MODULE G1. INDIVIDUAL IDENTIFICATION
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1 2.0 PILOT VRSION MOUL G. WOMN S MPOWRMNT IN GRIULTUR INX -WI Version Note: the information in module G1 can be captured in different ways; however there must be a way to a) identify the proper individual within the household to be asked the survey, b) link this individual from the module to the household roster, c) code the outcome of the interview, especially if the individual is not available, to distinguish this from missing data, d) record who else in the household was present during the interview. This instrument must be adapted for country context including translations into local languages when appropriate. numerator: This questionnaire should be administered separately to the primary and secondary respondents identified in the household roster (Section ) of the household level questionnaire. You should complete this coversheet for each individual identified in the selection section even if the individual is not available to be interviewed for reporting purposes. Please double check to ensure: You have completed the roster section of the household questionnaire to identify the correct primary and/or secondary respondent(s); You have noted the household I and individual I correctly for the person you are about to interview; You have gained informed consent for the individual in the household questionnaire; You have sought to interview the individual in private or where other members of the household cannot overhear or contribute answers. o not attempt to make responses between the primary male decisionmaker and the primary female decisionmaker the same it is ok for them to be different. G1.01. HOUSHOL INTIITION:... G1.02. NM O RSPONNT URRNTLY ING INTRVIW (I O ROM ROSTR IN STION HOUSHOL ROSTR): SURNM, OTHR NM NM: G1.03. SX O RSPONNT: MOUL G1. INIVIUL INTIITION ode ML...1 ML...2 G1.05. OUTOM O INTRVIW: G1.06. ILITY TO INTRVIW LON: ode OMPLT HOUSHOL MMR TOO ILL TO RSPON/OGNITIVLY IMPIR...2 RSPONNT NOT T HOM/TMPORRILY UNVILL 3 RSPONNT NOT T HOM/XTN SN RUS OUL NOT LOT....6 LON...1 WITH ULT MLS PRSNT...2 WITH ULT MLS PRSNT...3 WITH ULTS MIX SX PRSNT...4 WITH HILRN PRSNT...5 WITH ULTS MIX SX N HILRN PRSNT...6 G1.04 TYP O HOUSHOL ML N ML ULT 1 ML ULT ONLY..2
2 MOUL G2: ROL IN HOUSHOL ISION-MKING ROUN PROUTION N INOM GNRTION HOUSHOL INTIITION (IN T IL, H SU-MOUL (G2-G6) MUST LINK WITH HH N RSPONNT I Now I d like to ask you some questions about your participation in certain types of work activities and on making decisions on various aspects of household life TIVITY O TIVITY SRIPTION ood crop farming: These are crops that are grown primarily for household food consumption ash crop farming: These are crops that are grown primarily for sale in the market id you yourself participate in [TIVITY] in the past 12 months (that is, during the last [one/two] cropping seasons), from [PRSNT MONTH] last year to [PRSNT MONTH] this year? When decisions are made regarding [TIVITY], who is it that normally takes the decision? IRL LL PPLIL I TH RSPONS IS SL ONLY SKIP TO QUSTION G2.05 RSPONNT I O How much input did you have in making decisions about [TIVITY]? US ISION OS OR G2.03/G2.05; I NO SION M, NTR 98 N MOV TO TH NXT TIVITY To what extent do you feel you can make your own personal decisions regarding [TIVITY] if you want(ed) to? IRL ON How much input did you have in decisions on the use of income generated from [TIVITY] US OS OR G2.03/G2.05 G2.01 G2.02 G2.03 G2.04 G2.05 YS... 1 NO... 2 TIVITY YS... 1 NO... 2 TIVITY Livestock raising YS... 1 NO... 2 TIVITY Non-farm economic activities: This would include things like running a small business, self-employment, buy-and-sell YS... 1 NO... 2 TIVITY G2.03/G2.05 ISION OS: NO INPUT OR INPUT IN W ISIONS.. 01 INPUT INTO SOM ISIONS.02 INPUT INTO MOST OR LL ISIONS..03 NO ISION M...98 NOT PPLIL.98 NXT TIVITY NOT PPLIL.98 NXT TIVITY NOT PPLIL.98 NXT TIVITY NOT PPLIL.98 NXT TIVITY NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT.. 4 NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT.. 4 NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT.. 4 NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT.. 4 2
3 id you yourself participate in [TIVITY] in the past 12 months (that is, during the last [one/two] cropping seasons), from [PRSNT MONTH] last year to [PRSNT MONTH] this year? When decisions are made regarding [TIVITY], who is it that normally takes the decision? IRL LL PPLIL; I TH RSPONS IS SL ONLY SKIP TO QUSTION G2.05 How much input did you have in making decisions about [TIVITY]? US ISION OS OR G2.03/G2.05 I NO SION M, NTR 98 To what extent do you feel you can make your own personal decisions regarding [TIVITY] if you want(ed) to? IRL ON How much input did you have in decisions on the use of income generated from [TIVITY] US OS OR G2.03/G2.05 TIVITY O TIVITY SRIPTION G2.01 G2.02 G2.03 G2.04 G2.05 Wage and salary employment: This could be work that is paid for in cash or in-kind, including both agriculture and other wage work YS... 1 NO... 2 TIVITY NOT PPLIL.98 NXT TIVITY NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT... 4 ishing or fishpond culture YS... 1 NO... 2 TIVITY G NOT PPLIL.98 NXT TIVITY NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT... 4 G Major household expenditures (such as a bicycles, land, boda boda) NOT PPLIL.98 NXT TIVITY NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT... 4 H Minor household expenditures (such as food for daily consumption or other household needs) G2.03/G2.05 ISION OS: NO INPUT OR INPUT IN W ISIONS.. 01 INPUT INTO SOM ISIONS.02 INPUT INTO MOST OR LL ISIONS..03 NO ISION M...98 NOT PPLIL.98 MOUL G3() NOT T LL... 1 SMLL XTNT... 2 MIUM XTNT... 3 TO HIGH XTNT
4 MOUL G3(): SS TO PROUTIV PITL Now I d like to ask you about your household s access to and ownership of a number of items that could be used to generate income. oes anyone in your household currently have any [ITM]? o you own any of the item? IRL LL PPLIL PROUTIV PITL 1 G3.01 G3.02 gricultural land (pieces/plots) NO 2 ITM Large livestock (oxen, cattle) NO 2 ITM Small livestock (goats, pigs, sheep) NO 2 ITM hickens, ucks, Turkeys, Pigeons NO 2 ITM ish pond or fishing equipment NO 2 ITM G H I arm equipment (nonmechanized: hand tools, animal-drawn plough) arm equipment (mechanized: tractor-plough, power tiller, treadle pump) Nonfarm business equipment (solar panels used for recharging, sewing machine, brewing equipment, fryers) House or other structures NO 2 ITM G NO 2 ITM H NO 2 ITM I NO 2 ITM J 1 xamples given within productive capital categories are not extensive and should be adapted to local context by either adding to or replacing suggestions in parentheses. 4
5 Now I d like to ask you about your household s access to and ownership of a number of items that could be used to generate income. oes anyone in your household currently have any [ITM]? o you own any of the item? IRL LL PPLIL PROUTIV PITL 1 G3.01 G3.02 J K L M N Large consumer durables (refrigerator, TV, sofa) Small consumer durables (radio, cookware) ell phone Other land not used for agricultural purposes (pieces/plots, residential or commercial land) Means of transportation (bicycle, motorcycle, car) NO 2 ITM K NO 2 ITM L NO 2 ITM M NO 2 ITM N NO 2 MOUL G3() 5
6 MOUL G3(): SS TO RIT Next I d like to ask about your household s experience with borrowing money or other items in the past 12 months. Would you or anyone in your household be able to take a loan or borrow cash/in-kind from [SOUR] if you wanted to? * Has anyone in your household taken any loans or borrowed cash/in-kind from [SOUR] in the past 12 months? IRL ON Who made the decision to borrow from [SOUR] most of the time? IRL LL PPLIL Who makes the decision about what to do with the money/ item borrowed from [SOUR] most of the time? IRL LL PPLIL LNING SOUR NMS 2 G3.03 G3.04 G3.05 G3.06 Non-governmental organization (NGO) ormal lender (bank/financial institution) Informal lender riends or relatives Group based microfinance or lending including VSLs / SOs Informal credit/savings groups such as merrygo-rounds, tontines, funeral societies, etc. YS....1 NO..2 NXT SOUR MY..3 YS....1 NO..2 NXT SOUR MY..3 YS....1 NO..2 NXT SOUR MY..3 YS....1 NO..2 NXT SOUR MY..3 YS....1 NO..2 NXT SOUR MY..3 YS....1 NO..2 NXT SOUR MY..3 YS, SH... 1 YS, IN-KIN... 2 YS, SH N IN-KIN... 3 YS, SH... 1 YS, IN-KIN... 2 YS, SH N IN-KIN... 3 YS, SH... 1 YS, IN-KIN... 2 YS, SH N IN-KIN... 3 YS, SH... 1 YS, IN-KIN... 2 YS, SH N IN-KIN... 3 YS, SH... 1 YS, IN-KIN... 2 YS, SH N IN-KIN... 3 YS, SH... 1 YS, IN-KIN... 2 YS, SH N IN-KIN... 3 NXT SOUR NXT SOUR NXT SOUR NXT SOUR NXT SOUR MOUL G4 SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 NOT PPLIL SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 NOT PPLIL SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 NOT PPLIL SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 NOT PPLIL SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 NOT PPLIL SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 NOT PPLIL * This question is not included in the calculation of the index, but should be collected to be able to identify whether there is a credit constraint, for programming purposes SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 SL... 1 SPOUS... 2 OTHR NON-HH MMR... 4 SL... 1 SPOUS... 2 OTHR NON-HH MMR To adapt to country context, locally relevant examples may be given within lending sources categories. 6
7 MOUL G4: TIM LLOTION G4.01: PLS ROR LOG O TH TIVITIS OR TH INIVIUL IN TH LST OMPLT 24 HOURS (STRTING YSTRY MORNING T 4 M, INISHING 3:59 M O TH URRNT Y). TH TIM INTRVLS R MRK IN 15 MIN INTRVLS N ON TIVITY N MRK OR H TIM PRIO Y RWING LIN THROUGH THT TIVITY. Now I d like to ask you about how you spent your time during the past 24 hours. We ll begin from yesterday morning, and continue through to this morning. This will be a detailed accounting. I m interested in everything you do (i.e. resting, eating, personal care, work inside and outside the home, caring for children, cooking, shopping, socializing, etc.), even if it doesn t take you much time. G J K L M N P Q T U W X ctivity Sleeping and resting ating and drinking Personal care School (also homework) Work as employed Own business work arming/livestock/fishing Shopping/getting service (incl health services) Weaving, sewing, textile care ooking omestic work (incl fetching wood and water) are for children/adults/elderly Travelling and communiting Watching TV/listening to radio/reading xercising Social activities and hobbies Religious activities Other, specify Night Morning ay 7
8 MOUL G4 continued: TIM LLOTION G J K L M N P Q T U W X vening Night ctivity Sleeping and resting ating and drinking Personal care School (also homework) Work as employed Own business work arming/livestock/fishing Shopping/getting service (incl health services) Weaving, sewing, textile care ooking omestic work (incl fetching wood and water) are for children/adults/elderly Travelling and commuting Watching TV/listening to radio/reading xercising Social activities and hobbies Religious activities Other, specify QNO. QUSTION RSPONS G4.02 In the last 24 hours did you work (at home or outside of the home) more than usual, about the same as usual, or less than usual? MOR THN USUL.. 1 OUT TH SM S USUL 2 LSS THN USUL 3 8
9 9
10 MOUL G5: GROUP MMRSHIP Now I m going to ask you about groups in the community. These can be either formal or informal and customary groups. G H I J Is there a [GROUP] in your community? re you an active member of this [GROUP]? GROUP TGORIS G5.01 G5.02 gricultural / livestock/ fisheries producer s group (including marketing groups) Water users group orest users group redit or microfinance group (including SOs/merry-go-rounds/ VSLs) Mutual help or insurance group (including burial societies) Trade and business association group ivic groups (improving community) or charitable group (helping others) Religious group Other [women s/men s] group (only if it does not fit into one of the other categories) Other (SPIY) N O QUSTIONIR. ILL OUT OVR PG OUTOM G1.05. GROUP GROUP GROUP GROUP GROUP GROUP G GROUP H GROUP J GROUP K 10
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