2002 Uganda Population and Housing Census
(with an Agricultural Module)

Strictly confidential

_ _ _ Household number:
___ If institution - write name:
___ Population type:

Section 1: Particulars of Household Members

For all persons

[Columns for Persons 01 through 10 to answer Questions P1 - P15 appear in the sheet]

P1 Name Give me full namess of the household head and those of all persons who slept here on the Census Night of 12/13 Sept. 2002

___ Surname
___ First/Other name

P2 Relationship What is (name's) relationship to the head of household (Write appropriate code) ___

P3 Sex Is (name) male or female? (Write appropriate code: Male=1, Female=2) ___

P4 Date of birth What is (name's) exact date of birth? (Write the Day, Month, and Year) _ _ /_ _ /_ _

P5 Age What is (name's) age in completed years? (If less than one year, write 00, if more than 94, write 95)

P6 Religion What is (name's) religion? (Write appropriate code)

P7 Ethnic group or citizenship Is (name) a Ugandan? (If Ugandan, write ethnicity code, otherwise, write the country code of Citizenship)

P8 Mother's survival Is (name's) biological mother still alive? (Write appropriate code: Yes = 1, No = 2, Don't know = 3)

P9 Father's survival Is (name's) biological father still alive? (Write appropriate code: Yes = 1, No = 2, Don't know = 3)

P10 Place of birth Where was (name) born?

a) If in Uganda, write the district code, otherwise write the country code Code: ___
b) If child aged between 0-10 years, write the subcounty name S/C Name: ___

P11 Previous residence Where was (name) living before moving to this district (If visitor write 9, if never moved out write 98, otherwise write appropriate code) ___

P12 Duration of residence in district How many years has (name) lived in this district continuously? (If less than 1 year, write 00 and if = 95 write 95, otherwise, write the actual years.) ___

P13 Disability Does (name) have any difficulty in moving, seeing, hearing, speaking or learning, which has lasted or is expected to last 6 months or more? (If No write 10 and skip to P16, if Yes write codes for at most 2 mayor difficulties) ___ ___

P14 Cause of disability What caused this difficulty? (Write the code for cause, for each corresponding difficulty.) ___ ___

P15 Rehabilitation/Assistance of disability What measures are being taken by (name) to minimize the impact of the difficulty? (Write appropriate code) ___ ___

For all persons aged five years and above

[Columns for Persons 01 through 10 to answer Questions P16 - P20 appear in the sheet]

P16 School attendance Did name attend school in 2002, leave school in 2002, or never been to school? (If never been to school, write code 4 and skip to P18, otherwise write appropriate code) ___

P17 Educational attainment What highest grade did name complete (Write appropriate code) ___

P18 Activity status in the last seven days What was name's main activity status in the last 7 days? (If not working for pay, (code 13-19) skip to P21, otherwise write appropriate code) ___

P19 Industry What is the main economic activity of the place where name works? (Write appropriate code) ___

P20 Occupation What kind of work did name mainly do in the last 7 days? (Describe in not less than 2 words) ___

For all persons aged ten years and above

[Columns for Persons 01 through 10 to answer Questions P21 - P22 appear in the sheet]

P21 Literacy Can name read and write a simple sentence in any language? (Write appropriate code: Yes=1, No=2) ___

P22 Marital status What is name's marital status? (Write appropriate code) ___

For women aged twelve (12) to fifty four (54) years

[Columns for Persons 01 through 10 to answer Questions P23 - P30 appear in the sheet]

For all children ever born

P23 How many children has name borne? (Write number, if none, write "00") male ___ female ___

P24 How many are living in this household? (Write number, if none, write "00") male ___ female ___

P25 How many are alive, but living elsewhere? (Write number, if none, write "00") male ___ female ___

P26 How many are dead? (Write number, if none, write "00") male ___ female ___

Last birth

P27 When did name bear her last child? (Record month and year) month ___ year ___

P28 What is the sex of the last child? (Write code: Male=1, Female=2) ___

P29 Is the last child still alive? (Write code: Yes=1, No=2) ___

P30 If dead, write age at death in complete months? (If age is more than 59 months, write 60) ___

Section 2: Housing Conditions

Dwelling Unit (Questions H1-H5)

H1 Occupancy tenure of dwelling unit

[] 1 Owner occupied
[] 2 Free - public
[] 3 Free - private
[] 4 Subsidized public
[] 5 Subsidized private
[] 6 Rented - public
[] 7 Rented - private
[] 8 Other (specify)

H2 Type of dwelling unit

[] 1 Main
[] 2 Room or rooms
[] 3 Store/godown/basement
[] 4 Garage
[] 5 Servants quarters
[] 6 Other (specify)

H3 No. of rooms used for sleeping

[] 1 One
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five
[] 6 Six or more

Construction Materials Used (Questions H4-H6)

H4 Type of material used for construction of the roof

[] 1 Iron sheets
[] 2 Tiles
[] 3 Asbestos
[] 4 Concrete
[] 5 Tins
[] 6 Thatch
[] 7 Other (specify)

H5 Type of material used for construction of the wall

[] 10 Concrete
[] 11 Cement blocks
[] 12 Stones
[] 13 Burnt/stabilized bricks
[] 14 Unburnt bricks with cement
[] 15 Unburnt bricks with mud
[] 16 Wood
[] 17 Mud and pole
[] 18 Other (specify)

H6 Type of material used for the floor

[] 1 Concrete
[] 2 Brick
[] 3 Stones
[] 4 Cement screed
[] 5 Rammed earth
[] 6 Wood
[] 7 Other (specify)

H7 Type of housing unit

[] 1 Detached house
[] 2 Semi-detached house
[] 3 Flat
[] 4 Tenement (Muzigo)
[] 5 Other (specify)

(Ask if response to H1 is '1')
H8 Land tenure of plot

[] 1 Customary
[] 2 Free hold
[] 3 Mailo land
[] 4 Leasehold
[] 5 Don't know

Distance (Questions H9-H11)

What is the distance to the nearest:

H9 health facility?

[] 1 less than 1/2 km
[] 2 1/2 km - less than 1 km
[] 3 1 km - 5 km
[] 4 More than 5 km

H10 primary school?

[] 1 less than 1/2 km
[] 2 1/2 km - less than 1 km
[] 3 1 km - 5 km
[] 4 More than 5 km

H11 source of water?

[] 1 On premises
[] 2 less than 1/2 km
[] 3 1/2 km - less than 1 km
[] 4 1 km - 5 km
[] 5 More than 5 km

Section 3: Household Conditions

Fuel / power (Questions H12-H13)

H12 What type of fuel does this household MAINLY use for cooking?

[] 1 Electricity
[] 2 Gas
[] 3 Paraffin
[] 4 Charcoal
[] 5 Firewood
[] 6 Cow dung or grass (reeds)
[] 7 Bio-grass
[] 8 Other (specify)

H13 What type of fuel does this household MAINLY use for lighting?

[] 1 Electricity
[] 2 Gas
[] 3 Paraffin (lantern)
[] 4 Paraffin (tadooba)
[] 5 Candle wax
[] 6 Firewood
[] 7 Cow dung or grass (reeds)
[] 8 Other (specify)

Water
H14 What is the household's MAIN source of water for drinking?

[] 1 Tap/piped water
[] 2 Borehole
[] 3 Protected water
[] 4 Rain water
[] 5 Gravity flow scheme
[] 6 Open water sources
[] 7 Water truck/water vendor
[] 8 Other (specify)

Household facilities (Questions H15-H18)

H15 Toilet: What type of toilet facilities does this household MAINLY use?

[] 11 Covered pit latrine private
[] 12 Covered pit latrine shared
[] 13 VIP latrine private
[] 14 VIP latrine shared
[] 15 Uncovered pit latrine
[] 16 Flush toilet private
[] 17 Flush toilet shared
[] 18 Bush
[] 19 Other (specify)

H16 Solid waste: What is the MOST COMMON method of solid waste disposal?

[] 1 Skip bin
[] 2 Pit
[] 3 Heap
[] 4 Garden
[] 5 Burning
[] 6 Other (specify)

H17 Bathroom: What type of bathroom does this household MAINLY use?

[] 1 Inside
[] 2 Outside, built
[] 3 Outside, makeshift
[] 4 None

H18 Kitchen: What type of kitchen does this household MAINLY use?

[] 1 Inside
[] 2 Outside, built
[] 3 Outside, makeshift
[] 4 None

Transportation
H19 Does this household own any of the following? (Yes=1, No=2)

[] Motor vehicle
[] Motorcycle
[] Bicycle
[] Canoe/Boat
[] Donkey

Communication
H20 Does this household own any of the following? (Yes=1, No=2)

[] Television
[] Radio
[] Mobile phone
[] Fixed phone
[] Postal address
[] Email address

Information
H21 What is the household's MAIN source of information?

[] 1 Radio
[] 2 Television
[] 3 Print media
[] 4 Post mail
[] 5 Hand mail
[] 4 Word of mouth
[] 4 Other (specify)

Domestic economy
H22 What is the MAIN source of the household's livelihood?

[] 1 Subsistence farming
[] 2 Employment income
[] 3 Business enterprise
[] 4 Cottage industry
[] 5 Property income
[] 6 Family support
[] 7 World food program support
[] 8 Other (specify)

H23 Household items (Yes=1, No=2)

___ a Does every member of the household use soap to bathe?
___ b Did every member of the household take sugar (at least once a day) during the last week?
___ c Does every child in the household (i.e. all those under 18 yrs.) have a blanket?
___ d Does every member of the household have at least one pair of shoes?
___ e Does every member of the household have at least two sets of clothing?

Go to question A1

Section 4: Agricultural Module

Holding/Farm

A1: Does any member of this household engage in the following? (Yes=1, No=2)
Enter the appropriate codes

___ 1 Crop growing
___ 2 Livestock rearing
___ 3 Poultry keeping
___ 4 Fish farming

If No to all the 4, skit to D1
If Yes to any of the 4, go to question A2

A2: What is the size of the holding? (Acres=1, Hectares=2, Stick/Mwigo=3)
___ Unit code
___ Size

Crops

A3: Did this household grow crops during the last season - January-June 2002? (Yes=1, No=2)
___
If No, go to A4 if household is engaged in livestock rearing.
If Yes, enter the appropriate crop code with the number of plots under which it was grown.

[Below this question is a table with 13 rows to list crops; 4 columns have these headings:]

___ 1 Crop code
Number of plots
___ 2 Pure
___ 3 Mixed
___ 4 Total

Livestock

A4: If household is engaged in livestock rearing, enter the appropriate livestock code with the number of livestock as of the enumeration day.

[Below this question is a table with 9 rows to list livestock; 2 columns have these headings:]

___ 5 Livestock code
___ 6 Number

Poultry

A5: If household is engaged in poultry keeping, enter the appropriate poultry code with the average number of poultry reared per month in the last three months.

[Below this question is a table with 7 rows to list poultry; 2 columns have these headings:]

___ 7 Poultry code
___ 8 Number

Fish farming

A6: If household is engaged in fish farming, enter the number of fish ponds by type
Number of ponds stocking:

___ 9 Tilapia
___ 10 Mirror cap
___ 11 Clarias
___ 12 Mixed

___ 13 Number of ponds un-stocked

Go to question D1

Section 5: Deaths in the Household

D1 Did a death occur in this household in the last 12 months?
___ Yes=1, No=2, Don't know=3
If yes, answer questions D2, D3 and D4

[Below this question is a table with 5 rows to deceased persons; 3 columns have these headings:]

D2 Name of the deceased

D3 Sex (1-Male, 2-Female)

D4 Age at death

Go to MSE questionnaire

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