Data Cart

Your data extract

0 variables
0 samples
View Cart



Republic of Benin
Ministry of Governmental Action Coordination, Planning, and Development
National Institute for Statistics and Economic Analysis (INSAE)
National Census Comity
Demographic Studies Authority
Benin 2002 Form

Third population and habitation census of February 2002
Prescribed by decree number 99-459 of 09/22/1999 on the organization of the third General Population and Habitation Census and the composition of the national census comity; it is obligatory for all persons present on the territory of the Republic of Benin

Household Questionnaire
Document RGPH 3 Number 1

Confidential
The individual information obtained through this questionnaire is covered by data privacy [statistical privacy is used] Results can only be anonymously published in accordance with article 25 of the law 99-014 of 01/29/1999 on the creation, organization, and functioning of the national statistics council

Localization

Department_ _
Township _
District_ _
Census zone number_ _ _
Village or city neighborhood _ _
Locality or hamlet_ _
Building number_ _ _
Household number _ _ _

Type of household

[] 1 Ordinary
[] 2 Collective

Name of head of household or establishment____

Summary table
Sex

Male
____ A. Present residents
____ B. Absent residents
____ C. Present and absent residents
____ D. Visitors
____ Total counted (C + D)

Female
____ A. Present residents
____ B. Absent residents
____ C. Present and absent residents
____ D. Visitors
____ Total counted (C + D)

Total
____ A. Present residents
____ B. Absent residents
____ C. Present and absent residents
____ D. Visitors
____ Total counted (C + D)

Agricultural exploitation

Is there at least one household member who independently runs an agricultural exploitation?

[] 1 Yes
[] 2 No

If Yes, specify its location

_ _ Department
_ _ Township
_ _ District
_ _ Village/neighborhood

Census agent's seal

Last and first names ____
Date of household visit _ _ _ _ _ _
Observations and signature ____

Team leader's seal

Last and first names ____
Control date _ _ _ _ _ _
Observations and signature ____

____ Household form number
____ Number of forms used for the household

Coding agent

Name ____ _ _
Date____

Verifying agent

Name ____ _ _
Date____

Entry clerk [data entry agent]

Name ____ _ _
Date____

For all persons
[Questions in columns 1 to 11 were asked of all persons]

Now we would like to ask for information on you and the persons habitually living in your household or currently residing in your home

(1) Order number _ _

(2) Last and first names ____

Register the household members according to the following order:

Head of household
Head of household's unmarried children whose mother is not in the household, from the youngest to the oldest
Head of household's wives followed by their unmarried children
Head of household's married children followed by their spouses and living children
Head of household's other relatives with their potential spouses and children
Servants and potentially their families
Visitors

(3) Relationship to the head of household

What is the family tie of [the respondent] to the head of household?____

[] 1 CM = head of household
[] 2 EP = spouse of head of household
[] 3 ENF = child of head of household
[] 4 PAR = father and mother of head of household
[] 5 BPAR = parents-in-law of head of household
[] 6 PENF = grandson, granddaughter of head of household
[] 7 EPC = placed children
[] 8 AP = other relatives
[] 0 No ties

Number of nuclear units _

(4) Sex

Is [the respondent] male or female?

[] 1 Male
[] 2 Female

(5) Date of birth

In which month and year is [the respondent] born? Write in the grid the declared month and year of birth

Month _ _
Year _ _ _ _

(6) Age _ _

What is the age of [the respondent]? Write in the age in years fully lived years.

[] 0 0 is age is less than a year
[] 9 8 if age is equal to or higher than 98

(7) Place of birth ____

Write down department/township for Benin. And country for foreigners

(8) Nationality ____

Of which ethnicity is [the respondent]? Write down FON, DENDI, etc for Beninese and country for foreigners

(9) Religion

[] 1 VOD = Vodoun
[] 2 CAT = Catholic
[] 3 PRM = Protestant Methodist
[] 4 APR = Other Protestants
[] 5 CEL = Celestial
[] 6 ISL = Islam
[] 7 ACH = Other Christians
[] 8 ATR = Other traditional
[] 9 ARE = Other religions
[] 0 AUC = None

(10) Type of handicap

[] 1 Blind
[] 2 Deaf
[] 3 Mute
[] 4 Visually impaired
[] 5 Mentally disabled
[] 6 Paralyzed upper member
[] 7 Paralyzed lower member
[] 8 Other handicaps
[] 0 No handicaps

_ _ _ Write down the codes for the three main declared handicaps

(11) Residency status

[] 1 RP: present resident
[] 2 RA: absent resident
[] 3 VISIT: visitor

Residents only
[Questions in columns 12 - 15 were asked of residents only]

(12) Duration [of stay] in current residence _ _

Report in passed years. If less than one year write down 00. 98 for since birth

(13) Location of previous residence

Write down department/township for Benin___
And the country for locations abroad___

(14) Status of the father

[] 1 PRM = present in the household
[] 2 PRC = present in the township
[] 3 PRAB = present elsewhere in Benin
[] 4 PRE = present outside of Benin
[] 5 DEC = deceased
[] 6 NSP = unknown

(15) Status of the mother

[] 1 PRM = present in the household
[] 2 PRC = present in the township
[] 3 PRAB = present elsewhere in Benin
[] 4 PRE = present outside of Benin
[] 5 DEC = deceased
[] 6 NSP = unknown

Residents of 3 years or more of age
[ Questions in columns 16 - 17 were asked of residents 3+ years old]

(16) Pre-school and school attendance

[] 1 FA: currently attending
[] 2 AF: has attended
[] 3 JF: never attended

(17) Last school grade level attended ____

Current grade level for those attending or last graded level for those who no longer attend

Residents of 6 years or more of age
[Questions in columns 18 - 22 were asked of residents 6+ years old]

(18) Literacy

[] 1 AF = can read, write, and understand French only
[] 2 SLN = can read in the national language
[] 3 ALN = can read, write, and understand the national language only
[] 4 AFLN = can read, write, and understand French and the national language
[] 5 AUT = can read, write, and understand another language only
[] 6 NLE = cannot read nor write

(19) Occupation status

[] 0 OCSI = employed informal sector
[] 1 OCFP = employed formal state sector
[] 2 OCFP = employed formal private sector
[] 3 CT = seeking first employment
[] 4 CHO = unemployed
[] 5 MEN = housewife
[] 6 ETU = school children and students
[] 7 RET = retired
[] 8 REN = rentier
[] 9 AINA = other unemployed

(20) Current Profession ____

What profession does or has had [the respondent]?

(21) Status within the profession

[] 0 EMP: employer
[] 1 IND: independent
[] 2 SAP: permanent salaried employee
[] 3 SAT: temporary salaried employee
[] 4 COOP: cooperative member
[] 5 AF: familial aid
[] 6 APP: apprentice
[] 9 AUT: other

(22) Branch of activity ____ _ _ _ _ _

Mark down the type of the activity of the establishment in which [the respondent] works or has worked

Persons of 10 years or more of age
[Question 23 was asked of persons 10+ years old]

(23) Marital status

[] 0 Single
[] 1 Monogamous marriage
[] 2 Polygamous marriage with 2 wives
[] 3 Polygamous marriage with 3 wives
[] 4 Polygamous marriage with 4 or more wives
[] 5 Divorced
[] 6 Widowed
[] 7 Separated
[] 8 Free union [unmarried couple]

Female residents of 10 or more of age
[Questions in columns 24-27 were asked of female residents age 10 years old or more]

(24) Born alive children

How many born alive children have you had? Write down the declared number according to gender in the appropriate boxes.

_ _ Male
_ _ Female

(25) Living children

How many living children do you currently have? Write down the declared number according to gender in the appropriate boxes.

_ _ Male
_ _ Female

Births that occurred since January 1st 2001
[Questions in columns 26 - 27 concerns births that occurred since January 1st, 2001 and were asked of females age 10+]

(26) How many living births have you had since January 1st 2001?

_ _ Male
_ _ Female

(27) How many are still alive?

_ _ Male
_ _ Female

Deaths occurred since January 1st 2001
[Questions in columns 28 - 39 pertain to deaths in the household since January 1st, 2001]

(28) Has there been any deaths in the household since January 1st 2001?

[] 1 Yes
[] 2 No, go to column 40

(29) Order number _

(30) Last and first names ____

(31) Sex

[] 1 Male
[] Female

(32) Date of birth

[] Month _ _
[] Year _ _ _ _

(33) Date of death

[] Month _ _
[] Year _ _ _ _

(34) Age at death

Number

[] 1 Days _ _
[] 2 Months _ _
[] 3 Years _ _

(35) Place of burial

[] 1 Domicile
[] 2 Cemetery
[] 3 Other

(36) Marital status of deceased persons of 10 years or more of age

[] 0 C [Single]
[] 1 M1 [Monogamous marriage]
[] 2M2 [Polygamous marriage with 2 wives]
[] 3 M3 [Polygamous marriage with 3 wives]
[] 4 M4 [Polygamous marriage with 4 or more wives]
[] 5 D [Divorced]
[] 6 W [Widowed]
[] 7 S [Separated]
[] 8 UL [Free union; unmarried couple]

Mother mortality for women of 10 to 53 years of age
[Questions in columns 37 - 39 pertain to maternal mortality and were asked of women age 10 to 53 who died in the household since January 1st, 2001]

(37) Did she die due to problems linked to pregnancy?

[] 1 Yes
[] 2 No

(38) Did she die while giving birth?

[] 1 Yes
[] 2 No

(39) Did she die within 42 days of the birth event due to birth giving?

[] 1 Yes
[] 2 No

Dwelling unit characteristics

(40) Unit's construction type

[] 1 Isolated house
[] 2 Compartmentalized house
[] 3 Villa
[] 4 Building (multiple story house)
[] 5 Isolated case (traditional dwelling)
[] 9 Other

(41) Concession

[] 1 Yes
[] 2 No

(42) Usage type

[] 1 Residency
[] 2 Mixed

(43) Occupation status

[] 1 Owner with ownership title
[] 2 Owner without ownership title
[] 3 Family property
[] 4 Housed for free by the State
[] 5 Housed for free by a private individual
[] 6 Renter
[] 9 Other

(44) Total number of occupied rooms _ _

Report the total number of rooms occupied by the household in the dwelling unit. Write down the number in the grid.

(45) Nature of the roof (primary construction)

[] 1 Sheet metal
[] 2 Tile
[] 3 Clay
[] 4 Straw
[] 5 Slab
[] 6 Wood/Board
[] 7 Palm/Bamboo
[] 9 Other

(46) Nature of the walls (primary construction)

[] 1 Brick
[] 2 Stone
[] 3 Bamboo/Palm
[] 4 Clay
[] 5 Semi-hard
[] 6 Wood/Board
[] 9 Other

(47) Nature of the floor (primary construction)

[] 1 Cement
[] 2 Wood/Board
[] 3 Clay/Sand
[] 4 Tile
[] 5 Bamboo/Palm
[] 9 Other

(48) Lighting mode

[] 1 Petrol
[] 2 Electricity (SBEE)
[] 3 Solar energy
[] 4 Communal electric generator
[] 5 Private electric generator
[] 6 Gas
[] 7 Oil
[] 9 Other

(49) Water provisioning

[] 1 Running water (SBEE) at home
[] 2 Running water (SBEE) elsewhere
[] 3 Fountain/public faucet
[] 4 Village pump or manual pump drilling
[] 5 Cistern
[] 6 Protected well [buse]
[] 7 Unprotected well
[] 8 River/lake
[] 9 Other

(50) Household's sanitation mode

[] 1 Latrine with ventilated tank
[] 2 Latrine with unventilated tank
[] 3 Toilet with water flush
[] 4 Sewer system
[] 5 Suspended latrine/on stilts
[] 6 Latrine with bucket [tinette ]
[] 7 No toilet/in nature
[] 9 Other

(51) Used water evacuation

[] 1 Closed gutter
[] 2 Open air gutter
[] 3 Sceptic tank
[] 4 Lost [unused] well
[] 5 Sewer
[] 6 In the courtyard
[] 7 In nature/outside
[] 9 Other

(52) Household waste evacuation

[] 1 Public garbage dump
[] 2 Private/NGO garbage dump
[] 2 Burial
[] 3 Burning
[] 4 In nature/outside
[] 9 Other

(53) Household's most used cooking energy method

[] 1 Petrol
[] 2 Wood/palm
[] 3 Electricity SBEE
[] 4 Gas
[] 5 Coal
[] 9 Other