Professional Documents
Culture Documents
1. YES
2. NO
IF "NO" TO ALL TYPES OF SHOCKS >>
Section10
Shock
number
SHOCK
NR
Economic shocks
4 Change in crop price, prices or shortage of
key inputs/services you use
Please list how much you lost What did you do to cope with
due to this event.
the shock?
LIST TWO MOST
IMPORTANT MEASURES
MONTH
YEAR
000 VND
CODE 1
CODE
6
If household experienced
flood, land slide, typhoon, or
storm, did the shock result in
illness/injury of household
member?
1. YES
2. NO
CODE
7
If household experienced
flood, land slide, typhoon, or
storm, did the shock result in
death of household member?
1. YES
2. NO
CODE
10 SOCIAL CAPITAL
10A GROUP MEMBERSHIP
TO BE ANSWERED BY ALL HH MEMBERS BORN BEFORE 1 JANUARY 1995 IF AVAILABLE (IF NOT AVAILABLE ASK HH HEAD TO RESPOND FOR ALL MEMBERS)
1
Are you a member of any
groups, organizations, or
associations?
2
What kind of organisation is this?
1. Political party
2. Youth union
PROBE: ARE THERE ANY 3. Women's union
4. Farmer's union
OTHER GROUPS OR
INFORMAL
5. Veteran's union
6. Farmer interest group
ASSOCIATIONS THAT
7. Water user association
YOU OR SOMEONE IN
8. Business association
YOUR HOUSEHOLD
BELONGS TO? IF NOONE 9. Credit/microfinance
IN THE HH IS A MEMBER 10. Cooperative
OF ANY ORGANISATION 11. Religious group
>> SECTION 10D
12. Sports/cultural group
13. The Red Cross
14. Old age group
15. Other
MEMBER ID
CODE
3
When did you
become a
member of this
group?
4
What is your
position within this
group?
1. LEADER
2. SECRETARY
3. MEMBER
YEAR
CODE
Page 55
NUMBER
1. ALMOST ALWAYS
2. SOMETIMES
3. RARELY/NEVER
CODE
7
How much is the membership fee?
UNIT CODE:
1. MONTH
2. YEAR
3. ONE TIME FEE
4. QUARTERLY
5. FREE OF CHARGE
000VND
CODE
10
11
Do members mostly have Are members mostly of
the same occupation?
the same ethnic origin?
1. YES
2. NO
1. YES
2. NO
2. NO
CODE
NUMBER
CODE
CODE
12
How does this group usually
make decisions?
13
What do you think is the main benefit from joining
this group? LIST TWO MOST IMPORTANT
14
Does the group help your hh get access to
any of the following services? LIST TWO
MOST IMPORTANT
1. EDUCATION OR TRAINING
2. HEALTH SERVICES
3. WATER SUPPLY OR SANITATION
4. CREDIT OR INSURANCE
5. AGRICULTURAL INPUT OR TECHNOLOGY
6. IRRIGATION
7. MARKET ACCESS
8. OTHER
CODE
CODE
FIRST BENEFIT
Page 56
SECOND BENEFIT
FIRST
SECOND
10B SOCIAL CAPITAL - FARMER INTEREST GROUPS AND FARMER FIELD CLASSES
1
To your knowledge is there a
farmer interest group or farmer
field class in your village?
3
4
Are you a member of such a Why not?
group/field class?
1. NOT INTERESTED>>Sec 10C
IF MEMBER OF MORE THAN 1. YES >>Q5
2. NO TIME>>Sec 10C
ONE FIG OR FFC ASK FOR
3. UNABLE TO PAY FEE>>Sec 10C
2. NO
1. YES
2. NO>>Section 10C
99. DON'T KNOW>>Section 10C
MOST IMPORTANT
LIST UP TO THREE
1. TRAINING ON AGRICULTURE
2. TRAINING ON LIVESTOCK
3. BETTER MARKET ACCES
4. BETTER ACCESS TO INPUTS
5. BETTER RELATIONS WITH OTHER
FARMERS
6. INCREASED KNOWLEDGE
7. INCREASED INCOME
8. OTHER
CODE
8
What are the benefits you
have already received?
2. LESS THAN
HALF
3. NONE
9
How are leaders in this group selected?
1. BY AN OUTSIDE PERSON OR ENTITY
6
How many of
the current
members did
you know
before joining
this group?
1. MANY
1. FROM FRIEND/RELATIVE
2. FROM GOVERNMENT
OFFICIAL
3. AT MARKET
4. TV/RADIO/NEWSPAPER
5. FROM ORGANISATION
6. OTHER (SPECIFY)
CODE
7
What are the main benefits you
expect to receive from being a
member of this group?
5
When did you
become a
member of this
group?
CODE
YEAR
10
How much
influence do you
feel you have on
decision-making
in this group?
1. NONE
2. SOME
3. A LOT
CODE
Page 57
CODE
11
12
How often do
Why do you not
you participate participate more
in group
often?
activities?
1. ALMOST
ALWAYS >>
SECTION 10C
2. SOMETIMES
3. RARELY/
NEVER
CODE
1. LACK OF TIME
2. NO INFLUENCE
3. WASTE OF
TIME
4. ILLNESS
5. OTHER
CODE
RESPONDENT ID
P
E
R
S
O
N
1
If you were in need of money in case
of an emergency who outside of your
household could you turn to who
would be willing to provide this
assistance?
ASK Q1-12 FOR UP TO THREE
PERSONS, THEN ASK Q13
2
What is your
relationship with
[NAME]?
3
What is [NAME]'s gender?
1. MALE
2. FEMALE
1. RELATIVE
2. FRIEND
3. NEIGHBOUR
4. OTHER
5
6
Is [NAME] of same
Does [NAME] live in
ethnicity like you are? this village?
1. YES
2. NO
1. YES
2. NO
1. YES
2. NO
CODE
NAME
4
Does [NAME]
have the same
occupation like
yours?
CODE
CODE
CODE
CODE
1
2
3
7
How long have
you known
[NAME]?
P
E
R
S
O
N
8
How often do you
see [NAME]?
1. VERY OFTEN
2. SOMETIMES
3. RARELY
9
Would you ask
[NAME] for advice
or support in other
matters as well?
1. YES
2. NO >> 12
10
11
For what other matters would you Do many other
seek [NAME]'s support? LIST UP people in this
TO TWO
village also rely
on [NAME] for this
1. WHEN IN NEED OF A JOB
type of
2. FOR HEALTH PROBLEMS
information?
YEARS
CODE
CODE
CODE
12
Would [NAME] come to you for advice on
any of these matters as well?
1. YES
2. NO
3. DON'T KNOW
1. YES
2. NO
CODE
CODE
1
2
3
4
5
Page 58
13
ANSWER ONLY IF THE
RESPONDENT KNOWS
MORE THAN 3 PEOPLE
WHO HE WOULD ASK
FOR HELP:
CODE
NUMBER
1. Agree
2. Disagree
3. Dont know
In this commune one has to be careful, there are people you cannot trust.
Page 59
ANSWER CODES
1. Yes
2. No =>> Q4
1st person
2nd person
1st person
ANSWER CODES:
1. DISTRICT LEADERS
2. DISTRICT OFFICIAL
3. COMMUNE LEADERS
4. COMMUNE OFFICIAL
5. MASS ORGANIZATION LEADER
6. OTHER
4
2nd person
1. Yes
1st person
ANSWER CODES:
1. Father/mother (also in-laws)
2. Sister/brother (also in-laws)
3. Son/daughter (also in-laws)
4. Cousin or other
2nd person
1st person
ANSWER CODES:
1. DISTRICT LEADERS
2. DISTRICT OFFICIAL
3. COMMUNE LEADERS
4. COMMUNE OFFICIAL
5. MASS ORGANIZATION LEADER
6. OTHER
2. No ==> Q7
2nd person
ANSWER
1st person
2nd person
Page 60
RESPONDENT ID:
PREFERRED RESPONDENT: HOUSEHOLD HEAD
1
Which sources of information are important for you, regarding the following issues: LIST UP TO THREE FOR EACH ISSUE.
1. RELATIVES, FRIENDS AND NEIGHBOURS
2. COMMUNITY BULLETIN BOARD
3. COMMUNITY LOUD SPEAKERS
4. LOCAL MARKET
5. NEWSPAPER
6. RADIO
7. TELEVISION
8. EXTENSION AGENTS
CODE 1
CODE 2
CODE 3
2
How many hours a day do you watch TV, on
average?
HOURS
1. EVERY DAY
2. EVERY WEEK
3. EVERY MONTH
4. NEVER
1. EVERY DAY
2. EVERY WEEK
3. EVERY MONTH
4. NEVER
CODE
CODE
CODE
Page 61
LIST OF SOCIAL
ACTIVITIES OR EVENTS
1. Yes
2. No >> NEXT ROW
CODE
1. Wedding of a member
of the household
2. Wedding of a friend or
another relative out of the
household
3. Birthday party of HH
member
8. How much did you
NUMBER OF TIMES
'000 VND
RESPONDENT ID:
CODE
1. Yes
2. No >> Q8
'000 VND
CODE
'000 VND
11 DEVELOPMENT PROGRAMS
1.
Are you aware of
operating in your
village?
1. YES
2. NO>>NEXT ROW
NAME
CODE
2
How do your
household participate
in [PROGRAM]'s
decision-making
process?
3
Have you or anyone
in your household
been a beneficiary of
[PROGRAM]?
1. YES>>Q5
1. None
2. NO
2. Paricipating in
meetings to select
infrastructure to be
invested in the village
3. Participating in
meetings to select
households eligible to
be program
beneficiary
4. Contributions to
supporting methods of
the program
5. Participating in
monitoring the
program
implementation`
6. Other
CODE
CODE
4
Why not?
1. NOT RELEVANT
FOR MY
HOUSEHOLD
2. NOT ELIGIBLE
FOR PARTICIPATION
3. NO TIME TO
PARTICIPATE
4. TOO EXPENSIVE
5. OTHER
CODE
Page 64
5
What kind of support
did your household
receive from
[PROGRAM]?
1. Support in building
wells/tanks
2. Housing support
3. Support with
housing/production
land
4. Support with
constructing roads
within the village
5. Support with
varieties and
agricultural materials
6. Credit support
7. Other support
CODE
6
What have been the main
benefits to you or your family
from the program [NAME]?
1. NONE
2. ECONOMIC GAINS
3. BETTER LIVING
CONDITIONS
4. BETTER HEALTH
5. BETTER ENVIRONMENT
6. IMPROVED FARMING
PRACTICES
7. OTHER
CODE
12 VILLAGE DEVELOPMENT
1
Please tell me which problems affect
your village today such as access to
facilities and environmental and social
problems.
2
Differences often exist between households living in the
same village/neighbourhood. To what extent do differences
such as the following tend to divide people in your
village/neighborhood?
1. NOT AT ALL
2. SOMEWHAT
3. A LOT
LIST SPECIFIC PROBLEMS
MENTIONED (INITIAL SPONTANEOUS
RESPONSE, BUT PROMPT FROM
LIST AFTER THIS RESPONSE)
CODE
CODE
Differences in education
Differences in wealth/material
possessions
Differences in landholdings
Differences in social status
Differences between men and
women
Differences between younger
and older generations
Differences in religious beliefs
Differences in ethnic background
Difference between long-time
inhabitants and new settlers
Other differences
PROBLEMS
6. QUALITY OF EDUCATION/HEALTH
7. ENVIRONMENTAL PROBLEMS
8. GENDER DISCRIMINATION/FAMILY VIOLENCE
9. ETHNIC DISCRIMINATION
10. SOCIAL EVILS
Page 65
SECTION 13 EMPOWERMENT
Respondent ID
1. Decision making: who in the household has the final say on:
a) Visits to family/friends/relatives
b) Making household purchases for daily needs
c) Making large household purchases
d) Whether to use contraception
e) Respondent's own health care
Most preferred respondent: female household head or female spouse of household head
1. Respondent only
2. Jointly with husband
3. Jointly with someone else
4. Husband only
5. Someone else only
3. Financial ownership: Could you sell/dispose of it without permission from husband? (SELL: 1. Yes; 2. No)
SELL
a) land
b) jewellery
c) livestock
d) bike/motorbike
e) other assets
4. Do you feel you have more decision-making power over your daily activities now than five years ago?
If yes, why?_________________________________________________________________
Page 66
1. Yes 2. No>>Q5
13 EMPOWERMENT (CONT)
Respondent ID
Most preferred respondent: female household head or female spouse of household head
Family planning
5. Have you ever used any kind of birth control? 1. Yes 2. No > SECTION 13B
6. Which method?
1. Pill
2. IUD
3. Injections
4. Implants
5. Diaphragms/foam/jelly
6. Condom
7. Female sterilisation
8. Male sterilisation
9. Periodic abstinence
10. Withdrawal
6. Condom
7. Female sterilisation
8. Male sterilisation
9. Periodic abstinence
10. Withdrawal
11. None
12. Any other way
Page 67
QUESTION
Have you heard about the new Land Law from
2003?
CATEGORIES
1. Yes
2. No>>Q3
1. No knowledge at all
2. Little knowledge
3. Some knowledge
4. Substantial knowledge
HECTARES (If don't know write 99)
1. No compensation
2. Half the market value of the land
3. The market value of the land
4. One and a half times the market value of the land
5. Compensation is arbitrarily decided by local authorities
5 Can the names of both the husband and the wife be 1. Yes
written into a household's Red Book at the same
2. No
time? CHOOSE ONE
6 From which sources have you mainly heard
about these issues (mentioned in Q 3-5)?
STATE TWO MOST IMPORTANT
Page 68
ANSWER
Page 69