Multidimensional Poverty Index Questionnaire General Notes: • This questionnaire is a prototype for collecting only the information required for the computation of the global Multidimensional Poverty Index (MPI) (Alkire and Santos 2010, UNDP Human Development Reports 2010-2014). • The document was produced to meet the demand of those who wish to incorporate only those questions that would be required to construct an MPI into a questionnaire that may also cover other topics. • The global MPI is mainly computed using the Demographic and Healthy Survey (DHS) and the Multiple Indicator Cluster Survey (MICS) (Alkire Conconi and Seth 2014). • There are four different questionnaire aimed at four different categories of respondents within the household: o Household Questionnaire o Child Questionnaire o Women’s Questionnaire o Men’s Questionnaire • The questionnaires draw on both the DHS and MICS questionnaires. The DHS and MICS were designed to gather comprehensive information on various economic and health factors. • This questionnaire is designed to collect information on the 10 indicators of the MPI: o Education for every individual of the household o Living Standard of the Household – electricity, cooking fuel, water, sanitation, flooring and assets o Child Mortality o Child Anthropometry for all children between 0-5 years of age o Women’s Anthropometry for all women between 15-49 years of age o Male Anthropometry (if possible) for all men between 15-59 years of age • The questionnaire indicates who within the household should (ideally) respond Cover Sheet – Household Questionnaire Town/City/Village/: _____________________________________ HH ID: __ __ __ Survey Date 1: __ __ /__ __/__ __ __ __ Survey Date 2 (if revisit):__ __ /__ __ /__ __ __ __ Surveyor 1 ID (Male): __ __ Surveyor 2 ID (Female): __ __ Start Time: _______ End Time:_______ Consent: Hello. My name is _______________________________________. I am working with (NAME OF ORGANIZATION). We are conducting a survey about living standards and health all over (NAME OF COUNTRY). The information we collect will help the government to plan services. Your household was selected for the survey. I would like to ask you some questions about your household. The questions usually take about 20 to 25 minutes. All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time. In case you need more information about the survey, you may contact the person listed on this card. Do you have any questions? May I begin interview now? ____________________________________________________________ Date:______________ (Signature of Respondent if literate) MPI Indicator Code The following codes are used alongside questions presented below in order to illustrate their purpose in MPI calculation. Codes are as follows: [GQ]: General Quality Check [GIQ]: Indicator-Specific Quality Check [YS]: Education Indicator - Years of Schooling [SCA]: Education Indicator – School attendance [CHH]: Health Indicator – Child Malnutrition [ADH]: Health Indicator – Adult BMI [CM]: Health Indicator – Child Mortality [FL]: Standard of Living Indicator – Flooring [TO]: Standard of Living Indicator – Improved Sanitation [WA]: Standard of Living Indicator – Improved Water [CF]: Standard of Living Indicator – Cooking Fuel [EL]: Standard of Living Indicator – Electricity [AS]: Standard of Living Indicator – Assets I. Household Questionnaire • The purpose of the roster is to document the age, gender of all household members in order to process relevant information on education and health for them. Malnutrition calculations based on anthropometry require the age and gender of the person observed. Information from the roster also allows for quality control during data cleaning and preparation for MPI computation • Respondent for the section – Adult (man or woman) most knowledgeable about the household and available at the time of the survey • Who in the household should be included in the roster? The MPI looks at deprivations of members who ‘usually’ live in the household. Temporary ‘guests’ of household, who happened to have spent the night before the interview, are not included in calculation. Thus, the roster should include all ‘usual members’1 of the household defined as a person who usually lives in the household and shares food from a common source. Roster, Education and Living Standards MPI Indicator Household Roster Interviewer Instruction Interviewer: Please tell me the name of each person who usually lives here, starting with the head of the household. [List the each member in a separate column. After completing the roster, fill checkpoint 6a] 1 Line Number Member 01 Member 02 Member 03 Member 04 [GQ] 2 Name Name Name Name Name [GQ] 3 Age [GQ; GIQ] Years: Years: Years: Years: Months: Months: Months: Months: 4 Gender Male Male Male Male [GQ; GIQ] ………….…..……….1 ………….…..……….1 ………….…..……….1 ………….…..……….1 Female Female Female Female ………...……………2 ………...……………2 ….……………………2 ….……………………2 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 1!In!DHS!and!MICS,!the!term!used!for!usual!members!of!the!household!is!‘de!jure’!members!(DHS!Bangladesh!Country!Report!2011:!11;!MICS!Bosnia!and!Herzegovina! Country!Report!2011H12:!4)! Interviewer Checkpoint: Following question on adult education is for members 5 years or older. Record class/level completed by individual. Record 00 if less than 1 year. For those who are younger than 5, code N/A 5 Education (adult) What is the highest level of What is the highest level of What is the highest level of school What is the highest level of ![YS] school (NAME) has attended school (NAME) has attended (NAME) has attended school (NAME) has attended [See Code Below] [See Code Below] [See Code Below] [See Code Below] ! ! ! ! ! ! ! ! What is the highest grade What is the highest grade What is the highest grade What is the highest grade (NAME) completed at that (NAME) completed at that (NAME) completed at that (NAME) completed at that level level level level ! ! ! ! ! ! ! ! Interviewer Checkpoint: Following question on school attendance is for members 5-24 years of age. For those outside of the age range, code N/A 6 Education (child) Did (NAME) attend school or Did (NAME) attend school or Did (NAME) attend school or Did (NAME) attend school or [SCA] pre-school at any time during the pre-school at any time during the pre-school at any time during the pre-school at any time during the (XXXX-XXXX) school year? (XXXX-XXXX) school year? (XXXX-XXXX) school year? (XXXX-XXXX) school year? Yes ….……………….…1 Yes ….……………….…1 Yes ….……………….…1 Yes ….……………….…1 No ….………………….2 No ….………………….2 No ….………………….2 No ….………………….2 Don’t know…………....98 Don’t know…………....98 Don’t know…………....98 Don’t know…………....98 N/A …………………99 N/A …………………99 N/A …………………99 N/A …………………99 6a Interviewer Checkpoint [GI; GIQ] Just to make sure that I have completed listing: are there any other persons such as child or infants, domestic servants or friends who usually live here: Yes ……………………………………..1 ! Add to Roster No ………………………………………2 Code for Question 5 – Level: Code for Question 5 – Grade: 1=Primary 6=Pre-Primary 00=Less than 1 year completed 2= Secondary 98=Don’t Know 98= Don’t know 3=Higher 99= N/A (for ineligible member) 99= N/A (for ineligible members) Q. MPI Indicator Question No . 7. House Flooring Interviewer Observe: Main material for the dwelling Floor [FL] Code: Natural floor Earth/sand……………………………..11 Dung………………………………………12 Rudimentary floor Wood planks…………………………..21 Palm/bamboo…………………………22 Finished floor Parquet or polished wood……….31 Vinyl or asphalt strips………………32 Ceramic tiles……………………………33 Cement……………………………………34 Carpet……………………………………..35 Other (specify)_______________ ________ 96 8. Sanitation What kind of toilet facility do members of your household usually use? [TO] Code: Flush / pour flush Flush to piped sewer system……..11 Flush to septic tank……………………12 Flush to pit (latrine)…………………..13 Flush to somewhere else…………..14 Flush to unknown place/not sure/DK where……..……………………………..….15 Pit Latrine Ventilated Improved Pit latrine (VIP)………………………………………….21 Pit latrine with slab……………………….22 Pit latrine without slab / open pit….23 Composting toilet……………………….…31 Bucket…………………………………………..41 Hanging toilet/hanging latrine………51 No facilities or bush or field………….61 Other (specify) ________________ 96 8a. Sanitation: Sharing Facility Do you share this toilet facility with other households? [TO] Yes ………………………………………………1 No ……………………………………………….2 9. Cooking Fuel What type of fuel does your household mainly use for cooking? [CF] Electricity……………………..…………….01 Liquid Propane Gas (LPG)……………02 Natural gas…………………….……………03 Biogas…………………………….…………..04 Kerosene………………………….….........05 Coal / Lignite…………………….…………06 Charcoal…………………………….…….....07 Wood…………………………………………..08 Straw/shrubs/grass…………….………..09 Agricultural crop.…………….…………..10 Animal dung……………………..………….11 No Food Cooked in Household……..95 Other (specify)________________96 10. Primary Source of Drinking Water What is the main source of drinking water for the household members? [WA] Piped water Piped into dwelling………………...11 Piped into yard or plot...............12 Public tap/standpipe……………….13 Tubewell/borehole………................21 Dug well Protected well…………….............31 Unprotected well…….................32 Water from spring Protected spring……………………..41 Unprotected spring…………………42 Rainwater …………………………………..51 Tanker-truck………………………………..61 Cart with small tank/drum…………..71 Surface water (river, stream, dam, lake, pond, canal, irrigation channel)…………………..……………...81 Bottled Water……………………………...91 Other (specify)________________96 10a Primary Source of Non-Drinking What is the main source of water used by your household for other purposes Water such as cooking and handwashing?2 [WA] Piped water Piped into dwelling……………..11 Piped into yard or plot…………12 Public tap/standpipe……………13 Tubewell/borehole……….............21 Dug well Protected well……………………..31 Unprotected well……..............32 Water from spring Protected spring…………………...41 Unprotected spring……………….42 Rainwater collection………………….51 Tanker-truck……………………………...61 Cart with small tank/drum…………71 Surface water (river, stream, dam, lake, pond, canal, irrigation channel)…………………………………81 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 2!In!DHS,!question!on!source!of!non3drinking!water!is!not!present!in!the!sample!questionnaire!available!online!for! round!6.!However,!in!the!case!of!a!few!freshly!available!datasets!(like!Peru),!data!on!non3drinking!water!source!is! available!in!the!household!data!file!! Other (specify) _______________96 10b Primary Source of Water: How long does it take to get to the water source, get water and come back? Distance to Water Source [WA] Minutes ! ! ! Water on Premises…………………995 Don’t Know…………………………….998 11. Assets Does your household have?: [EL; AS] Electricity Yes ...……...….1 [EL] No .………….....2 Radio Yes ...……...….1 [AS]! No .………….....2 Refrigerator Yes ...……...….1 [AS]! No .………….....2 Television Yes ...……...….1 [AS] No .………….....2 Non-mobile Telephone Yes ...……...….1 [AS] No .………….....2 Mobile Telephone Yes ...……...….1 [AS] No .………….....2 Bicycle Yes ...……...….1 [AS] No .………….....2 Motorbike/ Scooter Yes ...……...….1 [AS] No .………….....2 Car Yes ...……...….1 [AS] No .………….....2 Truck Yes ...……...….1 [AS] No .………….....2 Cover Sheet – Child Questionnaire Town/City/Village/: _____________________________________ HH ID: __ __ __ Survey Date 1: __ __ /__ __/__ __ __ __ Survey Date 2 (if revisit):__ __ /__ __ /__ __ __ __ Surveyor 1 ID (Male): __ __ Surveyor 2 ID (Female): __ __ Start Time: _______ End Time:_______ Interviewer Checkpoint: Please ask for consent for administering the child questionnaire from the mother of the child or an adult caregiver available at the time of survey Hello. My name is _______________________________________. I am working with (NAME OF ORGANIZATION). We are conducting a survey about living standards and health all over (NAME OF COUNTRY). The information we collect will help the government plan services. Your household was selected for the survey. I would like to measure your child’s (children’s) height and weight. Measurements usually take about 10 to 15 minutes. All of the collected here will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to participate since your information gathered on the children of the household is important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time. In case you need more information about the survey, you may contact the person listed on this card. Do you have any questions? May I begin interview now? ____________________________________________________________ Date:______________ (Signature of Respondent if literate) II. CHILDREN’S QUESTIONNAIRE • Purpose of the Questionnaire1: The child health indicator of the MPI focuses on child undernourishment. This questionnaire records anthropometric information for children between 0-5 years of age in order to determine if a child is undernourished. It should be administered after the household questionnaire has been filled out and a complete listing of all permanent members, including children, is available. • Who in the household should be included? All children between 0-5 years of age listed in the roster2 Question Child 1 Child 2 Child 3 Child 4 Child 5 1 Interviewer Checkpoint: list line number from Line Number: ___ ___ Line Number: ___ ___ Line Number: ___ ___ Line Number: ___ ___ Line Number: ___ ___ roster Name: Name: Name: Name: Name: Roster ID/Name _______________ _______________ _______________ _______________ _______________ [GIQ] 2 Child Weight in Child Weight (Alone): C h i l d W e i g h t (Alone): C h i l d W e i g h t (Alone): C h i l d W e i g h t (Alone): C h i l d W e i g h t (Alone): kilograms ." ." ." ." ." [CHH] !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 1!The!roster!for!child!health!is!based!on!DHS!and!MICS!questionnaire!for!child!anthropometry!(DHS!Phase!6!Household!Questionnaire;!MICS3!Questionnaire!for! Children!Under!5)! 2!Ideally,!information!for!all!children!between!0J5!years!of!age!in!the!household!should!be!collected.!Where!resource!constraints!allow!for!only!subJsample!of! children!in!the!household,!the!number!of!children!is!determined!such!that!the!sample!is!representative!at!the!necessary!geographic!level!