REFERENCE NUMBER: [ ]-[ ]-[ ]-[ ]-[ ]-[ ] SURVEY OF HOUSEHOLD WELFARE AND LABOUR IN TANZANIA (SHWALITA) [ ] [ ]/[ ]/[ ] [ ]:[ ] [ ] [ ]:[ ] [ ] [ ]

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1 REFERENCE NUMBER: [ ]-[ ]-[ ]-[ ]-[ ]-[ ] SURVEY OF HOUSEHOLD WELFARE AND LABOUR IN TANZANIA (SHWALITA) HOUSEHOLD IDENTIFICATION 1a. Region ID: [ ] 1b. Region: 2a. District ID: [ ] 2b. District: 3a. Cluster ID: [ ] 3b. Kitongoji/street: 4a. Household ID: [ ] 4b. Name household head: 4c. Type of questionnaire (see overleaf): 4d. Booklet No. / out of [ ] / [ ] 1=An originally selected household? 5a. Is this household (>>6) 2=A replacement household? 6. GPS Coordinates S [ ] º [ ] [ ] [ ] 5b. What was the originally selected Household ID? [ ] E [ ] º [ ] [ ] INTERVIEWER'S VISITS VISIT #1 VISIT #2 VISIT #3 7. Date (dd/mm/yy): [ ]/[ ]/[ ] [ ]/[ ]/[ ] [ ]/[ ]/[ ] 8a. Time (hh:mm) Starting: 8b. Time (hh:mm) Finished: [ ]:[ ] [ ] [ ]:[ ] [ ] [ ]:[ ] [ ] [ ]:[ ] [ ] [ ]:[ ] [ ] [ ]:[ ] [ ] 9. Interviewer name & ID [ ] [ ] [ ] 10a. Interview result: [ ] [ ] Result codes for Q10a: 1=COMPLETED>>12 3=REFUSED 5=HOUSEHOLD UNKNOWN 2=PARTIALLY COMPLETED>>11 4=HOUSEHOLD NO LONGER EXISTS6=TEMPORARILY ABSENT 10b. What is the source of this information? 10c.Write ID number for a replacement household 11. Next visit, if planned: Date: Date: Time: Time: [ ] 8=OTHER, SPECIFY: 12a. Has anyone in this household ever participated in a survey like this one? 1=Yes 2=No (>>13) [ ] 12b. During which year was the last time the household participated in a survey like this one? (YEAR) [ ] 13. Language of interview: [ ] 14. Was an interpreter used? [ ] 1=KISWAHILI 2=OTHER, SPECIFY: 1=Yes 2=No 15. Who responded for Sections 1-3 in the questionnaire? RECORD THEIR ID CODE HERE. [ ] QUESTIONNAIRE VERIFICATION 16. Initials 17. ID Code 18. Date a. SUPERVISOR b. RECEIVED IN OFFICE BY c. CHECKED BY d. ENTERED BY [ ] [ ] [ ] [ ] [ ]/[ ]/[ ] [ ]/[ ]/[ ] [ ]/[ ]/[ ] [ ]/[ ]/[ ] Module 1 1

2 COMMENTS REGARDING VISITS List of modules Type Questionnaire Id Short prox + Long 14 With labour 11 Without Labour 12 Short Self + Long 7 recall With labour 21 Without Labour 22 Long Prox + Subset 7 recall With labour 31 Without Labour 32 Long Self + Collapsed 7 recall With labour 41 Without Labour 42 Usual 12 months recall Without Labour 51 Household Diary Frequent 61 Infrequent 62 Personal Diary Frequent 63 Module 1 2

3 SECTION 1: HOUSEHOLD ROSTER I D C O D E NAME What is sex What is the relationship of of [NAME]? [NAME] to household head? How old is [NAME]? Can [NAME] read and write? Has [NAME] ever attended school? What is the highest level of education [NAME] has completed? Has [NAME] ever attended a IS [NAME] 12 professional, technical or YEARS OR vocational school? OLDER? MAKE A COMPLETE LIST OF ALL INDIVIDUALS WHO NORMALLY LIVE AND EAT THEIR MEALS TOGETHER IN THIS HOUSEHOLD, STARTING WITH THE HEAD HEAD...1 OF HOUSEHOLD. WIFE/HUSBAND...2 IF <1 CHILD/ADOPTED CHILD...3 YEAR, GRANDCHILD...4 ENTER 0. NIECE/NEPHEW...5 FATHER/MOTHER...6 SISTER/BROTHER...7 SON/DAUGHTER-IN-LAW...8 ADULT EDU..1 BROTHER/SISTER-IN-LAW...9 KORANIC...2 GRANDFATHER/MOTHER...10 MMEMKWA...3 FATHER/MOTHER-IN-LAW...11 PRE-SCHOOL.4 OTHER RELATIVE...12 PRIMARY...5 SERVANT OR SERVANT'S SECONDARY RELATIVE...13 (1-4)...6 LODGER/LODGER'S SECONDARY RELATIVE...14 (5-6)...7 MALE..1 NON-RELATIVE...15 OTHER (SPECIFY)...16 YES..1 YES..1 UNIVERSITY.8 YES..1 YES..1 FEMALE.2 YEARS YEARS COMPLETED COMPLETED >>9 >>10 >>14 YEARS LEVEL IN LEVEL IN LEVEL Module 1 3

4 FOR DIARY HOUSEHOLDS ONLY I D C O D E What is [NAME]'s marital status? READ ALL RESPONSES MONOGAMOUS MARRIED OR NON-FORMAL UNION...1 POLYGAMOUS MARRIED OR NON-FORMAL UNION...2 SEPARATED..3>>14 DIVORCED...4>>14 WIDOW/ WIDOWER...5>>14 NEVER MARRIED...6>>14 Does [NAME]'s spouse currently live in this household? COPY THE ID CODE OF THE WIFE/ HUSBAND. IF MORE THAN ONE WIFE, COPY ID CODES OF ALL WIVES RESIDENT IN HOUSEHOLD For how long was [NAME] absent during the past 12 months? MODULES 1A-5 >> NEXT Is [NAME] present Is [NAME] 18 at home today or will years or he/she be at home above, or at least for 2 days married, or out of the next 14 head of days? household? WILL [NAME] FILL IN A DIARY? FOR HOUSEHOLD DIARY: CHOOSE 'YES' FOR BEST INFORMED RESPONDENT PRESENT, NO FOR OTHERS AND ALWAYS SKIP TO NEXT PERSON FOR PERSONAL DIARY: CHOOSE 'YES' FOR EVERYONE WITH 'YES' IN Q16 AND FOLLOW SKIPS BELOW PRESENT ALL YEAR..1 YES..1 YES..1 YES...1>>19 ABSENT 6 MONTHS OR LESS...2 NO...2 YES..1 ID CODE ABSENT MORE THAN 6 >>17 MONTHS...3 SECOND THIRD FOURTH >>14 SPOUSE WIFE WIFE WIFE Who knows most about [NAME]'s everyday activities? COPY ID FROM HOUSEHOLD ROSTER ID WHICH DIARY RECORDS [NAME]'S TRANSACTIO NS? WRITE DIARY NUMBER Module 1 4

5 SECTION 2: HOUSEHOLD AMENITIES & ASSETS What material is the What material is the What material are What type of How many rooms What is the main What is the type of What is the main fuel What is the main fuel floor of this house made of? roof of this house made of? the walls of this house made of? house is it? are used by this household? source of drinking water? toilet used by the household? used for cooking? used for lighting? MUD/EARTH....1 WOOD/PLANK...2 TILES CEMENT/CONCRETE.4 GRASS OTHER (specify).6 MUD THATCH WOOD IRON SHEETS...4 CEMENT/CONCRETE.5 ROOFING TILES..6 ASBESTOS....7 OTHER (Specify).8 MUD/MUD BRICKS.1 STONE BURNT BRICKS..3 CEMENT/CONCRETE.4 WOOD/BAMBOO...5 IRON SHEETS...6 CARDBOARD....7 OTHER (Specify).8 ROOM or ROOMS..1 SELF-CONTAINED FLAT/ROW HOUSES 2 WHOLE HOUSE...3 SEVERAL BUILDINGS IN THE SAME COMPOUND OTHER (Specify).5 EXCLUDING BATHROOM, KITCHEN, TOILET AND STORE PIPE BOURNE WATER TREATED PIPE BOURNE WATER UNTREATED....2 BORE HOLE/ HAND PUMP....3 COVERED WELL....4 UNCOVERED WELL...5 PROTECTED SPRING..6 UNPROTECTED SPRING.7 RAIN WATER RIVER, LAKE, POND.9 VENDOR, TRUCK.. 10 OTHER (Specify)...11 NONE (BUSH)...1 FLUSH TO SEWER.2 FLUS TO SEPTIC TANK PAN/BUCKET...4 COVERED PIT LATRINE...5 UNCOVERED PIT LATRINE...6 VENTILATED PIT LATRINE...7 OTHER (Specify).8 FIREWOOD CHARCOAL KEROSENE/OIL...3 GAS ELECTRICITY...5 CROP RESIDUALS/ SAWDUST....6 ANIMAL WASTE...7 OTHER (Specify)..8 KEROSENE/ PARAFFIN....1 GAS MAIN ELECTRICITY..3 SOLAR PANELS/PRIVATE GENERATOR...4 BATTERY CANDLES FIREWOOD OTHER (Specify) How is the refuse from the household disposed of? COLLECTED BY THE GOVERNMENT...1 COLLECTED PRIVATE....2 GOVERNMENT BIN DISPOSAL WITHIN COMPOUND....4 NONE/UNAUTHORIZED HEAP OTHER (Specify) How many [ ] does the household own? RECORD 0 if NONE OWNED RECORD 99 IF THE PERSON OWNS MORE THAN 99 ANIMALS 12. Do you or any other member of the household own any among the following? INCLUDE FUNCTIONING EQUIPMENT ONLY YES..1 a. Cattle or other a. Smoothing iron i. Bicycle large livestock j. Motorcycle b. Sheep b. Refrigerator k. Car or truck c. Goats c. Television l. Wheelbarrow d. Chickens d. Mattress/bed m. Landline e. Pigs e. Radio telephone f. Ducks, Turkeys, and f. Watch or clock n. Mobile telephone other poultry g. Sewing e. Rabbits machine f. Other: specify h. Improved stove Module 1 5

6 SECTION 3: LAND 1. Do you or anyone in this household own, rent or use for free a shamba or garden? What is the primary crop grown on this What is the total area of this plot? plot during the last agricultural season? Please describe to me all of the shambas/gardens owned, rented or borrowed by the members of your household and those rented or used free by people who are not member of your household. PLOTS CAN BE TITLED, UNTITLED, RENTED OR USED FREE. SOME PLOTS MAY BE CURRENTLY LEFT FALLOW, SHOULD ALSO BE INCLUDED. LIST ALL PLOTS STARTING WITH THOSE OWNED BY THE HOUSEHOLD,FOLLOWED BY THOSE USED BUT NOT OWNED BY THE HOUSEHOLD. MAIZE COFFEE BANANA CASHEW NUT... 4 CASSAVA SWEET POTATO.. 6 IRISH POTATO.. 7 GROUNDNUT... 8 RICE MILLET SORGHUM WHEAT BEAN SOYABEAN PIGEONPEA...15 TOBACCO COTTON SUGAR CANE...18 CABBAGE OKRA TOMATO ONION PEAS FALLOW OTHER (SPEC.).25 Plot No. Description AREA YES...1 NO...2>>NEXT SECTION RECORD AREA TO ONE DECIMAL PLACE Is this plot owned by the household or any household member? Does this plot have a title deed? Is this plot coowned with any other households? YES, AND USED BY HOUSEHOLD...1 YES, AND USED BY OTHERS FOR FREE.2 YES AND RENTED ACRE. 1 OUT...3 NO, AND USED FOR YES..1 YES..1 HA...2 FREE...4 >>7 NO, AND RENTED IN.5 UNIT >>7 Module 1 6

7 Labour Module Selection of Proxy Respondents and Interview Subjects Starting time for this section: [ ]:[ ] [ ] 1. According to the Roster, what is the number of household members 16 years old or older? Review the Roster section where all household members are listed. In the order in which they are listed in the Roster, write the name and ID code of all members of the household who are 16 years old or older in Columns 2 and 3 of Table 1. Table 1: Proxy Respondents (1) (2) (3) (4) Person ID Code Name of Respondents 16 years old or older Mark Selected Respondents with an "X" (Insert Table 2 here) Count the number of eligible respondents you have listed in Table 1 above. Using Table 2, go to the row that corresponds to the number of eligible respondents in the household and follow it across to find the number of the person (NOT THEIR ID CODE) The person who was selected in Table 1 will serve as the respondent for the labor module. Fill in their ID code and name on the first page of the labor module. 2. According to the Roster, what is the number of household members 10 years old or older, excluding the person who has been selected as the proxy in Table 1? Now review the Roster section again where all household members are listed. In the order in which they are listed in the Roster, write the name and ID code of all members of the household who are 10 years old or older in the list below. Table 3: Interview Subjects (1) (2) (3) (4) Person ID Code Name of Eligible Interview Subjects 10 years old or older Mark Selected Interview Subjects with an "X" (Insert Table 4 here) Count the number of eligible interview subjects you have listed in the Table 3. Using Table 4, go to the row that corresponds to the number of eligible interview subjects and follow it across to find the number of the persons (NOT THEIR ID CODE, INSTEAD THE NUMBER) The person who was selected in Table 1 will serve as the proxy respondent for the two other household members selected in Table 3. Fill in their ID codes on the first page of the labour module and proceed with the interview. Module 1 7

8 Question Response Codes Proxy Respondent HH Member 1 HH Member 2 COPY ID OF THE RESPONDENT OR HOUSEHOLD MEMBER FROM THE ROSTER. 1. COPY THE NAME OF THE RESPONDENT OR HOUSEHOLD MEMBER FROM HOUSEHOLD ROSTER 2. HOW MANY VISITS DID YOU MAKE TO INTERVIEW [..]? (if 1 visit only, >>4) 3. WHY DID YOU MAKE MULTIPLE VISITS TO INTERVIEW [.]? SHE/HE WAS. 4. IS THIS A REPLACEMENT FOR THE ORIGINALLY SELECTED PROXY? OCCUPIED WITH OTHER ACTIVITES AWAY IN ANOTHER VILLAGE HOSPITALIZED AWAY IN THE FIELDS. 4 AWAY AT MARKET... 5 AWAY AT SCHOOL... 6 OTHER, SPECIFY... 7 YES...1 NO What is the relationship of [.] to the respondent? S/he is my WIFE/HUSBAND CHILD/ADOPTED CHILD..2 GRANDCHILD NIECE/NEPHEW FATHER/MOTHER SISTER/BROTHER SON/DAUGHTER-IN-LAW..7 BROTHER/SISTER-IN-LAW.8 GRANDFATHER/MOTHER.. 9 FATHER/MOTHER-IN-LAW. 10 OTHER RELATIVE SERVANT OR SERVANT'S RELATIVE LODGER/LODGER'S RELATIVE OTHER NON-RELATIVE.. 14 OTHER (SPECIFY) Interviewer tells respondent: "Now I'd like to ask you some questions about the work that [..] does including their occupation, the types of jobs they have, the time they spend doing work, and the renumeration they receive for this work." 6. Did [.] do any type of work in the last seven days? Even if for 1 hour 7. Did [..] do any type of work in the last 12 months? YES...1 (»8) NO...2 YES...1 (»17) NO...2(»17) 8. What is [..]'s primary occupation in [.]'s main job? a. OCCUPATION [ ] [ ] [ ] MAIN OCCUPATION IN THE LAST 7 DAYS b. OCCUPATION CODE (TO BE FILLED IN BY SUPERVISOR) [ ] [ ] [ ] AGRICULTURE MINING/QUARRYING...2 MANUFACTURING/ PROCESSING GAS/WATER/ ELECTRICITY In what sector is this main activity? CONSTRUCTION TRANSPORT BUYING AND SELLING. 7 PERSONAL SERVICES.. 8 EDUCATION/HEALTH...9 READ ALL RESPONSES PUBLIC ADMINISTRATION DOMESTIC DUTIES...11 OTHER, SPECIFY Module 1 8

9 Question Response Codes Proxy Respondent HH Member 1 HH Member 2 COPY ID OF THE RESPONDENT OR HOUSEHOLD MEMBER FROM THE ROSTER. 10. For how many hours did [..] work in the last 7 days. IF DID NOT WORK ENTER 0 HOURS 11. What is [.]'s employment status in [.]'s main job? READ ALL RESPONSES 12. Who is [.]'s employer in [.]'s main job? READ ALL RESPONSES PAID EMPLOYEE SELF-EMPLOYED WITH EMPLOYEES.2 (>>17) SELF-EMPLOYED, NO EMPLOYEES..3 (>>17) UNPAID FAMILY WORKER..4 (>>17) DOMESTIC EMPLOYEE... 5 OTHER, SPECIFY GOVERNMENT NGO COOPERATIVE INTERNATIONAL ORGANIZATION PRIVATE SECTOR HOUSEHOLD OTHER, SPECIFY Did [..] receive wages, salary, cash payments or other in kind payments from this employer for this work? YES...1 NO...2 (»17) 14. How much was [..]'s last payment? IF NONE ENTER 0 a. AMOUNT (in TSH) b. TIME UNIT HOUR DAY WEEK MONTH YEAR [ ] TSH [ ] TSH [ ] TSH 15. Did [..] receive any in-kind payment or regular allowance for the work [.] performed for this employer? IF NONE ENTER 0 a.in KIND ITEM ALLOWANCE HOUSING TRANSPORT PRODUCE ANIMALS MEALS CLOTHING MEDICATION OTHER, DURABLE GOODS SPECIFY.9 OTHER, NON-DURABLE GOODS SPECIFY...10 b. VALUE (ESTIMATE AMOUNT IN TSH) c. TIME UNIT HOUR DAY WEEK MONTH YEAR [ ] TSH [ ] TSH [ ] TSH Module 1 9

10 Question Response Codes Proxy Respondent HH Member 1 HH Member 2 COPY ID OF THE RESPONDENT OR HOUSEHOLD MEMBER FROM THE ROSTER. 16. Did [NAME] receive any other inkind payment or regular allowance for the work [NAME] performed for this employer? IF NONE ENTER 0 a.in KIND ITEM ALLOWANCE HOUSING TRANSPORT PRODUCE ANIMALS MEALS CLOTHING MEDICATION OTHER DURABLE GOODS SPECIFY.9 OTHER, NON-DURABLE GOOD SPECIFY 10 b. VALUE (ESTIMATE AMOUNT IN TSH) c. TIME UNIT HOUR DAY WEEK MONTH YEAR [ ] TSH [ ] TSH [ ] TSH 17. Now I would like to ask about activities that you or [NAME] does for the household. How much time in the last 24 hours did you or [NAME] spend on any of the following activities for the household? IF NONE ENTER 0 a. COLLECTING FIREWOOD? b. FETCHING WATER? HOURS MINUTES HOURS MINUTES 18. Does you or [NAME] usually do any of the following activities? a. WASHING CLOTHES? b. COOKING? YES...1 NO...2 YES...1 NO PLEASE LIST THE ID CODES a. HOUSEHOLD MEMBER 1 FOR OTHER HOUSEHOLD MEMEBER WHO WERE IN THE b. HOUSEHOLD MEMBER 2 ROOM OR PRESENT FOR THE c. TAKING CARE OF YES...1 SICK/ELDERLY? NO...2 INTERVIEW (EVEN A PORTION OF c. HOUSEHOLD MEMBER 3 IT) ENTER 'XX' IF NO ONE d. HOUSEHOLD MEMBER 4 WAS THERE IF NON-HOUSEHOLD MEMBER ENTER 99 e. HOUSEHOLD MEMBER 5 Module 1 10

11 SECTION 5.1: Food Consumption and Frequent non-food Consumption RESPONDENT NO. Starting time for this Section: 1. Within the past 14 days, did the members of this household eat/drink any [...] within the household? ONLY LIST ITEMS CONSUMED WITHIN THE HOUSEHOLD AND EXCLUDE FOOD CONSUMED OUTSIDE THE HOUSEHOLD ASK FOR ITEMS BEFORE MOVING TO Q2 YES QUANTITY UNIT QUANTITY UNIT TZS QUANTITY UNIT QUANTITY UNIT Cereals and Cereal products 0101 Rice (paddy) 0102 Rice (husked) 0103 Maize (green, cob) 0104 Maize (grain) 0105 Maize (flour) 0106 Millet and sorghum (grain) 0107 Millet and sorghum (flour) 0108 Wheat, barley grain and other cereals How much [...] in total did your household consume in the past 14 days? How much [...] came from How much did How much [...] came from ownproduction in the past 14 purchases in the past 14 days? you spend? days? IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK 0109 Cost of grinding XXXXXXXXX 0110 Bread 0111 Buns, cakes and biscuits 0112 Macaroni, spaghetti 0113 Other cereal products Tubers and Plantains 0201 Cassava fresh 0202 Cassava dry/flour 0203 Sweet potatoes 0204 Yams/cocoyams 0205 Irish potatoes 0206 Cooking bananas, plantains 0207 Other starches Sugar and Sweets 0301 Sugar Honey, syrups, jams, marmalade, 0302 jellies, canned fruits 0303 Sweets Pulses, Dry [ ]:[ ] [ ] How much [...] came from gifts and other sources in the past 14 days? EXCLUDE FOOD TAKEN OUTSIDE THE HOUSEHOLD IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK KILOGRAMS...1 GRAMS...2 LITRE...3 MILLILITRE KG. BAG KG. BAG KG. BAG...7 DEBE...8 TABLE SPOON...9 BUNCH...10 HAND...11 PIECE/NUMBER.12 HEAP...13 HANDFUL...14 PAKACHA...15 GOROGORO /4 KG TIN /2 KG TIN KG TIN...19 BOWL...20 CUP...21 GLASS...22 TSHS...23 OTHER Peas, beans, lentils and other pulses Module 1 11

12 1. Within the past 14 days, did the members of this household eat/drink any [...] within the household? ONLY LIST ITEMS CONSUMED WITHIN THE HOUSEHOLD AND EXCLUDE FOOD CONSUMED OUTSIDE THE HOUSEHOLD ASK FOR ITEMS BEFORE MOVING TO Q2 YES How much [...] in total did your household consume in the past 14 days? How much [...] came from How much did How much [...] came from ownproduction in the past 14 purchases in the past 14 days? you spend? days? IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK How much [...] came from gifts and other sources in the past 14 days? EXCLUDE FOOD TAKEN OUTSIDE THE HOUSEHOLD IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK QUANTITY UNIT QUANTITY UNIT TZS QUANTITY UNIT QUANTITY UNIT Nuts and Seeds 0501 Groundnuts in shell/shelled 0502 Coconuts (mature/immature) 0503 Cashew, almonds and other nuts Seeds and products from nuts/seeds 0504 (excl. cooking oil) Vegetables Onions, tomatoes, carrots and green 0601 pepper, other viungo Spinach, cabbage and other green 0602 vegetables 0603 Canned, dried and wild vegetables Fruits 0701 Ripe bananas Citrus fruits (oranges, lemon, 0702 tangarines, etc.) 0703 Mangoes, avocadoes and other fruits 0704 Sugarcane Meat, meat products, fish 0801 Goat meat 0802 Beef including minced, sausage 0803 Pork including sauages and bacon 0804 Chicken and other poultry 0805 Wild birds and edible insects 0806 Other domestic/wild meat products 0807 Eggs Fresh fish and seafood (including 0808 dagaa) KILOGRAMS...1 GRAMS...2 LITRE...3 MILLILITRE KG. BAG KG. BAG KG. BAG...7 DEBE...8 TABLE SPOON...9 BUNCH...10 HAND...11 PIECE/NUMBER.12 HEAP...13 HANDFUL...14 PAKACHA...15 GOROGORO /4 KG TIN /2 KG TIN KG TIN...19 BOWL...20 CUP...21 GLASS...22 TSHS...23 OTHER...24 Module 1 12

13 1. Within the past 14 days, did the members of this household eat/drink any [...] within the household? ONLY LIST ITEMS CONSUMED WITHIN THE HOUSEHOLD AND EXCLUDE FOOD CONSUMED OUTSIDE THE HOUSEHOLD ASK FOR ITEMS BEFORE MOVING TO Q2 YES How much [...] in total did your household consume in the past 14 days? How much [...] came from How much did How much [...] came from ownproduction in the past 14 purchases in the past 14 days? you spend? days? IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK How much [...] came from gifts and other sources in the past 14 days? EXCLUDE FOOD TAKEN OUTSIDE THE HOUSEHOLD IF NONE WRITE 0.0 FOR QUANTITY AND LEAVE UNIT BLANK QUANTITY UNIT QUANTITY UNIT TZS QUANTITY UNIT QUANTITY UNIT Dried/salted/canned fish and seafood 0809 (incl. dagaa) Milk and milk products 0901 Fresh milk Milk products (like cream, cheese, 0902 yoghurt etc, but excl. fats) 0903 Canned milk/milk powder Oil, fats, spices 1001 Cooking oil Butter, margarine, ghee and other fat 1002 products 1003 Salt 1004 Other spices Beverages 1101 Tea (leaves or prepared) Coffee and cocoa (beans, ground, 1102 instant, prepared) 1103 Other raw materals for drinks Bottled/canned soft drinks (soda, 1104 juice, water) 1105 Bottled beer 1106 Local brews 1107 Wine and spirits KILOGRAMS...1 GRAMS...2 LITRE...3 MILLILITRE KG. BAG KG. BAG KG. BAG...7 DEBE...8 TABLE SPOON...9 BUNCH...10 HAND...11 PIECE/NUMBER.12 HEAP...13 HANDFUL...14 PAKACHA...15 GOROGORO /4 KG TIN /2 KG TIN KG TIN...19 BOWL...20 CUP...21 GLASS...22 TSHS...23 OTHER...24 Module 1 13

14 SECTION 5: Food Consumption and Frequent non-food Consumption BEFORE ASKING Q9 NOTE THE RECALL PERIOD (7 OR 14 DAYS) IN SPACE PROVIDED 9. In the past days did any people that you did not list as household members YES..1>>10 [READ LIST FROM HH ROSTER] eat any meals in your household? >> What was the total number of days What was the total number of meals in which any meal was shared with that were shared over past 7 days with people [ ]? [ ]? IF NONE, ENTER 0 IF NONE, ENTER 0 01 Children 0-5 years 02 Children 6-15 years 03 Adults years 04 People over 66 years old OUTSIDE FOOD/DRINK Within the past 7 days, did the members of this household [READ LIST OF MEMBERS What was the value of [...] eaten/drunk FROM ROSTER] take any [...] outside this household? outside this household in the last 7 days? YES..1 INCLUDE GIFTS AS WELL AS PURCHASES CODE ITEM >>NEXT TZS 1201 Full meals (breakfast, lunch, dinner) Barbecued meat, chips, roast bananas, and other 1202 snacks 1203 Kibuku and other local brews 1204 Wine, commercial beers, and spirits 1205 Sodas and other non-acoholic drinks 1206 Sweets and ice-cream 1207 snacks FREQUENT NON-FOOD EXPENDITURES Over the past 2 weeks did anyone in the household How much did your household pay in purchase any [...]? total for [.. ITEM..] bought in past 2 YES..1 weeks? CODE ITEM >>NEXT TZS 2001 Charcoal/coal 2002 Firewood 2003 Kerosene, paraffin 2004 Matches, lighters, candles, lamp/stove wicks 2005 Laundry soap, toilet soap 2006 Cigarettes, tobacco, snuff 2007 Cellphone top-up cards and internet 2008 Transport Petrol, oil, fares for transport (bus, mini-bus, taxi, boat). Include transport to/from school or for medical care Module 1 14

15 SECTION 6: NON-FOOD EXPENDITURES 1. Over the past 1 month, did anyone in the household purchase any [..ITEM..]? CODE ITEM 2. YES..1 How much did your household pay in total for [...] bought in past 1 >>NEXT month? TZS 2009 Personal care 2010 Batteries Toilet paper, toothpaste, hair products, razor, perfumes, lotions, make-up, beauty salons (exclude toilet/laundry soap) 2011 Utilities Electricity, water, garbage disposal, telephone landline 3. Over the past 12 months, did anyone in the household purchase any [..ITEM..]? CODE ITEM YES How much did your household pay in total for [...] bought in past 12 >>NEXT months? TZS 2012 Furniture Beds, chairs, tables, sofas, mirrors, carpets 2013 Linen, bed/mattress, cloths Sheets, blankets, pillows, towels, mosquito nets, curtains 2014 Household durables, appliances Stoves (anytype), cookers, refrigerator, fan, air conditioner, heater, radio, phones, cellphones 2015 Kitchenware Pots, pans, bowls, dishes, utensils, knives 2016 Other household wares Torches, bulbs, lanterns, baskets, brooms, brushes 2017 Repairs for assets and durables Repairs to house, car, motorbike, bicycle, ratio, TV, etc. Clothing and footwear for men and 2018 boys over 15 years Clothing and footwear for women and 2019 girls over 15 years Khanzus, hats, trousers, shirts, coats, undergarments, socks, shoes, tailoring Khanga, kitenge, sarees, dresses, skirts, trousers, blouses, coats, undergarments, socks, shoes, tailoring 2020 Clothing for children under 15 years Trousers, dresses, skirts, shirts, blouses, socks, shoes, tailoring 2021 Other personal effects Yarn and sewing material, umbrellas, gloves, handbags, purses, wallets, sunglasses, jewellery 2022 Modern medical care services Hospitals, dispensaries, private doctors, densitry. (Excluding transport/food) 2023 Modern medical care: medications Prescribed medicine, non-prescribed medicine 2024 Traditional medical care Traditional healers, traditional medicine 2025 Education School fees, uniform, equipment. (Excluding transport/food) 2026 Entertainment and recreation Books (not school books), magazines, newspapers, cassettes, cinema, sports equipment, stamps/postal 2027 Cleaning materials, household services Detergents (not laundry soap), insecticides, sprays and coils, polish 2028 Contributions to religious and other organizations 2029 Ceremonies Contributions to wedding parties and funerals, dowries paid out 2030 Taxes Revenue tax, development levy or village tax, vehicle tax. Exclude taxes related to household enterprises Insurance Car, medical, life insurance 2032 Domestic services Payments given to domesitc workers 5. REFER BACK TO ALL PREVIOUS NON-FOOD QUESTIONS AND THE HOUSEHOLD ROSTER IN SECTION 1 Are expenditures for anyone listed on the household roster missing? 6. Whose information is missing and how much is not captured in what you mentioned to me? YES...1 >> FINISHING TIME SHARE CODES: ALL...1 MOST...2 SOME...3 LESS THAN HALF...4 JUST A SMALL AMOUNT..5 ID SHARE Finishing time for this Section: [ ]:[ ] [ ] Module 1 15

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