Socio-Economic Profile of Pwd/Household

SOCIO-ECONOMIC PROFILE OF PWD/HOUSEHOLD

Survey the PWD/household in order to collect information that will enable ILED project staff to:

Assess level of poverty: income, possessions, access to basic infrastructure

Assess vulnerability:

# people in household; # children, # old, # PWD; # working
Type sources of income, regular/irregular, monthly/seasonal
Savings: money, asset

The assessment of level of poverty and vulnerability will enable ILED project staff to assess:

“Human resources” available to engage in new economic activity

Who will take care of the activity?
How much time can he/she dedicate?
Will the rest of the family support?

The capacity of the household to meet their daily needs with the existing sources of income and/or livelihoods

The capacity to repay a loan with the existing sources of income if needed (the cash flow of the IGA does not match the loan repayment schedule)

The lending risk perceived by the community:

Are there asset to guarantee the loan?

The capacity of the household to cope with extraordinary and/or unexpected expenses:

Are there savings?
Can asset be sold without increasing the household’s vulnerability?

Capacity to save on a regular basis

The result of these assessments will enable ILED project staff to determine the potential of the PWD/household to:

Access loans

Avoiding to divert the “resources” invested in the activity to other uses

Repay loan and interest

Use part of the revenues to fund the working capital of the activity

Invest at least part of the profit to develop IGA

Such potentials are some of the key elements to determine if the PWD/household is more suitable for:

Livelihood support

IGA support

Name of data collector:
Date of interview (dd/mm/yyyy): /
Province: / District: / Village name:

1.General information of Household:

Name of interviewee:
Age: / Relationship in household (Head of household, Wife and Child….)
Code: / Unit: / Family Registration Number: / House Number:

1.1)Name, age and occupation of household’s member:

No / Name / Relationship with head of family / Age / status / PWD or without PWD / Occupa-tion / If some children are not going to school, understand why?
1
2
3
4
5
6
7
8
9
10
11
12
Code of work
1)Child 7) Salary worker
2)Student 8) Pensioner
3)Homemaker 9) Daily labor
4)Handicraft 10) Unemployed and looking for a job
5)Trade 11) Unable to Work
6)Other business etc….
Code of child not going to school
1)In the village, there is no school for his/her level
2)We are too poor and can not pay for education
3)School is not important
4)They need to work for help the family
5)Other (specify) ………………………………...

2.Household Economic StatusInformation:

2.1 Observation of the possessions that indicates level of wealth of the household:

Who is the own of house that you live in? / Own house(3) /  / Write number of code at here:
Rent House (2) / 
Parent’s House (1) / 
Other (Please give details) (?) ……………………. / 
5.2 How many room does the house have (include detached rooms but not kitchens, toilets or bathrooms (one point for each room)? /
5.3 What type of roofing does the house have? / Leaves/Grass/Straw/Bamboo/Wood (0) /  /
Metal (1) / 
Tiles (2) / 
Other (Please give details) (?) ………………………………………. / 
5.4 What type of flooring does the house have / Dirt (0) /  /
Bamboo/Wood (1) / 
Cement (2) / 
Tiles (3) / 
Other (Please give details) (?) ………………………………………. / 
5.5 Please tick all of the following that interviewee has in their house: / Piped Water (1)
Other… ………………………….(0) / 
 /
Electricity (1)
If Yes, Grid (1)
Off-Grid (0)
Other …………………………… (0) / 



5.6 Please tick all of the following if interviewee is own the vehicle: / Bicycle (1) /  /
Motorbike (2) / 
Car (3) / 
5.7 In your house, do you have: / Fridge (1) /  /
Fan (1) / 
Landline phone (1) / 
Air-Conditioner (2) / 
DVD/VCD payer (2) / 
TV (2) / 
Mobile phone (2) / 
Computer (3) / 

Points Total /
Total Number of “?”

Ownership of agricultural asset and livestock in household:

Tick if yes / how many
(unit) / Tick if yes / How many
(unit)
tractor (tok tok) / fish pond
weaving loom / rice field
buffalo / plantation
Cow / garden
Goat / metal detector
Pig / rice mill
poultry / Other (specify) …………………

2.2 The main sources of income and Second sources of income of household:

Main Sources of income:

No / From what? / Average Amount /year
1.
2.
3.

Second sources of income or sources of livelihood:

No / From what? / Average Amount /year
1.
2.
3.

Total amount income of household:

Description / Good / Bad
1. Amount: ……………………………………………..Kip / month
2. Amount: ……………………………………………. Kip / month
3. I don’t know
4. No income

2.3How many months per year is there rice shortage in your family?

No rice shortage / 1- 2 months / 3- 4 months / 5 months up / Buy rice all year

2.4What your monthly income used for?

Feed your family

Buy some clothes of family

Repair your shelter

For medicine of family

For education (i.e. buy books, pay fee and etc…)

Buy facilitate goods in house (i.e. furniture, motor scooter…)

For run business of family

For Social (i.e. go to ceremonies, cultural celebration and etc)

For regular saving

If save, how do you save?

Save with bank; how much/month? : ………………………………………..

Save in house; how much/month? :……………………………………………….

Buy livestock; how much/month? : …………………………………………………

Other...……………………………….; how much/month? ……………………….

2.5How much do you do regular save?

No / Description / Good / Bad
1. / Amount: ……………………………… Kip/month
2. / Amount: ……………………………… Kip/month
3. / I don’t know
4. / No save

3.Household’s vulnerability

3.1)In the last 2 years,Are there big expenses in your family?

YesNo

If yes, for what? / Where did you get that money from?

1).………………………………………….. / …………………………………………

2)………………………………………….. / …………………………………………

3)…………………………………………. / …………………………………………..

4. Information of PWD

4.1 How many PWD in your family? :……………………people

4.2 Please write name list on schedule below:

Name / Age / Status / Type of PWD

For PWD who has age < 16 years old, Ask this question with their household member:

4.3PWD’s household members have plan to run economic activity or not?

Yes NO

If yes, please ask question in form B

For PWD who has age > 16 years ask question 5:

(Ifthere are PWD older 16 years more than one person in household, please ask and separate their individual information)

5. Information of economic situation of PWD:

Ask this question if PWD is >16 years old:

Name of PWD: / Age:

5.1 Do you work or do any economic activity?

YesNo

If No, why they not do? : ......

If Yes, Ask this question:

What do you do? : ......

How much your general income? ( write answer in this schedule below)

Description / Good / Bad
1. Amount : ………………………………………Kip/month
2. Amount : ………………………………………Kip/month
3. I don’t know
4. No income

5.2 How much do you save per month (write answer in this schedule below)?

Description / Good / Bad
1. Amount : ………………………………………Kip/month
2. Amount : ………………………………………Kip/month
3. I don’t know
4. No income

5.3Do you have your own assets? YesNo 

If yes, what’s?

1)…………………………………………………………

2)………………………………………………………...

6.2At present, do you have a plan to run economic activity?

YesNo

If yes, ask question in form B: