Separation 1.5a(vi) Separation 1.5a(vi) Separation 1.5a(vi) Separation Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(vii) Divorce 1.5a(vii) Divorce 1.5a(vii) Divorce 1.5a(vii) Divorce 1.5a(vii) Divorce Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(viii) Theft/Robbery 1.5a(viii) Theft/Robbery 1.5a(viii) Theft/Robbery 1.5a(viii) Theft/Robbery 1.5a(viii) Theft/Robbery Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(ix) Accusation Of Witchcraft 1.5a(ix) Accusation Of Witchcraft 1.5a(ix) Accusation Of Witchcraft 1.5a(ix) Accusation Of Witchcraft 1.5a(ix) Accusation Of Witchcraft Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(x) Conviction For A Crime/Imprisonment 1.5a(x) Conviction For A Crime/Imprisonment 1.5a(x) Conviction For A Crime/Imprisonment 1.5a(x) Conviction For A Crime/Imprisonment 1.5a(x) Conviction For A Crime/Imprisonment Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5a(xi) Other 1.5a(xi) Other 1.5a(xi) Other 1.5a(xi) Other 1.5a(xi) Other Thinking about the important negative life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. NB THIS REFERS TO THE NUMBER OF EVENTS, NOT THE DURATION. Individual 1.5b(i) A Birth 1.5b(i) A Birth 1.5b(i) A Birth 1.5b(i) A Birth 1.5b(i) A Birth Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5b(ii) Marriage 1.5b(ii) Marriage 1.5b(ii) Marriage 1.5b(ii) Marriage 1.5b(ii) Marriage Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5b(iii) Employment 1.5b(iii) Employment 1.5b(iii) Employment 1.5b(iii) Employment 1.5b(iii) Employment Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5b(iv) Other Financial Gain 1.5b(iv) Other Financial Gain 1.5b(iv) Other Financial Gain 1.5b(iv) Other Financial Gain 1.5b(iv) Other Financial Gain Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5b(v) Athletic/Scholastic/Political Achievements 1.5b(v) Athletic/Scholastic/Political Achievements 1.5b(v) Athletic/Scholastic/Political Achievements 1.5b(v) Athletic/Scholastic/Political Achievements 1.5b(v) Athletic/Scholastic/Political Achievements Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5b(vi) Initiation Ceremonies 1.5b(vi) Initiation Ceremonies 1.5b(vi) Initiation Ceremonies 1.5b(vi) Initiation Ceremonies 1.5b(vi) Initiation Ceremonies Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5b(vii) Other 1.5b(vii) Other 1.5b(vii) Other 1.5b(vii) Other 1.5b(vii) Other Thinking about the important positive life events listed below, please indicate the number of times you have experienced each of these during the past 12 months. (Enter 0 if NONE). Individual 1.5c How would you describe your overall physical health today? 1.5c How would you describe your overall physical health today? 1.5c How would you describe your overall physical health today? 1.5c How would you describe your overall physical health today? 1.5c How would you describe your overall physical health today? How would you describe your overall physical health today? Individual 1 Poor 2 Not very good 3 Good 4 Very Good 9 Don't know 1.5d How would you describe your overall mental health today? 1.5d How would you describe your overall mental health today? 1.5d How would you describe your overall mental health today? 1.5d How would you describe your overall mental health today? 1.5d How would you describe your overall mental health today? How would you describe your overall mental health today? Individual 1 Poor 2 Not very good 3 Good 4 Very Good 9 Don't know 1.5e(1) felt worried and anxious? 1.5e(1) felt worried and anxious? 1.5e(1) felt worried and anxious? 1.5e(1) felt worried and anxious? 1.5e(1) felt worried and anxious? felt worried and anxious? Individual 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time 1.5e(2) Felt so down in the dumps, nothing could cheer you up? 1.5e(2) Felt so down in the dumps, nothing could cheer you up? 1.5e(2) Felt so down in the dumps, nothing could cheer you up? 1.5e(2) Felt so down in the dumps, nothing could cheer you up? 1.5e(2) Felt so down in the dumps, nothing could cheer you up? . felt so down in the dumps, nothing could cheer you up? Individual 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time 1.5e(3) felt calm and peaceful? 1.5e(3) felt calm and peaceful? 1.5e(3) felt calm and peaceful? 1.5e(3) felt calm and peaceful? 1.5e(3) felt calm and peaceful? felt calm and peaceful? Individual 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time 1.5e(4) felt down-hearted and depressed? 1.5e(4) felt down-hearted and depressed? 1.5e(4) felt down-hearted and depressed? 1.5e(4) felt down-hearted and depressed? 1.5e(4) felt down-hearted and depressed? felt down-hearted and depressed? Individual 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time 1.5e(5) been happy? 1.5e(5) been happy? 1.5e(5) been happy? 1.5e(5) been happy? 1.5e(5) been happy? been happy? Individual 1 None of the time 2 A little of the time 3 Some of the time 4 A good bit of the time 5 Most of the time 6 All of the time 2.1 What type of health problem or disability do you have? 2.1 What type of health problem or disability do you have? 2.1 What type of health problem or disability do you have? 2.1 What type of health problem or disability do you have? 2.1 What type of health problem or disability do you have? Do you have any health problem or disability? Individual 2.2 What caused your difficulties? 2.2 What caused your difficulties? 2.2 What caused your difficulties? 2.2 What caused your difficulties? 2.2 What caused your difficulties? What caused your difficulties? Individual 2.3 When did your difficulties start? 2.3 When did your difficulties start? 2.3 When did your difficulties start? 2.3 When did your difficulties start? 2.3 When did your difficulties start? When did your difficulties start? Individual Born with disability 95 More than 95 years 98 Don't know 2.4 If you started having your difficulties as a child, who was responsible for your upbringing? 2.4 If you started having your difficulties as a child, who was responsible for your upbringing? 2.4 If you started having your difficulties as a child, who was responsible for your upbringing? 2.4 If you started having your difficulties as a child, who was responsible for your upbringing? 2.4 If you started having your difficulties as a child, who was responsible for your upbringing? If you started having your difficulties as a child, who was responsible for your upbringing? Individual 1 My parents (Mother and Father) 2 Father 3 Mother 4 Grandfather/mother 5 Relatives 6 Institution for people with disabilities 8 Other who are not relatives 2.5 If you started having your difficulties as a child, where were you brought up? 2.5 If you started having your difficulties as a child, where were you brought up? 2.5 If you started having your difficulties as a child, where were you brought up? 2.5 If you started having your difficulties as a child, where were you brought up? 2.5 If you started having your difficulties as a child, where were you brought up? If you started having your difficulties as a child, where were you brought up? Individual 1 My parents (Mother and Father) 2 Father 3 Mother 4 Grandfather/mother 5 Relatives 6 Institution for people with disabilities 8 Other who are not relatives 2.6(a) War 2.6(a) War 2.6(a) War 2.6(a) War 2.6(a) War Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(b) Domestic violence (in the home) 2.6(b) Domestic violence (in the home) 2.6(b) Domestic violence (in the home) 2.6(b) Domestic violence (in the home) 2.6(b) Domestic violence (in the home) Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(c) Non-domestic violence (outside the home) 2.6(c) Non-domestic violence (outside the home) 2.6(c) Non-domestic violence (outside the home) 2.6(c) Non-domestic violence (outside the home) 2.6(c) Non-domestic violence (outside the home) Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(d) Political violence 2.6(d) Political violence 2.6(d) Political violence 2.6(d) Political violence 2.6(d) Political violence Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(e) Treatment 2.6(e) Treatment 2.6(e) Treatment 2.6(e) Treatment 2.6(e) Treatment Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(f) Animals 2.6(f) Animals 2.6(f) Animals 2.6(f) Animals 2.6(f) Animals Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(g) Fire 2.6(g) Fire 2.6(g) Fire 2.6(g) Fire 2.6(g) Fire Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(h) Accident (vehicle or other) 2.6(h) Accident (vehicle or other) 2.6(h) Accident (vehicle or other) 2.6(h) Accident (vehicle or other) 2.6(h) Accident (vehicle or other) Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.6(i) Others 2.6(i) Others 2.6(i) Others 2.6(i) Others 2.6(i) Others Have you ever been injured as a consequence of the following? Individual 1 Yes 2 No 2.7 Was the injury you suffered the cause of your difficulties? 2.7 Was the injury you suffered the cause of your difficulties? 2.7 Was the injury you suffered the cause of your difficulties? 2.7 Was the injury you suffered the cause of your difficulties? 2.7 Was the injury you suffered the cause of your difficulties? Was the injury you suffered the cause of your difficulties? Individual 1 Yes 2 No 8 Don't know 2.8 Have you ever experienced violence because of your difficulties? 2.8 Have you ever experienced violence because of your difficulties? 2.8 Have you ever experienced violence because of your difficulties? 2.8 Have you ever experienced violence because of your difficulties? 2.8 Have you ever experienced violence because of your difficulties? Have you ever experienced violence because of your difficulties? Individual 1 Yes 2 No 8 Don't know 2.9 Have you ever lived in an institution for people with disabilities? 2.9 Have you ever lived in an institution for people with disabilities? 2.9 Have you ever lived in an institution for people with disabilities? 2.9 Have you ever lived in an institution for people with disabilities? 2.9 Have you ever lived in an institution for people with disabilities? Have you ever lived in an institution for people with disabilities? Individual 1 Yes 2 No 8 Don't know 3.2(a) Medical rehabilitation 3.2(a) Medical rehabilitation 3.2(a) Medical rehabilitation 3.2(a) Medical rehabilitation 3.2(a) Medical rehabilitation Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(b) Assistive devices service 3.2(b) Assistive devices service 3.2(b) Assistive devices service 3.2(b) Assistive devices service 3.2(b) Assistive devices service Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(c) Educational services 3.2(c) Educational services 3.2(c) Educational services 3.2(c) Educational services 3.2(c) Educational services Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(d) Vocational training 3.2(d) Vocational training 3.2(d) Vocational training 3.2(d) Vocational training 3.2(d) Vocational training Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(e) Counselling services for person with difficulties or his/her parent/family 3.2(e) Counselling services for person with difficulties or his/her parent/family 3.2(e) Counselling services for person with difficulties or his/her parent/family 3.2(e) Counselling services for person with difficulties or his/her parent/family 3.2(e) Counselling services for person with difficulties or his/her parent/family Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(f) Welfare services 3.2(f) Welfare services 3.2(f) Welfare services 3.2(f) Welfare services 3.2(f) Welfare services Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(g) Health services 3.2(g) Health services 3.2(g) Health services 3.2(g) Health services 3.2(g) Health services Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.2(h) Traditional healer/faith healer 3.2(h) Traditional healer/faith healer 3.2(h) Traditional healer/faith healer 3.2(h) Traditional healer/faith healer 3.2(h) Traditional healer/faith healer Which services, if any, are you aware of and have ever needed/received? Individual 1 It was too expensive 2 It was too far or you had no transport 3 It was not helping you anymore 4 I reached the level of functioning I set as goal? 5 The services were no longer available 6 I was not satisfied with services 7 There was a communication/language barrier 8 Still receiving the service 9 Other 10 Not applicable 3.3 Work or school 3.3 Work or school 3.3 Work or school 3.3 Work or school 3.3 Work or school What type of transport do you mainly use for getting to: Individual 1 Walk 2 Horse/Donkey 3 Private car/motorcycle 4 Public buses 5 Taxi 6 Bicycle 7 Other 8 Not applicable 3.3 Health facility 3.3 Health facility 3.3 Health facility 3.3 Health facility 3.3 Health facility What type of transport do you mainly use for getting to: Individual 1 Walk 2 Horse/Donkey 3 Private car/motorcycle 4 Public buses 5 Taxi 6 Bicycle 7 Other 8 Not applicable 3.3 Socialising/ community activities 3.3 Socialising/ community activities 3.3 Socialising/ community activities 3.3 Socialising/ community activities 3.3 Socialising/ community activities What type of transport do you mainly use for getting to: Individual 1 Walk 2 Horse/Donkey 3 Private car/motorcycle 4 Public buses 5 Taxi 6 Bicycle 7 Other 8 Not applicable 3.3 Shops and other services 3.3 Shops and other services 3.3 Shops and other services 3.3 Shops and other services 3.3 Shops and other services What type of transport do you mainly use for getting to: Individual 1 Walk 2 Horse/Donkey 3 Private car/motorcycle 4 Public buses 5 Taxi 6 Bicycle 7 Other 8 Not applicable 3.4(1) Cart pulled by animal 3.4(1) Cart pulled by animal 3.4(1) Cart pulled by animal 3.4(1) Cart pulled by animal 3.4(1) Cart pulled by animal How accessible are the following forms of transport? Individual 1 Accessible and easy to use most of the time 2 Inaccessible and very difficult to use most of the time 3 Not available most of the time 8 Not applicable 3.4(2) Private car 3.4(2) Private car 3.4(2) Private car 3.4(2) Private car 3.4(2) Private car How accessible are the following forms of transport? Individual 1 Accessible and easy to use most of the time 2 Inaccessible and very difficult to use most of the time 3 Not available most of the time 8 Not applicable 3.4(3) Public buses 3.4(3) Public buses 3.4(3) Public buses 3.4(3) Public buses 3.4(3) Public buses How accessible are the following forms of transport? Individual 1 Accessible and easy to use most of the time 2 Inaccessible and very difficult to use most of the time 3 Not available most of the time 8 Not applicable 3.4(4) Taxi 3.4(4) Taxi 3.4(4) Taxi 3.4(4) Taxi 3.4(4) Taxi How accessible are the following forms of transport? Individual 1 Accessible and easy to use most of the time 2 Inaccessible and very difficult to use most of the time 3 Not available most of the time 8 Not applicable 3.4(5) Bicycle 3.4(5) Bicycle 3.4(5) Bicycle 3.4(5) Bicycle 3.4(5) Bicycle How accessible are the following forms of transport? Individual 1 Accessible and easy to use most of the time 2 Inaccessible and very difficult to use most of the time 3 Not available most of the time 8 Not applicable 3.4(6) Other 3.4(6) Other 3.4(6) Other 3.4(6) Other 3.4(6) Other How accessible are the following forms of transport? Individual 1 Accessible and easy to use most of the time 2 Inaccessible and very difficult to use most of the time 3 Not available most of the time 8 Not applicable 4.1 Have you ever attended to school? 4.1 Have you ever attended to school? 4.1 Have you ever attended to school? 4.1 Have you ever attended to school? 4.1 Have you ever attended to school? Have you received a formal primary education? Individual 1 Yes 2 No 4.2 What level did you reach? 4.2 What level did you reach? 4.2 What level did you reach? 4.2 What level did you reach? 4.2 What level did you reach? What level did you reach? Individual Pre-school 1 Standard 1 2 Standard 2 3 Standard 3 4 Standard 4 5 Standard 5 6 Standard 6 7 Standard 7 8 Standard 8 9 Form 1 10 Form 2 11 Form 3 12 Form 4 13 Form 5 14 Form 6 17 Course after primary education 18 Orientation secondary course 19 Course after secondary Education 20 Course after form VI education 21 Diploma course 22 Other certificate 23 University Degree and related titles 24 Adult education only 4.3 Why you did not enrolled to school? 4.3 Why you did not enrolled to school? 4.3 Why you did not enrolled to school? 4.3 Why you did not enrolled to school? 4.3 Why you did not enrolled to school? Why did you not receive any formal education? Individual 1 Disability 2 Poverty situation of the family 3 Lack of assistance devises 4 Lack of special school/special class for the people with dis 5 Lack of Personal assistance/care 6 Environment of school conditions 7 Distance to the school 9 Transport allocation 10 Other 4.4 Where did you learn to read and write? 4.4 Where did you learn to read and write? 4.4 Where did you learn to read and write? 4.4 Where did you learn to read and write? 4.4 Where did you learn to read and write? If you have not received a formal primary education, have you ever attended classes to learn to read and write as an adult? Individual 1 Ward or Shehia Officea 2 MEMKWA 3 Home 4 Relatives 5 Friends 6 Church / Mosque 7 Other 8 Not applicable 4.5 Pre-school/early childhood development services 4.5 Pre-school/early childhood development services 4.5 Pre-school/early childhood development services 4.5 Pre-school/early childhood development services 4.5 Pre-school/early childhood development services What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Mainstream/Regular school 2 Special school 3 Special class in mainstream/ regular school 4 Not attended or not applicable 4.5 Primary school 4.5 Primary school 4.5 Primary school 4.5 Primary school 4.5 Primary school What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Mainstream/Regular school 2 Special school 3 Special class in mainstream/ regular school 4 Not attended or not applicable 4.5 Secondary school 4.5 Secondary school 4.5 Secondary school 4.5 Secondary school 4.5 Secondary school What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Mainstream/Regular school 2 Special school 3 Special class in mainstream/ regular school 4 Not attended or not applicable 4.5 Tertiary education 4.5 Tertiary education 4.5 Tertiary education 4.5 Tertiary education 4.5 Tertiary education What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Mainstream/Regular school 2 Special school 3 Special class in mainstream/ regular school 4 Not attended or not applicable 4.5 Vocational training 4.5 Vocational training 4.5 Vocational training 4.5 Vocational training 4.5 Vocational training What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Mainstream/Regular school 2 Special school 3 Special class in mainstream/ regular school 4 Not attended or not applicable 4.6 Regular pre-school 4.6 Regular pre-school 4.6 Regular pre-school 4.6 Regular pre-school 4.6 Regular pre-school What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Yes 2 No 3 Not applicable 4.6 Regular primary school 4.6 Regular primary school 4.6 Regular primary school 4.6 Regular primary school 4.6 Regular primary school What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Yes 2 No 3 Not applicable 4.6 Regular secondary school 4.6 Regular secondary school 4.6 Regular secondary school 4.6 Regular secondary school 4.6 Regular secondary school What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Yes 2 No 3 Not applicable 4.6 Special school (any level) 4.6 Special school (any level) 4.6 Special school (any level) 4.6 Special school (any level) 4.6 Special school (any level) What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Yes 2 No 3 Not applicable 4.6 Special class (remedial) 4.6 Special class (remedial) 4.6 Special class (remedial) 4.6 Special class (remedial) 4.6 Special class (remedial) What type of school do or did you mainly attend in pre-school, primary school and secondary school? Individual 1 Yes 2 No 3 Not applicable 4.7 How old were you when you first started regular or special school? 4.7 How old were you when you first started regular or special school? 4.7 How old were you when you first started regular or special school? 4.7 How old were you when you first started regular or special school? 4.7 How old were you when you first started regular or special school? How old were you when you first started regular or special school? Individual 97 Not applicable 98 Dont't know 4.8 Did you study as far as you planned? 4.8 Did you study as far as you planned? 4.8 Did you study as far as you planned? 4.8 Did you study as far as you planned? 4.8 Did you study as far as you planned? Did you study as far as you planned? Individual 1 Yes 2 No 3 Still in school 4 Not applicable 8 Don't know 4.9 Has your level of education helped you find any work at all? 4.9 Has your level of education helped you find any work at all? 4.9 Has your level of education helped you find any work at all? 4.9 Has your level of education helped you find any work at all? 4.9 Has your level of education helped you find any work at all? Has your level of education helped you find any work at all? Individual 1 Yes 2 No 3 Still in school 4 Not applicable 8 Don't know 5.1 Are you currently working? 5.1 Are you currently working? 5.1 Are you currently working? 5.1 Are you currently working? 5.1 Are you currently working? Are you currently working? Individual 1 Currently working 2 Previously employed 3 Not Employed 4 Housewife 5.2 What type of job do you have? 5.2 What type of job do you have? 5.2 What type of job do you have? 5.2 What type of job do you have? 5.2 What type of job do you have? What type of job do you have? Individual 1 Farming/Livestock keeping 2 Fishing 3 Mining 4 Tourism 5 Paid Employee Government 6 Paid Employee parastatals 7 Paid Employee NGOs or other religion organization 8 Other Private institutions 9 Employ others 10 Self Employees 11 Unpaid Family Helper in Business 12 Not working but ready to work 99 Not applicable 5.3 If you are unemployed now but you have been employed previously, why did you stop working? 5.3 If you are unemployed now but you have been employed previously, why did you stop working? 5.3 If you are unemployed now but you have been employed previously, why did you stop working? 5.3 If you are unemployed now but you have been employed previously, why did you stop working? 5.3 If you are unemployed now but you have been employed previously, why did you stop working? If you are unemployed now (5.2 = No) but you have been employed (including self-employed) previously, why did you stop working? Individual 1 Retired 2 Retrenched due to the cut backs 3 Fired 4 Injury/accident at work 5 Illness 6 Because of disability 7 Other 8 Not applicable 9 Don't know 5.4 What is your main source of income? 5.4 What is your main source of income? 5.4 What is your main source of income? 5.4 What is your main source of income? 5.4 What is your main source of income? What is your main source of income? Individual 1 Income from employment (in cash) 2 Income from employment (in kind) 3 Income from non-farming self -employment 4 Income from household agriculture 5 Remittances 6 Interests from the bank 7 Rent received 8 Cash transfers and benefits 9 Other 5.5 Who do you receive this MAIN source of income from? 5.5 Who do you receive this MAIN source of income from? 5.5 Who do you receive this MAIN source of income from? 5.5 Who do you receive this MAIN source of income from? 5.5 Who do you receive this MAIN source of income from? Who do you receive this MAIN source of income from? Individual 1 Family 2 Relatives & Neighbors 3 Government 4 NGOs 5 Disabled people's organisations 6 Employer 7 Other 8 Don't know 5.6 What are the TWO MAIN THINGS that the money from your income is spent on? 5.6 What are the TWO MAIN THINGS that the money from your income is spent on? 5.6 What are the TWO MAIN THINGS that the money from your income is spent on? 5.6 What are the TWO MAIN THINGS that the money from your income is spent on? 5.6 What are the TWO MAIN THINGS that the money from your income is spent on? What are the TWO MAIN THINGS that the money from your income is spent on? Individual 5.7 Are you the one who mainly decides how to spend your income? 5.7 Are you the one who mainly decides how to spend your income? 5.7 Are you the one who mainly decides how to spend your income? 5.7 Are you the one who mainly decides how to spend your income? 5.7 Are you the one who mainly decides how to spend your income? Are you the one who mainly decides how to spend your income? Individual 1 Yes 2 No 8 Don't know 6.1 Kitchen 6.1 Kitchen 6.1 Kitchen 6.1 Kitchen 6.1 Kitchen Are the rooms and toilet accessible? Individual 1 Accessible 2 Inaccessible 3 Have none 6.1 Bedroom 6.1 Bedroom 6.1 Bedroom 6.1 Bedroom 6.1 Bedroom Are the rooms and toilet accessible? Individual 1 Accessible 2 Inaccessible 3 Have none 6.1 Living room 6.1 Living room 6.1 Living room 6.1 Living room 6.1 Living room Are the rooms and toilet accessible? Individual 1 Accessible 2 Inaccessible 3 Have none 6.1 Dining room 6.1 Dining room 6.1 Dining room 6.1 Dining room 6.1 Dining room Are the rooms and toilet accessible? Individual 1 Accessible 2 Inaccessible 3 Have none 6.1 Toilet 6.1 Toilet 6.1 Toilet 6.1 Toilet 6.1 Toilet Are the rooms and toilet accessible? Individual 1 Accessible 2 Inaccessible 3 Have none 6.2(a) The place where you work or school you attend 6.2(a) The place where you work or school you attend 6.2(a) The place where you work or school you attend 6.2(a) The place where you work or school you attend 6.2(a) The place where you work or school you attend Think of getting in and out of the places, and tell me for each place whether it is generally accessible to you or not Individual 1 Accessible 2 Inaccessible 3 Never go 4 Have none 6.2(b) Shops/banks/post office 6.2(b) Shops/banks/post office 6.2(b) Shops/banks/post office 6.2(b) Shops/banks/post office 6.2(b) Shops/banks/post office Think of getting in and out of the places, and tell me for each place whether it is generally accessible to you or not Individual 1 Accessible 2 Inaccessible 3 Never go 4 Have none 6.2(c) Hospital or clinic 6.2(c) Hospital or clinic 6.2(c) Hospital or clinic 6.2(c) Hospital or clinic 6.2(c) Hospital or clinic Think of getting in and out of the places, and tell me for each place whether it is generally accessible to you or not Individual 1 Accessible 2 Inaccessible 3 Never go 4 Have none 6.2(d) Place of worship 6.2(d) Place of worship 6.2(d) Place of worship 6.2(d) Place of worship 6.2(d) Place of worship Think of getting in and out of the places, and tell me for each place whether it is generally accessible to you or not Individual 1 Accessible 2 Inaccessible 3 Never go 4 Have none 6.2(e) Other 6.2(e) Other 6.2(e) Other 6.2(e) Other 6.2(e) Other Think of getting in and out of the places, and tell me for each place whether it is generally accessible to you or not Individual 1 Accessible 2 Inaccessible 3 Never go 4 Have none 7.1 Do you use any medication or traditional medicine for your problem? 7.1 Do you use any medication or traditional medicine for your problem? 7.1 Do you use any medication or traditional medicine for your problem? 7.1 Do you use any medication or traditional medicine for your problem? 7.1 Do you use any medication or traditional medicine for your problem? Do you use any medication or traditional medicine for your problem (that has been talked about so far in the questionnaire)? Individual 1 Yes, hospital/clinic/private doctor 2 Yes, traditional 3 No 7.2 Do you use an assistive device? 7.2 Do you use an assistive device? 7.2 Do you use an assistive device? 7.2 Do you use an assistive device? 7.2 Do you use an assistive device? Do you use an assistive device? Individual 1 Yes 2 No 8.1(a) Dressing 8.1(a) Dressing 8.1(a) Dressing 8.1(a) Dressing 8.1(a) Dressing Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(b) Toileting 8.1(b) Toileting 8.1(b) Toileting 8.1(b) Toileting 8.1(b) Toileting Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(c) Bathing 8.1(c) Bathing 8.1(c) Bathing 8.1(c) Bathing 8.1(c) Bathing Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(d) Eating/Feeding 8.1(d) Eating/Feeding 8.1(d) Eating/Feeding 8.1(d) Eating/Feeding 8.1(d) Eating/Feeding Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(e) Cooking 8.1(e) Cooking 8.1(e) Cooking 8.1(e) Cooking 8.1(e) Cooking Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(f) Shopping 8.1(f) Shopping 8.1(f) Shopping 8.1(f) Shopping 8.1(f) Shopping Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(g) Moving around 8.1(g) Moving around 8.1(g) Moving around 8.1(g) Moving around 8.1(g) Moving around Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(h) Finances 8.1(h) Finances 8.1(h) Finances 8.1(h) Finances 8.1(h) Finances Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(i) Transport 8.1(i) Transport 8.1(i) Transport 8.1(i) Transport 8.1(i) Transport Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(j) Studying 8.1(j) Studying 8.1(j) Studying 8.1(j) Studying 8.1(j) Studying Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(k) Emotional support 8.1(k) Emotional support 8.1(k) Emotional support 8.1(k) Emotional support 8.1(k) Emotional support Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.1(l) Other 8.1(l) Other 8.1(l) Other 8.1(l) Other 8.1(l) Other Which of the following, if any, do people in the household or family help you with? Individual 1 Yes 2 Sometimes 3 No 4 Not applicable 8.2(a) Making household decisions 8.2(a) Making household decisions 8.2(a) Making household decisions 8.2(a) Making household decisions 8.2(a) Making household decisions Are you consulted about making household decisions? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(b) Going with the family to events such as family gatherings, social events etc. 8.2(b) Going with the family to events such as family gatherings, social events etc. 8.2(b) Going with the family to events such as family gatherings, social events etc. 8.2(b) Going with the family to events such as family gatherings, social events etc. 8.2(b) Going with the family to events such as family gatherings, social events etc. Do you go with the family to events such as family gatherings, social events etc. Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(c) Feel involved and part of the household or family 8.2(c) Feel involved and part of the household or family 8.2(c) Feel involved and part of the household or family 8.2(c) Feel involved and part of the household or family 8.2(c) Feel involved and part of the household or family Do you feel involved and part of the household or family? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(d) Family involve you in conversations 8.2(d) Family involve you in conversations 8.2(d) Family involve you in conversations 8.2(d) Family involve you in conversations 8.2(d) Family involve you in conversations Does the family involve you in conversations? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(e) Family help you with daily activities/tasks 8.2(e) Family help you with daily activities/tasks 8.2(e) Family help you with daily activities/tasks 8.2(e) Family help you with daily activities/tasks 8.2(e) Family help you with daily activities/tasks Does the family help you with daily activities/tasks? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(f) Family help you with daily activities/tasks 8.2(f) Family help you with daily activities/tasks 8.2(f) Family help you with daily activities/tasks 8.2(f) Family help you with daily activities/tasks 8.2(f) Family help you with daily activities/tasks Does the family help you with daily activities/tasks? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(g) Take part in traditional practices of your community and culture 8.2(g) Take part in traditional practices of your community and culture 8.2(g) Take part in traditional practices of your community and culture 8.2(g) Take part in traditional practices of your community and culture 8.2(g) Take part in traditional practices of your community and culture Do/did you take part in traditional practices of your community and culture? (e.g. initiation ceremonies) Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(h) Included in community activities such as weddings, funerals, meetings 8.2(h) Included in community activities such as weddings, funerals, meetings 8.2(h) Included in community activities such as weddings, funerals, meetings 8.2(h) Included in community activities such as weddings, funerals, meetings 8.2(h) Included in community activities such as weddings, funerals, meetings Are you included in community activities such as weddings, funerals, meetings, etc? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(i) Included in inhentance activities 8.2(i) Included in inhentance activities 8.2(i) Included in inhentance activities 8.2(i) Included in inhentance activities 8.2(i) Included in inhentance activities Are you included in community activities such as weddings, funerals, meetings, etc? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(j) Government officials and service providers treat with concern and respect? 8.2(j) Government officials and service providers treat with concern and respect? 8.2(j) Government officials and service providers treat with concern and respect? 8.2(j) Government officials and service providers treat with concern and respect? 8.2(j) Government officials and service providers treat with concern and respect? Do government officials and service providers treat you with concern and respect? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(k) Aware of Organisations for people with disabilities (DPO) 8.2(k) Aware of Organisations for people with disabilities (DPO) 8.2(k) Aware of Organisations for people with disabilities (DPO) 8.2(k) Aware of Organisations for people with disabilities (DPO) 8.2(k) Aware of Organisations for people with disabilities (DPO) Are you aware of Organisations for people with disabilities (DPO)? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(l) Member of a DPO 8.2(l) Member of a DPO 8.2(l) Member of a DPO 8.2(l) Member of a DPO 8.2(l) Member of a DPO Are you a member of a DPO? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.2(m) Member of any other organisations, such as church or community organizations 8.2(m) Member of any other organisations, such as church or community organizations 8.2(m) Member of any other organisations, such as church or community organizations 8.2(m) Member of any other organisations, such as church or community organizations 8.2(m) Member of any other organisations, such as church or community organizations Are you a member of any other organisations, such as church or community organisations? Individual 1 Yes 2 No 3 Sometimes 4 Not applicable 8 Don't know 8.3 Do you make important decisions about your own life? 8.3 Do you make important decisions about your own life? 8.3 Do you make important decisions about your own life? 8.3 Do you make important decisions about your own life? 8.3 Do you make important decisions about your own life? Do you make important decisions about your own life? Individual 1 All the time 2 Sometimes 3 Never 8 Don't know 8.4 Are you married or involved in a relationship? 8.4 Are you married or involved in a relationship? 8.4 Are you married or involved in a relationship? 8.4 Are you married or involved in a relationship? 8.4 Are you married or involved in a relationship? Are you married or involved in a relationship? Individual 1 Yes 2 No 8 Don't know 8.5 Does your spouse/partner have difficulties? 8.5 Does your spouse/partner have difficulties? 8.5 Does your spouse/partner have difficulties? 8.5 Does your spouse/partner have difficulties? 8.5 Does your spouse/partner have difficulties? Does your spouse/partner have difficulties Individual 1 Yes 2 No 8 Don't know 8.6 Do you have children? 8.6 Do you have children? 8.6 Do you have children? 8.6 Do you have children? 8.6 Do you have children? Do you have children? Individual 1 Yes 2 No 8.6.1 How many child(ren) ? 8.6.1 How many child(ren) ? 8.6.1 How many child(ren) ? 8.6.1 How many child(ren) ? 8.6.1 How many child(ren) ? how many? Individual 8.7 Who MAINLY takes care or helps you take care of your children? 8.7 Who MAINLY takes care or helps you take care of your children? 8.7 Who MAINLY takes care or helps you take care of your children? 8.7 Who MAINLY takes care or helps you take care of your children? 8.7 Who MAINLY takes care or helps you take care of your children? Who MAINLY takes care or helps you take care of your children? Individual 1 No difficulty 2 Some difficulty 3 Severe difficulty 4 Unable A Born with disability B Accident injury/trauma C Political violence D Medical treatment E accident F Fire G Animals attack H Tree accidents I Brain damage J Asthma or breathing problems K Diabetes L High blood pressure or heart problems M Leprosy N Epilepsy O Tuberculosis P Malaria Q Arthritis R Cause unknown S Spiritual ideologies/superstitions T Other1 U Other2 V Other3 A Born with disability B Accident injury/trauma C Political violence D Medical treatment E accident F Fire G Animals attack H Tree accidents I Brain damage J Asthma or breathing problems K Diabetes L High blood pressure or heart problems M Leprosy N Epilepsy O Tuberculosis P Malaria Q Arthritis R Cause unknown S Spiritual ideologies/superstitions T Other1 U Other2 V Other3 A Born with disability B Accident injury/trauma C Political violence D Medical treatment E accident F Fire G Animals attack H Tree accidents I Brain damage J Asthma or breathing problems K Diabetes L High blood pressure or heart problems M Leprosy N Epilepsy O Tuberculosis P Malaria Q Arthritis R Cause unknown S Spiritual ideologies/superstitions T Other1 U Other2 V Other3 A Born with disability B Accident injury/trauma C Political violence D Medical treatment E accident F Fire G Animals attack H Tree accidents I Brain damage J Asthma or breathing problems K Diabetes L High blood pressure or heart problems M Leprosy N Epilepsy O Tuberculosis P Malaria Q Arthritis R Cause unknown S Spiritual ideologies/superstitions T Other1 U Other2 V Other3 Age group Age group Age group Age group Age group Age Individual Born with disability 1 1 - 4 2 5 - 9 3 10-14 4 15-19 5 20-24 6 25-29 7 30-34 8 35-39 9 40-44 10 45-49 11 50-54 12 55-59 13 60-64 14 65-69 15 70-74 16 75-79 17 80-97 18 Don't know Age group 2.5 Age group 2.5 Age group 2.5 Age group 2.5 Age group 2.5 Age Born with disability 1 1 - 4 2 5 - 9 3 10-14 4 15-17 5 20-24 6 25-29 7 30-34 8 35-39 9 40-44 10 45-49 11 50-54 12 55-59 13 60-64 14 65-69 15 70-74 16 75-79 17 80-97 18 Don't know 4.2 grouping 4.2 grouping 4.2 grouping 4.2 grouping 4.2 grouping 1 Pre school 2 Standard 1 to 4 3 Standard 5 to 8 4 Form 1 to 4 5 Form 5 to 6 6 Course after primary education 7 Course after secondary education 8 Diploma 9 Other certificate 10 University 11 Adult education A Household necessities B Clothing C Rent/accommodation D Recreation/entertainment E Transport F Education G Water and electricity H Rehabilitation and health care services I Assistive devices J Personal assistant/carer K Gifts L Other M Don't know A Household necessities B Clothing C Rent/accommodation D Recreation/entertainment E Transport F Education G Water and electricity H Rehabilitation and health care services I Assistive devices J Personal assistant/carer K Gifts L Other M Don't know A Person with disability her/him self together with spouse B Person with disability her/him self C spouse/partner D parent E A family member F A friend G Person with difficulties pays someone H Children are old enough and take care of themselves I Wanalelewa katika vituo vya kulelea watoto J Other A Person with disability her/him self together with spouse B Person with disability her/him self C spouse/partner D parent E A family member F A friend G Person with difficulties pays someone H Children are old enough and take care of themselves I Wanalelewa katika vituo vya kulelea watoto J Other A Person with disability her/him self together with spouse B Person with disability her/him self C spouse/partner D parent E A family member F A friend G Person with difficulties pays someone H Children are old enough and take care of themselves I Wanalelewa katika vituo vya kulelea watoto J Other A Person with disability her/him self together with spouse B Person with disability her/him self C spouse/partner D parent E A family member F A friend G Person with difficulties pays someone H Children are old enough and take care of themselves I Wanalelewa katika vituo vya kulelea watoto J Other Difficulty in seeing.... Difficulty in seeing.... Difficulty in seeing.... Difficulty in seeing.... Difficulty in seeing.... 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in hearing Difficulty in hearing Difficulty in hearing Difficulty in hearing Difficulty in hearing 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in mobidity.. Difficulty in mobidity.. Difficulty in mobidity.. Difficulty in mobidity.. Difficulty in mobidity.. 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in cognition Difficulty in cognition Difficulty in cognition Difficulty in cognition Difficulty in cognition 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in selfcare Difficulty in selfcare Difficulty in selfcare Difficulty in selfcare Difficulty in selfcare 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in communication Difficulty in communication Difficulty in communication Difficulty in communication Difficulty in communication 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in life activities Difficulty in life activities Difficulty in life activities Difficulty in life activities Difficulty in life activities 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Seeing Problem Seeing Problem Seeing Problem Seeing Problem Seeing Problem Hearing Problem Hearing Problem Hearing Problem Hearing Problem Hearing Problem Mobidity Problem Mobidity Problem Mobidity Problem Mobidity Problem Mobidity Problem Cognition Problem Cognition Problem Cognition Problem Cognition Problem Cognition Problem Selfcare Problem Selfcare Problem Selfcare Problem Selfcare Problem Selfcare Problem Communication Problem Communication Problem Communication Problem Communication Problem Communication Problem Life ActivityProblem Life ActivityProblem Life ActivityProblem Life ActivityProblem Life ActivityProblem Difficulty in moving.. Difficulty in moving.. Difficulty in moving.. Difficulty in moving.. Difficulty in moving.. 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in 10_11 Difficulty in 10_11 Difficulty in 10_11 Difficulty in 10_11 Difficulty in 10_11 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in 13_14 Difficulty in 13_14 Difficulty in 13_14 Difficulty in 13_14 Difficulty in 13_14 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in 16,17 Difficulty in 16,17 Difficulty in 16,17 Difficulty in 16,17 Difficulty in 16,17 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in 18,19 Difficulty in 18,19 Difficulty in 18,19 Difficulty in 18,19 Difficulty in 18,19 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Difficulty in 16,17,18,19 Difficulty in 16,17,18,19 Difficulty in 16,17,18,19 Difficulty in 16,17,18,19 Difficulty in 16,17,18,19 1 No difficulty 2 Mild difficulty 3 Severe difficulty 4 Completely unable 9 Not stated Type of disability Type of disability Type of disability Type of disability Type of disability 1 Seeing 2 Hearing 3 Mobility 4 Self care 5 Cognition 6 Communication 7 Life activities A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 A Physical disability B Deaf or hard of hearing C Blind or low vision D A paralysis of one or more limbs E Amputation or loss of one or more limbs F Head injury/trauma G Brain damage H Asthma or breathing problems I Diabetes J High blood pressure or heart problems K Epilepsy L Tuberculosis M Arthritis N Psychiatric illness O Depression P Albinism Q Other 1 R Other 2 URT = 2 & GEOG = 2 (FILTER) URT = 2 & GEOG = 2 (FILTER) URT = 2 & GEOG = 2 (FILTER) URT = 2 & GEOG = 2 (FILTER) URT = 2 & GEOG = 2 (FILTER) Not Selected 1 Selected MKOA MKOA MKOA MKOA MKOA 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba WILAYA WILAYA WILAYA WILAYA WILAYA KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO 1 Kijijini 2 Mjini Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Aina ya Ugonjwa Aina ya Ugonjwa Aina ya Ugonjwa Aina ya Ugonjwa Aina ya Ugonjwa understanding of some common diseases in Tanzania Household 1 Malaria 2 Kifua kikuu 3 Ukimwi ) Unafahamu ugonjwa wa ) Unafahamu ugonjwa wa ) Unafahamu ugonjwa wa ) Unafahamu ugonjwa wa ) Unafahamu ugonjwa wa Do you know about this disease? Household 1 Ndiyo 2 Hapana 8 Hahusiki 9 Sijuhi Unayo fursa ya kupata taarifa ya ugonjwa huu wa…? Unayo fursa ya kupata taarifa ya ugonjwa huu wa…? Unayo fursa ya kupata taarifa ya ugonjwa huu wa…? Unayo fursa ya kupata taarifa ya ugonjwa huu wa…? Unayo fursa ya kupata taarifa ya ugonjwa huu wa…? Do you have access to information about this disease? Household 1 Ndiyo 2 Hapana 8 Hahusiki 9 Sijuhi Unafahamu namna ya kuzuia ugonjwa huu…? Unafahamu namna ya kuzuia ugonjwa huu…? Unafahamu namna ya kuzuia ugonjwa huu…? Unafahamu namna ya kuzuia ugonjwa huu…? Unafahamu namna ya kuzuia ugonjwa huu…? Do you know how to prevent this disease? Household 1 Ndiyo 2 Hapana 8 Hahusiki 9 Sijuhi Je, mtoto wako ameshawahi kupata ugonjwa huu…..? Je, mtoto wako ameshawahi kupata ugonjwa huu…..? Je, mtoto wako ameshawahi kupata ugonjwa huu…..? Je, mtoto wako ameshawahi kupata ugonjwa huu…..? Je, mtoto wako ameshawahi kupata ugonjwa huu…..? Has your child ever had this disease? Household 1 Ndiyo 2 Hapana 8 Hahusiki 9 Sijuhi Umeshawahi kupata ugonjwa huu? Umeshawahi kupata ugonjwa huu? Umeshawahi kupata ugonjwa huu? Umeshawahi kupata ugonjwa huu? Umeshawahi kupata ugonjwa huu? Have you ever had this disease? Household 1 Ndiyo 2 Hapana 8 Hahusiki 9 Sijuhi Jamhuri Jamhuri Jamhuri Jamhuri Jamhuri 1 Tanzania Mainland 2 Zanzibar MKOA MKOA MKOA MKOA MKOA 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba WILAYA WILAYA WILAYA WILAYA WILAYA KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO 1 Rural 2 Urban Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Type of disease Type of disease Type of disease Type of disease Type of disease understanding of some common diseases in Tanzania Household 1 Malaria 2 TB 3 HIV/AIDS Knowledge Knowledge Knowledge Knowledge Knowledge Do you know about this disease? Household 1 Yes 2 No 8 Not applicable 9 Don't know Access of Information Access of Information Access of Information Access of Information Access of Information Do you have access to information about this disease? Household 1 Yes 2 No 8 Not applicable 9 Don't know Knowledge of Prevention Knowledge of Prevention Knowledge of Prevention Knowledge of Prevention Knowledge of Prevention Do you know how to prevent this disease? Household 1 Yes 2 No 8 Not applicable 9 Don't know Disease infection Disease infection Disease infection Disease infection Disease infection Has your child ever had this disease? Household 1 Yes 2 No 8 Not applicable 9 Don't know The United Republic of Tanzania The United Republic of Tanzania The United Republic of Tanzania The United Republic of Tanzania The United Republic of Tanzania 1 Mainland 2 Zanzibar Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba District District District District District Urban / Rural? Urban / Rural? Urban / Rural? Urban / Rural? Urban / Rural? 1 Rural 2 Urban Serial number of the died child Serial number of the died child Serial number of the died child Serial number of the died child Serial number of the died child How old was the child when he/she died How old was the child when he/she died How old was the child when he/she died How old was the child when he/she died How old was the child when he/she died How old was the child when he/she died? Household Age group Age group Age group Age group Age group How old was the child when he/she died? Household 1 0 - 4 2 5 - 9 3 10-14 4 15-17 5 18-19 6 20-24 7 25-29 8 30-34 9 35-39 10 40-44 11 45-49 12 50-54 13 55-59 14 60-64 15 65-69 16 70-74 17 75-79 18 80 + Sex Sex Sex Sex Sex Was the child a boy or girl? Household 1 Male 2 Female Was the child sick before he/she died Was the child sick before he/she died Was the child sick before he/she died Was the child sick before he/she died Was the child sick before he/she died Was the child sick before he/she died? Household 1 Yes 2 No 3 Do not know / cannot remember Was the child died with a disability? Was the child died with a disability? Was the child died with a disability? Was the child died with a disability? Was the child died with a disability? Did the child have a disability? Household 1 Yes 2 No 3 Do not know / cannot remember What was the cause of death? What was the cause of death? What was the cause of death? What was the cause of death? What was the cause of death? What was the cause of death? Household Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area MKOA MKOA MKOA MKOA MKOA 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba WILAYA WILAYA WILAYA WILAYA WILAYA KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO KIJIJI/ENEO 1 Kijijini 2 Mjini Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu Namba ya Mlemavu 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Aina ya Kifaa Aina ya Kifaa Aina ya Kifaa Aina ya Kifaa Aina ya Kifaa Device category Child 1 miwani 2 shimesikio 3 kioo cha kukuzia 4 kioo cha darubini/ kioo 5 machapisho yaliyokuzwa 6 nukta nundu (braille) 7 Mkalimani wa lugha za alama 8 faksi 9 Kibao cha kuandikia nukta nundu (portable writting frame) 10 Komputa 11 Kiti cha magurudumu 12 magongo ya kutembelea 13 fimbo za kutembelea 14 fimbo nyeupe 15 muongozaji 16 Kisaidizi cha kusimamia 17 Taa ya kuashiria ugongwaji wa mlango 18 Simu yenye mlio mkubwa 19 Saa yenye mtetemo 20 Mikanda maalum 21 viti vya kuogea 22 Kitako cha kiti cha chooni kinachorekebishika 23 Kiti chenye huduma ya choo kwa chini 24 Kingo salama 25 Vifaa vya kusaidia kula 26 Visaidizi vya kushikia vitu 27 Visaidizi vya kufungulia vyombo 28 Vifaa vinavyotumika bustanini kwa ajili ya walemavu wasio na 29 Kompyuta na teknologia kwa wasioona au walemavu wa viungo 30 Vinginevyo Je, mtoto wako anatumia kifaa chochote cha kujimudu? Je, mtoto wako anatumia kifaa chochote cha kujimudu? Je, mtoto wako anatumia kifaa chochote cha kujimudu? Je, mtoto wako anatumia kifaa chochote cha kujimudu? Je, mtoto wako anatumia kifaa chochote cha kujimudu? Does your child use any assistive devices? Child 1 Ndiyo 2 Hapana 3 Hausiki/Hahitaji Je, kifaa hiki kinafanya kazi? Je, kifaa hiki kinafanya kazi? Je, kifaa hiki kinafanya kazi? Je, kifaa hiki kinafanya kazi? Je, kifaa hiki kinafanya kazi? Is the device working? Child 1 Ndiyo 2 Hapana 3 Sijui Je, ulipata wapi kifaa hicho cha kujimudu? Je, ulipata wapi kifaa hicho cha kujimudu? Je, ulipata wapi kifaa hicho cha kujimudu? Je, ulipata wapi kifaa hicho cha kujimudu? Je, ulipata wapi kifaa hicho cha kujimudu? Where did you get the device from? Child 1 Binafsi 2 serikali 3 Mashirika yasio ya serikali 4 Mengineyo Je, ni nani anafanya matengenezo ya kifaa cha mtoto wako cha Je, ni nani anafanya matengenezo ya kifaa cha mtoto wako cha Je, ni nani anafanya matengenezo ya kifaa cha mtoto wako cha Je, ni nani anafanya matengenezo ya kifaa cha mtoto wako cha Je, ni nani anafanya matengenezo ya kifaa cha mtoto wako cha Who repairs your child's assistive devices? Child 1 Binafsi 2 Serikali 3 Familia 4 Mashirika yasio ya serikali 5 Mengineyo 6 Haija endelezwa 7 Sijui Je, wewe na mtoto wako mlipewa maelekezo ya kitaalamu ya jin Je, wewe na mtoto wako mlipewa maelekezo ya kitaalamu ya jin Je, wewe na mtoto wako mlipewa maelekezo ya kitaalamu ya jin Je, wewe na mtoto wako mlipewa maelekezo ya kitaalamu ya jin Je, wewe na mtoto wako mlipewa maelekezo ya kitaalamu ya jin Were you and your child given information on how to use the assistive devices? Child 1 Kamili/ taarifa timilifu 2 Taarifa kiasi 3 Hakuna Taarifa 4 Sijui/Sikumbuki Jamhuri Jamhuri Jamhuri Jamhuri Jamhuri 1 Tanzania Mainland 2 Zanzibar Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba District District District District District Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban Locality Locality Locality Locality Locality 1 Rural 2 Urban Disabled No Disabled No Disabled No Disabled No Disabled No 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Devise category Devise category Devise category Devise category Devise category Device category Individual 1 Eye glasses 2 Hearing aid 3 Magnifying glass 4 Telescoping lenses 5 Large print 6 Braille 7 Sign language interpreter 8 Fax 9 Portable writer 10 Computer 11 Wheelchair 12 Crutches 13 Walking sticks 14 White cane 15 Guide 16 Standing frame 17 Flashing light on doorbell 18 Amplified telephone 19 Vibrating alarm clock 20 Special fasteners 21 Bath & shower seats 22 Toilet seat raiser 23 Commode chairs 24 Safety rails 25 Eating aids 26 Gripping tongs 27 Aids for opening containers 28 Tools for gardening 29 Computer assistive technology 30 Other Uses of assistive devices Uses of assistive devices Uses of assistive devices Uses of assistive devices Uses of assistive devices Do you use any assistive devices Individual 1 Yes 2 No 3 Not applicable/not needed 9 Missing Device working Device working Device working Device working Device working Is the device working? Individual 1 Yes 2 No 3 Don't know Where did you get the device from? Where did you get the device from? Where did you get the device from? Where did you get the device from? Where did you get the device from? Where did you get the device from? Individual 1 Private 2 Government 3 NGO/CBO 4 Others Who repairs your assistive devices? Who repairs your assistive devices? Who repairs your assistive devices? Who repairs your assistive devices? Who repairs your assistive devices? Who repairs your assistive devices? Individual 1 Self 2 Government 3 Family 4 NGOs 5 Other 6 Not maintained 7 Don't know Were you given information on how to use your assistive devices? Were you given information on how to use your assistive devices? Were you given information on how to use your assistive devices? Were you given information on how to use your assistive devices? Were you given information on how to use your assistive devices? Were you given information on how to use your assistive devices? Individual 1 Full information 2 Some information 3 No information 4 Don't know /remember Disabled sex Disabled sex Disabled sex Disabled sex Disabled sex Sex Individual 1 Male 2 Female Q7_3I = 1 (FILTER) Q7_3I = 1 (FILTER) Q7_3I = 1 (FILTER) Q7_3I = 1 (FILTER) Q7_3I = 1 (FILTER) Not Selected 1 Selected Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba District District District District District Locality Locality Locality Locality Locality 1 Rural 2 Urban Disabled Number Disabled Number Disabled Number Disabled Number Disabled Number 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Services Services Services Services Services Services YOU are aware of and have needed and/or received for YOUR CHILD'S difficulties Child 1 Medical rehabilitation 2 Assistive devices service 3 Educational services 4 Vocational training 5 Counselling services for person with difficulties or his/he 6 Welfare services 7 Health services 8 Traditional healer/faith healer Aware of service Aware of service Aware of service Aware of service Aware of service Which services, if any, are you aware of and your child has ever needed and received? Child 1 Yes 2 No Needed service Needed service Needed service Needed service Needed service Which services, if any, are you aware of and your child has ever needed and received? Child 1 Yes 2 No Received service Received service Received service Received service Received service Which services, if any, are you aware of and your child has ever needed and received? Child 1 Yes 2 No United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania 1 Tanzania Mainland 2 Zanzibar Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba District District District District District LOCALITY LOCALITY LOCALITY LOCALITY LOCALITY 1 Rural 2 Urban Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban Disable line number Disable line number Disable line number Disable line number Disable line number 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara Type of service Type of service Type of service Type of service Type of service SERVICES YOU ARE AWARE OF AND HAVE NEEDED AND/OR RECEIVED FOR YOUR DIFFICULTIES Individual 1 Medical rehabilitation 2 Assistive devices service 3 Educational services 4 Vocational training 5 Counselling services for person with difficulties or his/he 6 Welfare services 7 Health services 8 Traditional healer/faith healer Aware of service Aware of service Aware of service Aware of service Aware of service SERVICES YOU ARE AWARE OF AND HAVE NEEDED AND/OR RECEIVED FOR YOUR DIFFICULTIES Individual 1 Yes 2 No Needed service Needed service Needed service Needed service Needed service SERVICES YOU ARE AWARE OF AND HAVE NEEDED AND/OR RECEIVED FOR YOUR DIFFICULTIES Individual 1 Yes 2 No Received service Received service Received service Received service Received service SERVICES YOU ARE AWARE OF AND HAVE NEEDED AND/OR RECEIVED FOR YOUR DIFFICULTIES Individual 1 Yes 2 No Disable sex Disable sex Disable sex Disable sex Disable sex SEX Individual 1 Male 2 Female Q3_1U = 1 (FILTER) Q3_1U = 1 (FILTER) Q3_1U = 1 (FILTER) Q3_1U = 1 (FILTER) Q3_1U = 1 (FILTER) Not Selected 1 Selected Needed Service Needed Service Needed Service Needed Service Needed Service SERVICES YOU ARE AWARE OF AND HAVE NEEDED AND/OR RECEIVED FOR YOUR DIFFICULTIES Individual Received Service Received Service Received Service Received Service Received Service SERVICES YOU ARE AWARE OF AND HAVE NEEDED AND/OR RECEIVED FOR YOUR DIFFICULTIES Individual United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania 1 Mainland 2 Zanzibar Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es Salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 North Unguja 52 South Unguja 53 West Town Unguja 54 North Pemba 55 South Pemba District District District District District Number of hh members Number of hh members Number of hh members Number of hh members Number of hh members Household size group Household size group Household size group Household size group Household size group 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9+ Urban / Rural? Urban / Rural? Urban / Rural? Urban / Rural? Urban / Rural? 1 Rural 2 Urban Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban serial number of HH member serial number of HH member serial number of HH member serial number of HH member serial number of HH member Relationship to the head of Household Relationship to the head of Household Relationship to the head of Household Relationship to the head of Household Relationship to the head of Household Relationship to the Head of Household Household 1 Head of Household 2 Spouce 3 Son / Daughter 4 Adopted child / child of spouce 5 Grandchild 6 Parent 7 Other relative 8 Domestic servant 9 Others non relative Sex Sex Sex Sex Sex Sex Household 1 Male 2 Female 9 Not stated Age Age Age Age Age Age Household 95 95+ 98 Not Stated Single age Single age Single age Single age Single age Age Household Age group Age group Age group Age group Age group Age Household 1 0 - 4 2 5 - 9 3 10-14 4 15-19 5 20-24 6 25-29 7 30-34 8 35-39 9 40-44 10 45-49 11 50-54 12 55-59 13 60-64 14 65-69 15 70-74 16 75-79 17 80 + Age group Age group Age group Age group Age group Age Household 1 0 - 4 2 5 - 9 3 10-14 4 15-17 5 18-19 6 20-24 7 25-29 8 30-34 9 35-39 10 40-44 11 45-49 12 50-54 13 55-59 14 60-64 15 65-69 16 70-74 17 75-79 18 80 + Age group Age group Age group Age group Age group Age Household 1 0-6 2 7+ Father alive? Father alive? Father alive? Father alive? Father alive? Survival for parents Household 1 Yes 2 No 3 Don't know 9 Not stated Mother alive? Mother alive? Mother alive? Mother alive? Mother alive? Survival for parents Household 1 Yes 2 No 3 Don't know 9 Not stated Parents (father / mother) alive? Parents (father / mother) alive? Parents (father / mother) alive? Parents (father / mother) alive? Parents (father / mother) alive? Survival for parents Household 1 Both parents alive 2 Father alive Mother died 3 Mother alive Father died 4 Both parents died 5 Either parent or both Don't know Marital status Marital status Marital status Marital status Marital status Marital Status Household 1 Never married 2 Married 3 Living together 4 Separated 5 Widowed 6 Mjane/Kizuka 7 Do not know 9 Not stated Any mobile phone Any mobile phone Any mobile phone Any mobile phone Any mobile phone Mobile phone Household 1 Yes 2 No 3 Don't know 9 Not stated Can read and write? Can read and write? Can read and write? Can read and write? Can read and write? Can (NAME) read and write? Household 1 Swahili 2 English 3 Swahili and English 4 Other Language 5 No 9 Not stated Currently in school? Currently in school? Currently in school? Currently in school? Currently in school? Is (NAME) currently in school? Household 1 Yes 2 No 9 Not stated Why currently not in school Why currently not in school Why currently not in school Why currently not in school Why currently not in school Why is the (NAME) not currently in school? Household 1 Too young/too old/completed schoolNi mdogo/mkubwa sana/amema 2 Too far away 3 Too expensive 4 Doing household chores 5 Do not like working 6 Sick/illness 7 Pregnance 8 Failed examination 9 Married 10 Disabled 11 Other 99 Not stated Current education level attending Current education level attending Current education level attending Current education level attending Current education level attending What is the current grade (NAME) is attending? Household Pre-school 1 STD 1 2 STD 2 3 STD 3 4 STD 4 5 STD 5 6 STD 6 7 STD 7 8 STD 8 9 Form I 10 Form II 11 Form III 12 Form IV 13 Form V 14 Form VI 17 Trainings after primary education 19 Trainings after O-level secondary education 20 Trainings after A-level secondary education 21 Diploma 22 Other certificate level trainings 23 University degree and the equivalent 24 Adult education 25 Specialized school 26 No schooling 99 Not stated Highest education level attained Highest education level attained Highest education level attained Highest education level attained Highest education level attained What is the highest grade (NAME) Completed ? Household Pre-school 1 STD 1 2 STD 2 3 STD 3 4 STD 4 5 STD 5 6 STD 6 7 STD 7 8 STD 8 9 Form I 10 Form II 11 Form III 12 Form IV 13 Form V 14 Form VI 17 Trainings after primary education 19 Trainings after O-level secondary education 20 Trainings after A-level secondary education 21 Diploma 22 Other certificate level trainings 23 University degree and the equivalent 24 Adult education 25 Specialized school 26 No schooling 99 Not stated Highest education level attained group Highest education level attained group Highest education level attained group Highest education level attained group Highest education level attained group What is the highest grade (NAME) Completed ? Household 1 No education 2 Adult education 3 Pre-school 4 STD 1-4 5 STD 5-8 6 OSC - form 4 7 Form 5-6 8 Courses after primary education 9 Preparation for OSC 10 Courses after sec education (O & A level) 11 Diploma 12 Other certificate courses 13 University degree/related titles 14 Special school Current main activity engaged Current main activity engaged Current main activity engaged Current main activity engaged Current main activity engaged Main economic activity Household 1 Agriculture / Livestock 2 Fishing 3 Mining 4 Tourism 5 Government employee 6 Parastatal employees 7 NGO / Religious organization 8 Other organizations (private, missionaries, mosques) 9 Self employed with employees 10 self employed alone 11 Unpaid family business activities 12 Unemployed but ready to work 13 Unemployed but not ready to work 14 Housewife economic activities 15 Non-economic household chores 16 Full time student 17 Too old/retired/too young 18 Sick 19 Disabled 20 Other 98 No other activity 99 Not stated Current secondary activity engaged Current secondary activity engaged Current secondary activity engaged Current secondary activity engaged Current secondary activity engaged Main economic activity Household 1 Agriculture / Livestock 2 Fishing 3 Mining 4 Tourism 5 Government employee 6 Parastatal employees 7 NGO / Religious organization 8 Other organizations (private, missionaries, mosques) 9 Self employed with employees 10 self employed alone 11 Unpaid family business activities 12 Unemployed but ready to work 13 Unemployed but not ready to work 14 Housewife economic activities 15 Non-economic household chores 16 Full time student 17 Too old/retired/too young 18 Sick 19 Disabled 20 Other 98 No other activity 99 Not stated Number of Household member Number of Household member Number of Household member Number of Household member Number of Household member line/member number Household Any difficulty in seeing? Any difficulty in seeing? Any difficulty in seeing? Any difficulty in seeing? Any difficulty in seeing? Does -- (NAME) HAVE difficuluty seeing? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Eye problems Eye problems Eye problems Eye problems Eye problems Does…(NAME) have difficulty in seeing, even if wearing glasses? Household Not disabled 1 Disabled Any difficulty in seeing even if wearing glasses? Any difficulty in seeing even if wearing glasses? Any difficulty in seeing even if wearing glasses? Any difficulty in seeing even if wearing glasses? Any difficulty in seeing even if wearing glasses? Does…(NAME) have difficulty in seeing, even if wearing glasses? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Eye problems even if wearing glasses Eye problems even if wearing glasses Eye problems even if wearing glasses Eye problems even if wearing glasses Eye problems even if wearing glasses Does…(NAME) have difficulty in seeing, even if wearing glasses? Household Not disabled 1 Disabled Any difficulty in hearing? Any difficulty in hearing? Any difficulty in hearing? Any difficulty in hearing? Any difficulty in hearing? Does ..... (NAME) have difficulty hearing? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Hearing problems Hearing problems Hearing problems Hearing problems Hearing problems Does ..... (NAME) have difficulty hearing? Household Not disabled 1 Disabled Any difficulty in hearing, even if using a hearing aid? Any difficulty in hearing, even if using a hearing aid? Any difficulty in hearing, even if using a hearing aid? Any difficulty in hearing, even if using a hearing aid? Any difficulty in hearing, even if using a hearing aid? Does ..... (NAME) have difficulty hearing, even if using a hearing aid? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Hearing problems even with hearing aids Hearing problems even with hearing aids Hearing problems even with hearing aids Hearing problems even with hearing aids Hearing problems even with hearing aids Does ..... (NAME) have difficulty hearing, even if using a hearing aid? Household Not disabled 1 Disabled Any difficulty in walking or climbing steps? Any difficulty in walking or climbing steps? Any difficulty in walking or climbing steps? Any difficulty in walking or climbing steps? Any difficulty in walking or climbing steps? Does ..... (NAME) have difficulty walking or climbing steps? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Walking / climbing problems Walking / climbing problems Walking / climbing problems Walking / climbing problems Walking / climbing problems Does ..... (NAME) have difficulty walking or climbing steps? Household Not disabled 1 Disabled Any difficulty in remembering or concentrating? Any difficulty in remembering or concentrating? Any difficulty in remembering or concentrating? Any difficulty in remembering or concentrating? Any difficulty in remembering or concentrating? Does ..... (NAME) have difficulty remembering or concentrating? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Remembering or concentrating problems? Remembering or concentrating problems? Remembering or concentrating problems? Remembering or concentrating problems? Remembering or concentrating problems? Does ..... (NAME) have difficulty remembering or concentrating? Household Not disabled 1 Disabled Anydifficulty with self-care such as washing allover or dressing? Anydifficulty with self-care such as washing allover or dressing? Anydifficulty with self-care such as washing allover or dressing? Anydifficulty with self-care such as washing allover or dressing? Anydifficulty with self-care such as washing allover or dressing? Does ..... (Name) have difficulty with self-care, such as washing all over or dressing? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Self-care such as washing allover or dressing problems Self-care such as washing allover or dressing problems Self-care such as washing allover or dressing problems Self-care such as washing allover or dressing problems Self-care such as washing allover or dressing problems Does ..... (Name) have difficulty with self-care, such as washing all over or dressing? Household Not disabled 1 Disabled Any difficulty in communicating, (for example under-standing or being understood by others)? Any difficulty in communicating, (for example under-standing or being understood by others)? Any difficulty in communicating, (for example under-standing or being understood by others)? Any difficulty in communicating, (for example under-standing or being understood by others)? Any difficulty in communicating, (for example under-standing or being understood by others)? Using his/her usual language, does [NAME] have difficulty communi-cating, (for example under-standing or being understood by others)? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Communication problems Communication problems Communication problems Communication problems Communication problems Using his/her usual language, does [NAME] have difficulty communi-cating, (for example under-standing or being understood by others)? Household Not disabled 1 Disabled Any difficulty joining in community and socializing activities? Any difficulty joining in community and socializing activities? Any difficulty joining in community and socializing activities? Any difficulty joining in community and socializing activities? Any difficulty joining in community and socializing activities? Does [NAME} have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Community and socializing activities problems? Community and socializing activities problems? Community and socializing activities problems? Community and socializing activities problems? Community and socializing activities problems? Does [NAME} have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Household Not disabled 1 Disabled Any difficulty in taking care of his/her household responsibilities? Any difficulty in taking care of his/her household responsibilities? Any difficulty in taking care of his/her household responsibilities? Any difficulty in taking care of his/her household responsibilities? Any difficulty in taking care of his/her household responsibilities? Does [NAME] have difficulty taking care of his/her household responsibilities? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Taking care of his/her household responsibilities problems? Taking care of his/her household responsibilities problems? Taking care of his/her household responsibilities problems? Taking care of his/her household responsibilities problems? Taking care of his/her household responsibilities problems? Does [NAME] have difficulty taking care of his/her household responsibilities? Household Not disabled 1 Disabled Any difficulty in his/her day-to-day work / schoolwork? Any difficulty in his/her day-to-day work / schoolwork? Any difficulty in his/her day-to-day work / schoolwork? Any difficulty in his/her day-to-day work / schoolwork? Any difficulty in his/her day-to-day work / schoolwork? Does [NAME] have difficulty in his/her day-to-day work/ schoolwork? Household 1 No problem 2 Some 3 A lot 4 Unable 9 Not applicable Day-to-day work / schoolwork problems? Day-to-day work / schoolwork problems? Day-to-day work / schoolwork problems? Day-to-day work / schoolwork problems? Day-to-day work / schoolwork problems? Does [NAME] have difficulty in his/her day-to-day work/ schoolwork? Household Not disabled 1 Disabled Qualified disabled member Qualified disabled member Qualified disabled member Qualified disabled member Qualified disabled member Eligibility Household Household member status Household member status Household member status Household member status Household member status Status Household Not Disabled 1 Disabled United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania United Republic of Tanzania Household Mainland 1 Zanzibar Household Difficulty in Seeing Difficulty in Seeing Difficulty in Seeing Difficulty in Seeing Difficulty in Seeing Do you have difficulty seeing? Household Not Disable 1 Disable Difficulty in Hearing Difficulty in Hearing Difficulty in Hearing Difficulty in Hearing Difficulty in Hearing Do you have difficulty hearing? Household Not Disable 1 Disable Difficulty in Morbidity Difficulty in Morbidity Difficulty in Morbidity Difficulty in Morbidity Difficulty in Morbidity Do you have difficulty walking or climbing steps? Household Not Disable 1 Disable Difficulty in Cognition Difficulty in Cognition Difficulty in Cognition Difficulty in Cognition Difficulty in Cognition Do you have difficulty remembering or concentrating? Household Not Disable 1 Disable Difficulty in Self care problem Difficulty in Self care problem Difficulty in Self care problem Difficulty in Self care problem Difficulty in Self care problem Do you have difficulty with self-care, such as washing all over or dressing? Household Not Disable 1 Disable Difficulty in communication Difficulty in communication Difficulty in communication Difficulty in communication Difficulty in communication Do you have difficulty communicating in your usual language (for example understanding or being understood by others)? Household Not Disable 1 Disable Difficulty in participating in community activity Difficulty in participating in community activity Difficulty in participating in community activity Difficulty in participating in community activity Difficulty in participating in community activity Do you have difficulty joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? Household Not Disable 1 Disable Difficulty in dealing with responsibility in hh Difficulty in dealing with responsibility in hh Difficulty in dealing with responsibility in hh Difficulty in dealing with responsibility in hh Difficulty in dealing with responsibility in hh Do you have difficulty taking care of your household responsibilities? Household Not Disable 1 Disable Difficulty in dealing with daily activity Difficulty in dealing with daily activity Difficulty in dealing with daily activity Difficulty in dealing with daily activity Difficulty in dealing with daily activity Do you have difficulty in day-to-day work/ schoolwork)? Household Not Disable 1 Disable Life Activities Life Activities Life Activities Life Activities Life Activities Does your physical environment (building, roads, pavements, etc.) or the attitudes of other people make it easier or more difficult for you to…… Household Not disable 1 Disable Disability status (Criteria 1 Tanzania) Disability status (Criteria 1 Tanzania) Disability status (Criteria 1 Tanzania) Disability status (Criteria 1 Tanzania) Disability status (Criteria 1 Tanzania) Status Household Not Disable 1 Disable Difficulties in life activities Difficulties in life activities Difficulties in life activities Difficulties in life activities Difficulties in life activities Difficulties doing certain activities? Household 1 No Difficulty 2 Some Difficulty 3 A lot of Difficulty 4 Cannot do at all 9 Unknown United republic of Tanzania United republic of Tanzania United republic of Tanzania United republic of Tanzania United republic of Tanzania 1 Mainland 2 Zanzibar Region Region Region Region Region 1 Dodoma 2 Arusha 3 Kilimanjaro 4 Tanga 5 Morogoro 6 Pwani 7 Dar es salaam 8 Lindi 9 Mtwara 10 Ruvuma 11 Iringa 12 Mbeya 13 Singida 14 Tabora 15 Rukwa 16 Kigoma 17 Shinyanga 18 Kagera 19 Mwanza 20 Mara 21 Manyara 51 Kaskazini Unguja 52 Kusini Unguja 53 Mjini Magharibi 54 Kaskazini Pemba 55 Kusini Pemba District District District District District Urban / Rural? Urban / Rural? Urban / Rural? Urban / Rural? Urban / Rural? 1 Rural 2 Urban Geographical Area Geographical Area Geographical Area Geographical Area Geographical Area 1 Rural 2 Urban What is the main source of drinking water for members of your household? What is the main source of drinking water for members of your household? What is the main source of drinking water for members of your household? What is the main source of drinking water for members of your household? What is the main source of drinking water for members of your household? What is the main source of drinking water for members of your? Household 1 PIPED INTO DWELLING 2 PIPED INTO YARD/PLOT 3 PUBLIC TAP 4 NEIGHBOR'S TAP 5 OPEN WELL IN DWELLING 6 OPEN WELL IN YARD/PLOT 7 OPEN PUBLIC WELL 8 NEIGHBOR'S OPEN WELL 10 PROTECTED WELL IN DWELLING 11 PROTECTED WELL IN IN YARD/PLOT 12 PROTECTED PUBLIC WELL 13 NEIGHBOR'S BOREHOLE 14 SPRING 15 RIVER/STREAM 16 POND/LAKE 17 DAM 18 RAINWATER 19 TANKER TRUCK 20 WATER VENDOR 21 BOTTLED WATER 22 OTHER 99 NOT STATED How long does it take you to go there, get water, and come back? How long does it take you to go there, get water, and come back? How long does it take you to go there, get water, and come back? How long does it take you to go there, get water, and come back? How long does it take you to go there, get water, and come back? How long does it take you to go there, get water, and come back? Household Duration in groups of minutes, to go there, get water, and come back? Duration in groups of minutes, to go there, get water, and come back? Duration in groups of minutes, to go there, get water, and come back? Duration in groups of minutes, to go there, get water, and come back? Duration in groups of minutes, to go there, get water, and come back? How long does it take you to go there, get water, and come back? Household 1 Less than 1 minute 2 2 - 9 3 10 - 19 4 20 - 59 5 60 - 119 6 120 - 179 7 180 + What kind of toilet facilities does your household have? What kind of toilet facilities does your household have? What kind of toilet facilities does your household have? What kind of toilet facilities does your household have? What kind of toilet facilities does your household have? What kind of toilet facilities does your household have? Household 1 FLUSH TOILET 2 TRADITIONAL PIT TOILET 3 VENTILATED IMPROVED PIT 4 NO FACILITY/BUSH/FIELD 5 OTHER 9 NOT STATED Do you share these facilities with other households? Do you share these facilities with other households? Do you share these facilities with other households? Do you share these facilities with other households? Do you share these facilities with other households? Do you share these facilities with other households? Household 1 Yes 2 No 9 Not Stated Do your household have Electricity? Do your household have Electricity? Do your household have Electricity? Do your household have Electricity? Do your household have Electricity? Does your household have:Electricity? Household 1 Yes 2 No 9 Not Stated Do your household have paraffin lamp? Do your household have paraffin lamp? Do your household have paraffin lamp? Do your household have paraffin lamp? Do your household have paraffin lamp? Does your household have:A paraffin lamp? Household 1 Yes 2 No 9 Not Stated Do your household have a radio? Do your household have a radio? Do your household have a radio? Do your household have a radio? Do your household have a radio? Does your household have:A radio? Household 1 Yes 2 No 9 Not Stated Do your household have a TV? Do your household have a TV? Do your household have a TV? Do your household have a TV? Do your household have a TV? Does your household have:A television? Household 1 Yes 2 No 9 Not Stated Do your household have a telephone (landline / mobile)? Do your household have a telephone (landline / mobile)? Do your household have a telephone (landline / mobile)? Do your household have a telephone (landline / mobile)? Do your household have a telephone (landline / mobile)? Does your household have:A telephone/mobile? Household 1 Yes 2 No 9 Not Stated Do your household have electric / charcoal iron? Do your household have electric / charcoal iron? Do your household have electric / charcoal iron? Do your household have electric / charcoal iron? Do your household have electric / charcoal iron? Does your household have:An iron (either charcoal or electric)? Household 1 Yes 2 No 9 Not Stated Do your household have fridge? Do your household have fridge? Do your household have fridge? Do your household have fridge? Do your household have fridge? Does your household have:A refrigerator? Household 1 Yes 2 No 9 Not Stated What is the main type of energy does your household use for cooking? What is the main type of energy does your household use for cooking? What is the main type of energy does your household use for cooking? What is the main type of energy does your household use for cooking? What is the main type of energy does your household use for cooking? What type of fuel does your household mainly use for cooking? Household 1 Elecrticity 2 Gas 3 Bio-gas 4 Kerosene 5 Charcoal 6 Firewood 7 Animal dung 8 Crops residuals 9 Solar 10 Other 99 Not stated What is the main type of energy does your household use for lighting? What is the main type of energy does your household use for lighting? What is the main type of energy does your household use for lighting? What is the main type of energy does your household use for lighting? What is the main type of energy does your household use for lighting? What is the main source of energy for lighting in the household? Household 1 Electricity 2 Solar 3 Gas 4 Paraffin - huricane lamp 5 Paraffin - pressure lamp 6 Paraffin - wick lamp 7 Firewood 8 Candle 9 Other Type of flooring materials Type of flooring materials Type of flooring materials Type of flooring materials Type of flooring materials MAIN MATERIAL OF THE FLOOR. Household 1 Earth / sand 2 Animal dung 3 Timber / wood plunks 4 palms / bamboo 5 Parquet or polished woods 6 Vinyl or asphalt strips 7 Cement 8 Other Type of walling materials Type of walling materials Type of walling materials Type of walling materials Type of walling materials WALL MATERIALS Household 1 Grass 2 Poles and mud 3 Sun dries mud bricks 4 Backed mud bricks 5 Timber, poles 6 Cement bricks 7 Stones 8 Other Type of roofing materials Type of roofing materials Type of roofing materials Type of roofing materials Type of roofing materials ROOFING MATERIAL Household 1 Grass/leaves/mud 2 Iron sheets 3 Tiles 4 Concrete 5 Asbestos 6 Other How many rooms in your household are used for sleeping? How many rooms in your household are used for sleeping? How many rooms in your household are used for sleeping? How many rooms in your household are used for sleeping? How many rooms in your household are used for sleeping? How many rooms in your household are used for sleeping? Household Number of room used for sleeping groups Number of room used for sleeping groups Number of room used for sleeping groups Number of room used for sleeping groups Number of room used for sleeping groups How many rooms in your household are used for sleeping? Household 1 1 2 2 3 3 4 4 5 5+ Does any member of your household own a bicycle? Does any member of your household own a bicycle? Does any member of your household own a bicycle? Does any member of your household own a bicycle? Does any member of your household own a bicycle? Does any member of your household own:A bicycle? Household 1 Yes 2 No Does any member of your household own a motorcycle? Does any member of your household own a motorcycle? Does any member of your household own a motorcycle? Does any member of your household own a motorcycle? Does any member of your household own a motorcycle? Does any member of your household own:A motorcycle or motor scooter? Household 1 Yes 2 No Does any member of your household own a car or lorry? Does any member of your household own a car or lorry? Does any member of your household own a car or lorry? Does any member of your household own a car or lorry? Does any member of your household own a car or lorry? Does any member of your household own:A car or truck? Household 1 Yes 2 No Does any member of your household own a bank account (savings or fixed)? Does any member of your household own a bank account (savings or fixed)? Does any member of your household own a bank account (savings or fixed)? Does any member of your household own a bank account (savings or fixed)? Does any member of your household own a bank account (savings or fixed)? Does any member of your household own:A bank account Household 1 Yes 2 No Type of good possessed Type of good possessed Type of good possessed Type of good possessed Type of good possessed How many acres of land are used? Household 1 Electricity 2 Kandiri 3 Radio 4 TV 5 Cell phone 6 Iron 7 Fridge 8 Bicycle 9 Motorcycle 10 Car 11 Bank account How many acres of land for farming are owned by household? How many acres of land for farming are owned by household? How many acres of land for farming are owned by household? How many acres of land for farming are owned by household? How many acres of land for farming are owned by household? How many acres of land for farming/grazing are owned by Household? Household Land owned group (agric) Land owned group (agric) Land owned group (agric) Land owned group (agric) Land owned group (agric) How many acres of land for farming/grazing are owned by Household? Household 1 Less than 1.0 2 1.0 - 1.9 3 2.0 - 2.9 4 3.0 - 3.9 5 4.0 + 6 Not stated How many acres of land for grazing are owned by household? How many acres of land for grazing are owned by household? How many acres of land for grazing are owned by household? How many acres of land for grazing are owned by household? How many acres of land for grazing are owned by household? How many acres of land for farming/grazing are owned by Household? Household Land owned group (grazing) Land owned group (grazing) Land owned group (grazing) Land owned group (grazing) Land owned group (grazing) How many acres of land for farming/grazing are owned by Household? Household 1 Less than 1.0 2 1.0 - 1.9 3 2.0 - 2.9 4 3.0 - 3.9 5 4.0 + 6 Not stated Does the household use land for farming/grazing that it does not own? Does the household use land for farming/grazing that it does not own? Does the household use land for farming/grazing that it does not own? Does the household use land for farming/grazing that it does not own? Does the household use land for farming/grazing that it does not own? Does the household use land for farming/grazing that it doesn’t Household 1 yes, rented 2 yes, share-cropped 3 Yes, private land provided free 4 Yes, open access / communal / other land 5 No How many acres of land are used for agriculture? How many acres of land are used for agriculture? How many acres of land are used for agriculture? How many acres of land are used for agriculture? How many acres of land are used for agriculture? How many acres of land are used? Household Land used group (agric) Land used group (agric) Land used group (agric) Land used group (agric) Land used group (agric) How many acres of land are used? Household 1 Less than 1.0 2 1.0 - 1.9 3 2.0 - 2.9 4 3.0 - 3.9 5 4.0 + 6 Not stated How many acres of land are used for grazing? How many acres of land are used for grazing? How many acres of land are used for grazing? How many acres of land are used for grazing? How many acres of land are used for grazing? How many acres of land are used? Household Land used group (grazing) Land used group (grazing) Land used group (grazing) Land used group (grazing) Land used group (grazing) How many acres of land are used? Household 1 Less than 1.0 2 1.0 - 1.9 3 2.0 - 2.9 4 3.0 - 3.9 5 4.0 + 6 Not stated How far is it to the nearest market place? How far is it to the nearest market place? How far is it to the nearest market place? How far is it to the nearest market place? How far is it to the nearest market place? How far is it to the nearest market place? Household How many meals does your household usually have per day? How many meals does your household usually have per day? How many meals does your household usually have per day? How many meals does your household usually have per day? How many meals does your household usually have per day? How many meals does your household usually have per day? Household Number of meals group Number of meals group Number of meals group Number of meals group Number of meals group How many meals does your household usually have per day? Household 1 1 2 2 3 3+ During the past week how many days did the household eat meat? During the past week how many days did the household eat meat? During the past week how many days did the household eat meat? During the past week how many days did the household eat meat? During the past week how many days did the household eat meat? In the past week, on how many days did the household Household During the past week how many days did the household eat fish? During the past week how many days did the household eat fish? During the past week how many days did the household eat fish? During the past week how many days did the household eat fish? During the past week how many days did the household eat fish? Household How often during last year did your household had problems in satisfying food requirements? How often during last year did your household had problems in satisfying food requirements? How often during last year did your household had problems in satisfying food requirements? How often during last year did your household had problems in satisfying food requirements? How often during last year did your household had problems in satisfying food requirements? How often in the last year did you have problems in satisfying Household 1 Never 2 Seldom 3 Sometimes 4 Often 5 Always Does your household have any mosquito nets used during sleeping? Does your household have any mosquito nets used during sleeping? Does your household have any mosquito nets used during sleeping? Does your household have any mosquito nets used during sleeping? Does your household have any mosquito nets used during sleeping? Does your household have any mosquito nets that can be used while sleeping? Household 1 Yes 2 No 9 Not Stated How many mosquito nets does your household have? How many mosquito nets does your household have? How many mosquito nets does your household have? How many mosquito nets does your household have? How many mosquito nets does your household have? How many mosquito nets does your household have? Household Household member 15+ years who slept under a mosquito net during last night Household member 15+ years who slept under a mosquito net during last night Household member 15+ years who slept under a mosquito net during last night Household member 15+ years who slept under a mosquito net during last night Household member 15+ years who slept under a mosquito net during last night How many household members slept under a mosquito net last night? Household Household member 5-14 years who slept under a mosquito net during last night Household member 5-14 years who slept under a mosquito net during last night Household member 5-14 years who slept under a mosquito net during last night Household member 5-14 years who slept under a mosquito net during last night Household member 5-14 years who slept under a mosquito net during last night How many household members slept under a mosquito net last night? Household Household member 0-4 years who slept under a mosquito net during last night Household member 0-4 years who slept under a mosquito net during last night Household member 0-4 years who slept under a mosquito net during last night Household member 0-4 years who slept under a mosquito net during last night Household member 0-4 years who slept under a mosquito net during last night How many household members slept under a mosquito net last night? Household None of Household member None of Household member None of Household member None of Household member None of Household member How many household members slept under a mosquito net last night? Household 99 None What is the main source of your household income? What is the main source of your household income? What is the main source of your household income? What is the main source of your household income? What is the main source of your household income? What is the main source of your household income? Household 1 Income from paid employment (in cash) 2 Income from paid employment (in kind / goods) 3 Income from self employment 4 Income from household subsistence agriculture 5 Assistances 6 Interests 7 Rent received 8 FADHILA 9 Other Is there any child (under 18 yrs) who usually live in this household and who died in the last 12 months? Is there any child (under 18 yrs) who usually live in this household and who died in the last 12 months? Is there any child (under 18 yrs) who usually live in this household and who died in the last 12 months? Is there any child (under 18 yrs) who usually live in this household and who died in the last 12 months? Is there any child (under 18 yrs) who usually live in this household and who died in the last 12 months? Is there any child(under 18 years of age) who usually live in this Household 1 Yes 2 No