Project DOVE Congo-Brazzaville: June 2011

Questionnaire number:

Interviewer’s Name ……………………………….……..

Supervisor’s Name ………………..……………………..

Edited by …………………………………………………

Back checked by …………………………………..…….

Please write the location of this interview (street name):

Good morning/afternoon, my name is ______I work for an independent market research firm called CIBLE. We are carrying out a survey on how people live in Congo-Brazzaville. I would like to have your opinion. We can assure you that your answers will be strictly confidential. I want to know some details about members of this household.

KIRSH GRID
QUESTIONNAIRE’S LAST NUMBER
Number / NAME / Male / Female / Age / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 0
1 / 1 / 2 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
2 / 1 / 2 / 2 / 1 / 2 / 1 / 2 / 1 / 2 / 1 / 2 / 1
3 / 1 / 2 / 1 / 2 / 3 / 1 / 2 / 3 / 1 / 2 / 3 / 1
4 / 1 / 2 / 1 / 2 / 3 / 4 / 1 / 2 / 3 / 4 / 1 / 2
5 / 1 / 2 / 4 / 5 / 1 / 2 / 3 / 4 / 5 / 1 / 2 / 3
6 / 1 / 2 / 4 / 5 / 6 / 1 / 2 / 3 / 4 / 5 / 6 / 1
7 / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 1 / 2 / 3 / 4 / 5
8 / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 1 / 2 / 3 / 4
9 / 1 / 2 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 1 / 2
10 / 1 / 2 / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10
11 / 1 / 2 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11
12 / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12
13 / 1 / 2 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13
14 / 1 / 2 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14
15 / 1 / 2 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15
16 / 1 / 2 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16
17 / 1 / 2 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17
18 / 1 / 2 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18
19 / 1 / 2 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19
20 / 1 / 2 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19 / 20
INT: Interview the person which number matches with the number circled in the Kirsh Grid

Q1a Please could you give me the first name of each person living in this household?

Write the name of each person living in the household, and ask the following questions for each one of them.

Please use the number codes (for relation to respondent, education, and job) at the end of the questionnaire.

Q1b Could you give me the sex of each of them? If male write ‘1’ or if female write ‘2’

Q1c How is he/she related to you? (use code)Q1d To what level has she/he studied? (use code)

Q1e What is his/her job? (use code)Q1f How old is he/she?

Q1a
First name / Q1b
Sex
male =1
female=2 / Q1c
Relation to respondent
Use code / Q1d
Education
Use code / Q1e
Occupation
Use Code / Q1f
Age in years
If under 12 months, put 00
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Q2 Which of these is nearest to the way regular household expenses are done in your household?
SHOW CARD A. CIRCLE ONE CODE ONLY.
Card A
Husband usually looks after all expenses / 1
Wife usually looks after all expenses / 2
Husband and wife manage expenses together / 3
Husband and wife manage expenses separately / 4
Other / 5
Don’t know/can’t say / 9
Q3a Who makes the important financial decisions in your household? SHOW Card B. SINGLE CODE ONLY
Q3b And who in your opinion should make such important financial decisions? SINGLE CODE ONLY
Card B / Q3a / Q3b
Husband / 1 / 1
Wife / 2 / 2
Husband and wife together / 3 / 3
Other / 5 / 5
Don’t know/can’t say / 9 / 9
Q4 I would like to ask you some questions about some activities that people engage in.
First, can I know if you are married or not?
Married or cohabiting / 1
Single / 2
Widowed / 3
Divorced / 4
Separated / 5
Q5 How many hours do you spend per week, on paid work? READ OUT
Q6 (if married/cohabiting) And how many hours does your spouse/partner spend on paid work per week?

If married/cohabiting: ask about respondent and spouse for one activity, before asking about the next activity.

Put 01 for 1 hour per week; or 02 for 2 hours; or 03 for 3 hours; etc. If don’t know, put 99. If over 98 hours, put 98.

ACTIVITY / Q5
respondent / Q6
spouse
A / Paid work / (hours per week)
B / Preparing/cooking food / (hours per week)
C / Shopping for food / (hours per week)
D / Cleaning clothes / (hours per week)
E / Cleaning the house / (hours per week)
F / Looking after/minding children / (hours per week)
Q7a How much do you usually earn per week (after income tax)?
Q7b (For married respondents, ask:) How much does your spouse usually earn per week (after income tax)?
Q7c How much is the total weekly income, adding up the incomes of everyone in the household (after income tax)?
Card C
INCOME RANGE
(CFA francs per month) / Q7a
Respondent / Q7b
spouse / Q7c
everyone in
household
no income / 00 / 00 / 00
up to 10,000 / 01 / 01 / 01
10,001 – 20,000 / 02 / 02 / 02
20,001 – 30,000 / 03 / 03 / 03
30,001 – 40,000 / 04 / 04 / 04
40,001 – 50,000 / 05 / 05 / 05
50,001 – 60,000 / 06 / 06 / 06
60,001 – 70,000 / 07 / 07 / 07
70,001 – 80,000 / 08 / 08 / 08
80,001 – 90,000 / 09 / 09 / 09
90,001 – 100,000 / 10 / 10 / 10
100,001 – 125,000 / 11 / 11 / 11
125,001 – 150,000 / 12 / 12 / 12
150,001 – 200,000 / 13 / 13 / 13
200,001 – 250,000 / 14 / 14 / 14
250,001 – 500,000 / 15 / 15 / 15
500,001 – 1,000,000 / 16 / 16 / 16
1,000,001 or more / 17 / 17 / 17
no answer/don’t know / 99 / 99 / 99
Q8a On average, how many times per week do you go out to a bar or club?
Q8b (Ask married/cohabiting respondents only:)
What about your husband/wife/partner: on average, how many times per week does he/she go out to a bar/club?
once a week / twice a week / 3 times a week / 4 times a week / 5 times a week / 6 times a week / every
day / don’t know
Q8a / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 9
Q8b / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 9

Q9Which of the following goods does your household own?

Household
has 1 or more / Household doesn’t own / Don’t know
/ no answer
Q9a / Electric fan / 1 / 2 / 9
Q9b / Air conditioning / 1 / 2 / 9
Q9c / Car, or other motor vehicle / 1 / 2 / 9
Q10 How much does your household usually spend in a week, on the following?
[INTERVIEWER: please decide whether it’s best to find spending per day, per year, etc.
Write 999999 if don’t know, or no answer. Write 999998 if more than 999999 CFA francs.]
SPENDING CATEGORY / Spending: CFA francs / Is this spending per day,
per week, or per month?
Circle 1 box on each row.
per
day / per week / per month
A / Cereals: rice, wheat, flour, etc.
(not breakfast cereals: these are in F below) / 1 / 2 / 3
B / [Protein foods] meat, fish, eggs, beans / 1 / 2 / 3
C / Vegetables and fruits / 1 / 2 / 3
D / Cooking oil, butter, margarine, etc. / 1 / 2 / 3
E / Bread / 1 / 2 / 3
F / Instant noodles /convenience foods /frozen vegetables & foods /tinned foods /breakfast cereals / 1 / 2 / 3
G / Eating out in restaurants/cafés/take away; snacks from street stalls / 1 / 2 / 3
H / Electricity, gas, and water expenses / 1 / 2 / 3
I / House rent/maintenance / 1 / 2 / 3
J / House help, maid, child minder, laundry / 1 / 2 / 3
K / Total household spending (all members) / 1 / 2 / 3
Q11 How much do you personally usually spend in a month on the following (CFA francs per day)?
Write 999999 if don’t know, or no answer. Write 999998 if more than 999999 CFA francs.
SPENDING CATEGORY / CFA francs / Is this spending per day,
per week, or per month?
Circle 1 box on each row.
per
day / per week / per month
A / Alcohol (in bars or brought to drink at home) / 1 / 2 / 3
B / Spending in cafes (meals, snacks, coffee, etc) / 1 / 2 / 3
C / Clothes and footwear / 1 / 2 / 3
D / Lottery /gambling/casino etc / 1 / 2 / 3
CARD D
Almost every month / 1
Some months but not every month / 2
Only one or two months / 3
Never / 4
Don’t know/no answer / 9
Q12 In the last 12 months, how often did you or anyone in your household cut the size of meals or skip meals because there wasn’t enough money for food? SHOW CARD D
Interviewer: please look at your thermometer now, and write the temperature:
(if possible, use 1 decimal place). Write 99 if thermometer broken. / ·
Q13 Here are some opinions that we have heard when we spoke to other people. Please tell me to what extent do you agree or disagree with each of these statements. Read out statement and show card E. Rotate order of reading out.
Agree strongly / Agree somewhat / Neither agree or disagree / Disagree somewhat / Disagree strongly / Don’t
know
/refused
A wife should always obey her husband / 1 / 2 / 3 / 4 / 5 / 9
I wish women had more say in household decisions / 1 / 2 / 3 / 4 / 5 / 9
I choose to let my spouse make decisions for the family / 1 / 2 / 3 / 4 / 5 / 9
My spouse lets me make decisions for the family / 1 / 2 / 3 / 4 / 5 / 9
I want to make household decisions myself, without having to discuss it with my spouse / 1 / 2 / 3 / 4 / 5 / 9
A wife usually obeys her husband in return for his protection / 1 / 2 / 3 / 4 / 5 / 9
A wife should earn money herself, and not totally depend on her husband’s income / 1 / 2 / 3 / 4 / 5 / 9
If a wife is unfaithful, it brings shame on her husband / 1 / 2 / 3 / 4 / 5 / 9
It is very important for a man to protect the honour of himself and his family / 1 / 2 / 3 / 4 / 5 / 9
A man should try to have as many children as he can / 1 / 2 / 3 / 4 / 5 / 9
It is a husband’s job to earn money, and a wife’s job to look after the home and family / 1 / 2 / 3 / 4 / 5 / 9
I earn enough money to support everyone in this household / 1 / 2 / 3 / 4 / 5 / 9
CARD F
No control / 1
Some control / 2
Equal control / 3
Most control / 4
Total control / 5
Don’t know / 9
Q14 With the help of this card [SHOW CARD F], please tell me how you rate yourself in terms of your control over household decisions:
CIRCLE ONE CODE ONLY.

INTERVIEWER: if you’re interviewing a woman when her husband can hear the interview, please make sure she isn’t hurt by her husband for answering questions: show her questions Q15 to Q18, and ask her to point to the correct answer.

Q15Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband

justified in hitting or beating his wife in the following situations:

Yes / No / Don’t know
A / If she goes out without telling him? / 1 / 2 / 9
B / If she neglects the children? / 1 / 2 / 9
C / If she argues with him? / 1 / 2 / 9
D / If she refuses to have sex with him? / 1 / 2 / 9
E / If she burns the food? / 1 / 2 / 9
F / If food is not cooked on time? / 1 / 2 / 9

Q16

Ask married/cohabiting respondents only: / Yes / No / Don’t know
A / Have you ever had an argument with your spouse? / 1 / 2 / 9
B / During these arguments, have you beaten your partner? / 1 / 2 / 9
C / During these arguments, have you been beaten by your partner? / 1 / 2 / 9
D / Have you been beaten by your partner in the last month? / 1 / 2 / 9
E / Have you beaten your partner in the last month? / 1 / 2 / 9
yes / 1
no / 2
No answer /
male respondent / 9

Q17[Ask married/cohabiting women only]

Would you agree with the following statement?

‘I want to leave my husbandbecause he is violent,

but I can’t afford to live on what I earn’.

In the above question, ‘husband’ includes partner if not married.

If she has children, she may need enough income to support her children as well as herself.

Circle 1 or 2 or 9

Q18Are you usually allowed to go outside the house without asking someone (on your own, only with children, only with another adult, or not at all)? SHOW CARD G. CIRCLE ONE CODE ONLY.

CARD G
Can go on your own / 1
Only with children / 2
Only with another adult / 3
Can’t go out without permission / 4
Don’t know / Can’t say / 9
Q19a Would you rather spend money on luxuries like cars, alcohol, partying etc., even if it means that your children go hungry? (if respondent has no children, say ‘others in your family’ instead of children)
Q19b (Ask married/cohabiting respondent only): Would you say that your husband/wife would rather spend money on luxuries like cars, alcohol, partying etc., even if it means that your children go hungry?
Yes / No / Don’t know
Q19a / 1 / 2 / 9
Q19b / 1 / 2 / 9

Q20 [If respondent has children, ask this:]

If you could go back to the time you did not have any children and could choose exactly the number of children to have in your whole life, how many would that be?

[Or, if respondent has no children, ask this:]

If you could choose exactly the number of children to have in your whole life,

how many would that be?

Use 99 for a non-numeric answer, such as “According to God’s will”.

Muslim / 1
Roman Catholic / 2
Protestant Christian / 3
Traditional African/animist / 4
Atheist / no religion / 5
Other / don’t know / 9

Q21What is your religion?

(Put a circle around 1 or 2 or 3 or 4 or 9)

Kongo / Laari / 1
Sangha / 2
M’Bochi / Boulangui / 3
Teke / 4
Lingala / 5
Kituba / 6
Kikongo / 7
Pygmy / 8
Other: / 9

Q22 What is your tribe?

- - END OF INTERVIEW: thank the respondent for their help - -

Q23 What time did the interview finish?
(WRITE THE NEAREST HOUR: 13 FOR 1pm, 14 FOR 2pm, etc)
Q24 Where did the interview take place? CIRCLE 1 OR 2 OR 9:
inside the home / on the doorstep / somewhere else
1 / 2 / 9
Q25 Were other household members present at the time of the interview?
Yes / No / Don’t know
Husband/wife of respondent / 1 / 2 / 9
Other adult / 1 / 2 / 9
Child or children / 1 / 2 / 9
CODE ALL WHICH APPLY:
Province / Urban / Semi-rural / Rural
Brazzaville / 11 / 21 / 31
Kouilou / Pointe Noire / 12 / 22 / 32
Hinda / 13 / 23 / 33
Diosso / 14 / 24 / 34
Nzasi / 15 / 25 / 35
Djeno / 16 / 26 / 36
Pool / Kinkala / 17 / 27 / 37
Boko / 18 / 28 / 38
Cuvette / Oyo / 19 / 29 / 39

Q26 Location of interview? Circle the appropriate code.

Thank you, interviewer. This survey is intended to help Congo-Brazzaville to develop.

Codes for question 1:

Code for relation to respondent / Code for education / Code for occupation
respondent / 01 / no education / 01 / unskilled worker / 01
husband/wife / 02 / incomplete primary school / 02 / skilled worker / 02
grandparent / 03 / completed primary school (6 years) / 03 / petty trader / 03
parent / 04 / secondary school: grades 7, 8, 9, 10 / 04 / shop owner / 04
brother/sister / 05 / secondary school: lycée / 05 / businessman/industrialist / 05
son/daughter / 06 / certificate / 06 / self-employed professional / 06
grandchild / 07 / diploma / 07 / clerical/salesperson / 07
other relative of respondent / 08 / nurse training, or teacher training / 08 / supervisory level / 08
related to spouse of respondent / 09 / university graduate / 09 / officer/executive / 09
non-family member, e.g. lodger / 10 / postgraduate / 10 / housewife: never been employed / 10
don’t know / 99 / other / 11 / housewife: used to have a job / 11
don’t know / 99 / student / 12
retired / 13
unemployed: seeking work / 14
unemployed: not seeking work / 15
don’t know / 99

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