Questionnaire Text

Benin 2002 Egypt 1986 Iraq 1997 Sierra Leone 2004
Botswana 1991 Egypt 1996 Lesotho 2006 South Sudan 2008
Botswana 2001 El Salvador 1992 Liberia 2008 Sudan 2008
Botswana 2011 Ethiopia 1984 Mauritius 1990 Togo 2010
Brazil 1991 Ethiopia 1994 Mozambique 2007 Turkey 1985
Burkina Faso 1996 Ethiopia 2007 Paraguay 2002 Uganda 1991
Burkina Faso 2006 France 1962 Peru 1993 Uganda 2002
Cameroon 2005 Guatemala 1994 Philippines 1995 Venezuela 1990
Colombia 1993 Guinea 1996 Philippines 2000 Venezuela 2001
Côte d'Ivoire 1998 Guinea 2014 Rwanda 2002 Zambia 1990
Dominican Republic 2002 Haiti 2003 Saint Lucia 1991
Dominican Republic 2010 Iran 2006 Senegal 2002
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Benin 2002 — source variable BJ2002A_LOWMEMB — Lower member paralysis
Questionnaire form view entire document:  text  image
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

(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
Questionnaire instructions view entire document:  text  image
Column (10): Type of handicap
Ask the following question: "Does (respondent) suffer from any infirmities?" If the answer is NO, report "0" in each of the three boxes and go to column (11). If you obtain YES for an answer, ask the following question: "Of what infirmities does [the respondent] suffer?"
Given the response obtained, write down in the corresponding box or boxes, the code or codes corresponding to the type or types of handicap declared according to the following:

[] 1. Blind
[] 2. Deaf
[] 3. Mute
[] 4. Visually impaired
[] 5. Mental handicap
[] 6. Lower member paralysis
[] 7. Upper member paralysis
[] 8. Other handicap
[] 0. No handicap

Begin writing down the codes from the left.
If the interviewee suffers from one infirmity, write down the appropriate code in the first box, and "0" in the second and third boxes. Never leave an empty box in column (10).
If the interviewee suffers from two infirmities, write down the appropriate codes for the types of handicap in the first two boxes, and "0" in the last (third) box.
Note:
1) One can thus report at most three main declared handicaps for a person suffering from several infirmities. [2 examples omitted]
2) When a census agent encounter a case of hemiplegia (complete or incomplete paralysis of a lateral half of the body), he must use the code 7 corresponding to other handicap.
3) For a counted person suffering from one infirmity (example mental handicap), the registered answer shall be: 4|0|0|
4) For a counted person suffering from no infirmities, the registered answer shall be: 0|0|0|


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Botswana 1991 — source variable BW1991A_DISLEGS — Disability of the legs
Questionnaire form view entire document:  text  image
Section C
[Disability]

3. Does any person(s) listed in from section A-question 2, or section B-question 3 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 61 Moderate retardation
[] 62 Severe retardation
Questionnaire instructions view entire document:  text  image
Columns C1/C2/C3: Disability
11 Defect of seeing in 1 eye
12 Defect of seeing in 2 eyes
13 Blindness in 1 eye
14 Blindness in 2 eyes
21 Defect of hearing in 1 ear
22 Defect of hearing in 2 ears
23 Deafness in 1 ear
24 Deafness in 2 ears
31 Defect of speech
32 Inability to speak
41 Inability to use 1 leg
42 Inability to use 2 legs
51 Inability to use 1 arm
52 Inability to use 2 arms
61 Moderate Retardation
62 Severe Retardation

You should read out the list of disabilities to the respondent as a reminder to him or her of the types of disabilities to which we are referring. Be very tactful in asking these questions so as not to cause offence or embarrassment.

If anyone does have a disability, enter the person's first name in column C1, then enter in column C2 the same serial number that you assigned to this person in column A2 or B2. A person from Part A will have a serial number 01, 02 or 03, etc., whilst a person from Part B will have a serial number 91, 92 or 93, etc.

A disabled person has incapacities as a result of physical or mental deficiencies such as bodily abnormalities, defects and impairments. Impairments are defects of structure or functions of the body which give rise to personal inabilities to perform necessary activities. The defects and impairments might occur from birth, or may be brought about by disease, injury or just old age.

Defect of Seeing: A person wearing glasses will not usually be defined as having a defect of seeing. Only if, when wearing glasses, the person cannot count the fingers of a hand from a distance of 3 metres will you record him/her as having a seeing defect. If the defect is in one eye, code 11, and, if the defect is in both eyes, code 12. If there is complete blindness in one eye enter 13; if there is blindness in both eyes enter 14.

Defect of Hearing: If a person cannot hear a whisper at a distance of 2 metres, that person is said to have a defect of hearing. If the defect is in one ear enter code 21, if both ears are affected, enter code 22. If there is complete deafness in one ear enter 23; if the deafness is in both ears enter 24.

Defect of Speech: A person who makes unintelligible speech, stammers or speaks with an abnormal voice is said to have a defect of speech. If this defect applies, enter code 31.

Inability to Speak: For a person who cannot speak at all (i.e. is completely dumb or mute), enter 32.

Inability to Use One or Both Legs: For a person who has one leg lame or a leg or foot missing enter 41; if both legs are lame or both feet/legs are missing, enter 42.

[p.43]

Inability to Use One or Both Arms: For a person who has one arm lame or a hand or arm missing enter 51; if both arms are lame or both hands/arms are missing, code 52.

Mental Retardation: A person who is capable of taking care of himself/herself but who cannot adjust to a situation needing ordinary skills consistent with age is said to be moderately retarded, and the code should be 61.

A person who, despite good physical condition, is incapable of doing normal daily self-care activities consistent with age is said to be severely mentally retarded. For this condition enter 62.

If a person suffers from a combination of any of the listed disabilities, enter the applicable codes, e.g. if there is a defect of hearing in two ears and a defect of speech enter 2231. After you have recorded the disability code(s) for a particular person, fill the remaining boxes with dashes.

The relevant portion of the sample questionnaire on page 15 is shown below.

[Diagram on page 43 omitted]

Thembe is blind in one eye, so she is assigned serial number 07 (since that was her serial number in Pan A), and the disability code is 13.


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Botswana 2001 — source variable BW2001A_DISLEG1 — Inability to use 1 leg
Questionnaire form view entire document:  text  image
C1. List all members of this household (from questions A1 or B1) ____

C2. Serial number (from questions A2 or B2) _ _

C3. Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 61 Moderate retardation
[] 62 Severe retardation
[] 63 Mental cases
Questionnaire instructions view entire document:  text  image
131. Columns C1/C2/C3: Disability

Q: Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 52 Inability to use 2 arms
[] 62 Severe retardation
[] 63 Mental illness

You should read out the list of disabilities to the respondent as a reminder to him or her of the types of disabilities to which we are referring. Be very tactful in asking these questions so as not to cause offence or embarrassment.

If anyone does have a disability, enter the person's first name in column C1, then enter in column C2 the same serial number that you assigned to this person in column A2 or B2. A person from Part A will have serial numbers 01, 02 or 03, etc., whilst Part B will have serial numbers 91, 92 or 93, etc.

A disabled person has incapacities as a result of physical or mental deficiencies such as bodily abnormalities, defects and impairments. Impairments are defects of structure or functions of the body which give rise to personal inabilities to perform necessary activities. The defects and impairments might occur from birth, or may be brought about by disease, injury or just old age.

Defect of Seeing: A person wearing glasses will not usually be defined as having a defect of seeing. Only if, when wearing glasses, the person cannot count the fingers of a hand from a distance of 3 metres will you record him as having a seeing defect. If the defect is in one eye, code 11, and, if the defect is in both eyes, code 12. If there is complete blindness in one eye enter 13; if there is blindness in both eyes enter 14.

Defect of Hearing: If a person cannot hear a whisper at a distance of 2 metres, that person is said to have a defect of hearing. If the defect is in one ear enter code 21, if both ears are affected, enter code 22. If there is complete deafness in one ear enter 23; if the deafness is in both ears enter 24.

Defect of Speech: A person who makes unintelligible speech, stammers or speaks with an abnormal voice is said to have a defect of speech. If this defect applies, enter code 31.

Inability to Speak: For a person who cannot speak at all (i.e. is completely dumb or mute), enter 32.

Inability to Use One or Both Legs: For a person who has one leg lame or a leg or foot missing enter 41; if both legs are lame or both feet/legs are missing, enter 42.

Inability to Use One or Both Arms: For a person who has one arm lame or a hand or arm missing enter 51; if both arms are lame or both hands/arms are missing, code 52.

Mental Retardation: A person who is capable of taking care of himself/herself but who cannot adjust to a situation needing ordinary skills consistent with age is said to be moderately retarded, and the code should be 61.

A person who, despite good physical condition, is incapable of doing normal daily self-care activities consistent with age is said to be severely mentally retarded. For this condition enter 62.

If a person suffers from a combination of any of the listed disabilities, enter the applicable codes, e.g. if there is a defect of hearing in two ears and a defect of speech enter 2231. After you have recorded the disability code(s) for a particular person, fill the remaining boxes with dashes.

Mental Case: This situation must not be confused with retardation, as this is abnormal perceptions associated with delusional misinterpretation of events; or it could be said to be thinking so disordered as to prevent the patient making a reasonable appraisal of his situation or having reasonable communication with others (as defined in http://www.hyperguide.co.uk/mha/contents).

The relevant portion of the sample questionnaire is shown below.

Example: Itumeleng does not hear at all in one ear, hence his name and serial number in C1 and C2. The type of disability, which is not hearing in one ear, is shown by code 21.


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Botswana 2001 — source variable BW2001A_DISLEG2 — Inability to use 2 legs
Questionnaire form view entire document:  text  image
C1. List all members of this household (from questions A1 or B1) ____

C2. Serial number (from questions A2 or B2) _ _

C3. Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 61 Moderate retardation
[] 62 Severe retardation
[] 63 Mental cases
Questionnaire instructions view entire document:  text  image
131. Columns C1/C2/C3: Disability

Q: Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

[] 11 Defect of seeing in 1 eye
[] 12 Defect of seeing in 2 eyes
[] 13 Blindness in 1 eye
[] 14 Blindness in 2 eyes
[] 21 Defect of hearing in 1 ear
[] 22 Defect of hearing in 2 ears
[] 23 Deafness in 1 ear
[] 24 Deafness in 2 ears
[] 31 Defect of speech
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 51 Inability to use 1 arm
[] 52 Inability to use 2 arms
[] 52 Inability to use 2 arms
[] 62 Severe retardation
[] 63 Mental illness

You should read out the list of disabilities to the respondent as a reminder to him or her of the types of disabilities to which we are referring. Be very tactful in asking these questions so as not to cause offence or embarrassment.

If anyone does have a disability, enter the person's first name in column C1, then enter in column C2 the same serial number that you assigned to this person in column A2 or B2. A person from Part A will have serial numbers 01, 02 or 03, etc., whilst Part B will have serial numbers 91, 92 or 93, etc.

A disabled person has incapacities as a result of physical or mental deficiencies such as bodily abnormalities, defects and impairments. Impairments are defects of structure or functions of the body which give rise to personal inabilities to perform necessary activities. The defects and impairments might occur from birth, or may be brought about by disease, injury or just old age.

Defect of Seeing: A person wearing glasses will not usually be defined as having a defect of seeing. Only if, when wearing glasses, the person cannot count the fingers of a hand from a distance of 3 metres will you record him as having a seeing defect. If the defect is in one eye, code 11, and, if the defect is in both eyes, code 12. If there is complete blindness in one eye enter 13; if there is blindness in both eyes enter 14.

Defect of Hearing: If a person cannot hear a whisper at a distance of 2 metres, that person is said to have a defect of hearing. If the defect is in one ear enter code 21, if both ears are affected, enter code 22. If there is complete deafness in one ear enter 23; if the deafness is in both ears enter 24.

Defect of Speech: A person who makes unintelligible speech, stammers or speaks with an abnormal voice is said to have a defect of speech. If this defect applies, enter code 31.

Inability to Speak: For a person who cannot speak at all (i.e. is completely dumb or mute), enter 32.

Inability to Use One or Both Legs: For a person who has one leg lame or a leg or foot missing enter 41; if both legs are lame or both feet/legs are missing, enter 42.

Inability to Use One or Both Arms: For a person who has one arm lame or a hand or arm missing enter 51; if both arms are lame or both hands/arms are missing, code 52.

Mental Retardation: A person who is capable of taking care of himself/herself but who cannot adjust to a situation needing ordinary skills consistent with age is said to be moderately retarded, and the code should be 61.

A person who, despite good physical condition, is incapable of doing normal daily self-care activities consistent with age is said to be severely mentally retarded. For this condition enter 62.

If a person suffers from a combination of any of the listed disabilities, enter the applicable codes, e.g. if there is a defect of hearing in two ears and a defect of speech enter 2231. After you have recorded the disability code(s) for a particular person, fill the remaining boxes with dashes.

Mental Case: This situation must not be confused with retardation, as this is abnormal perceptions associated with delusional misinterpretation of events; or it could be said to be thinking so disordered as to prevent the patient making a reasonable appraisal of his situation or having reasonable communication with others (as defined in http://www.hyperguide.co.uk/mha/contents).

The relevant portion of the sample questionnaire is shown below.

Example: Itumeleng does not hear at all in one ear, hence his name and serial number in C1 and C2. The type of disability, which is not hearing in one ear, is shown by code 21.


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Botswana 2011 — source variable BW2011A_DISLEG — Leg disability
Questionnaire form view entire document:  text  image
C. Disability

3. Does any listed persons (from section A or B) have any of the following disabilities:

[] 11 Partial sighted
[] 12 Total blindness
[] 21 Partial hearing
[] 22 Deafness
[] 31 Partial speech impairment
[] 32 Inability to speak
[] 41 Inability to use 1 leg
[] 42 Inability to use 2 legs
[] 43 Inability to use 1 arm
[] 44 Inability to use 2 arms
[] 45 Inability to use the whole body
[] 51 Intellectual impairment
[] 61 Mental health disorder
[] 71 Missing 1 leg
[] 72 Missing 2 legs
[] 73 Missing 1 arm
[] 74 Missing 2 arms
Questionnaire instructions view entire document:  text  image
Part C of the questionnaire: Disability

Disability is any restriction or lack (resulting from an impairment) of the ability to perform an activity within the range considered normal for a human being.

177. Columns C1/C2/C3: Disability
Q. Does any person(s) listed in A1 or B1 suffer from any of the following disabilities?

11. Partial sighted
12. Total blindness
21. Partial hearing
22. Deafness
31. Partial speech impairment
32. Inability to speak
23. Inability to use 1 leg
24. Inability to use 2 legs
43. Inability to use 1 arm
44. Inability to use 2 arms
45. Inability to use the whole body
51. Intellectual impairment
61. Mental health disorder
71. Missing 1 leg
72. Missing 2 legs
73. Missing 1 arm
74. Missing 2 arms

You should read out the list of disabilities to the respondent as a guide on the types of disabilities you are referring to. Be very tactful in asking these questions so as not to cause offense of embarrassment.

If anyone does have a disability, enter the person's first name in column C1, then enter in column C2 the same serial number that you assigned to this person in column A2 or B2. A person from Part A will have serial numbers 01, 02 or 03, etc., whilst a person from Part B will have serial numbers 91, 92 or 93, etc.

A disabled person has incapacities as a result of physical or mental deficiencies such as bodily abnormalities, defects and impairments. Impairments are defects of structure or functions of the body which give rise to personal inabilities to perform necessary activities. The defects and impairments might occur from birth, or may be brought about by disease, injury or just old age.

Enter the stated disabilities a person has from any of the following codes.

11. Partial sighted
This refers to a person who cannot count fingers from a distance of three meters.
12. Total blindness
This refers to a person who cannot see completely.
21. Partial hearing
This refers to a person who cannot hear a whisper at a distance of two meters even with hearing aids.
22. Deafness
This refers to a person who cannot hear completely
31. Partial speech impairment
This refers to a person who makes unintelligible/unclear speech or stammers and whose speech is not easy to hear.
32. Inability to speak
This refers to a person who cannot speak at all (i.e. completely dumb or mute).
41. Inability to use 1 leg
This refers to a person who has one lame leg.
42. Inability to use 2 legs
This refers to a person who has two lame legs.
43. Inability to use 1 arm
This refers to a person who has one lame hand/arm.
44. Inability to use 2 arms
This refers to a person who has two lame hands/arms.
45. Inability to use the whole body
This refers to a person who cannot use their entire body.
51. Intellectual impairment
This refers to a person with a normal IQ level who begins to show strange behavior, thinking, acting, or talking in a different way than other people. The onset occurs later in life after a period of normal development.
61. Mental health disorder
This refers to a handicap of abnormal intellectual functioning with onset during the developmental period associated with impaired maturation, learning, and social maladjustment. The Intelligence Quotient (IQ) is below normal.
71. Missing 1 leg
This refers to a person who has one missing leg.
72. Missing 2 legs
This refers to a person who has two missing legs.
73. Missing 1 arm
This refers to a person who has one missing arm.
74. Missing 2 arms
This refers to a person who has two missing arms.

[Table omitted]


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Brazil 1991 — source variable BR1991A_DISABLED — Physical or mental handicap
Questionnaire form view entire document:  text  image

11. Physical or mental handicap
[] 1 blind
[] 2 deaf
[] 3 paralysis on one or both sides
[] 4 paralysis of the legs
[] 5 total paralysis
[] 6 missing extremities or parts thereof
[] 7 mental deficiency
[] 8 more than one
[] 0 none listed

Questionnaire instructions view entire document:  text  image

Question 11 - Physical or mental handicap
Mark:
1 - Blindness - for persons who have been totally blind since birth or who lost their sight later due to disease or accident. A person who sees with difficulty is not considered blind;
2 - Deafness - for persons who have been totally deaf since birth (deafness and dumbness) or who lost their hearing later [p. 61] due to disease or accident. A person who hears with difficulty is not considered deaf;
3 - Paralysis of one side - for hemiplegic persons, that is, persons who are paralyzed or handicapped with motor deficiency on one side due to injury of the nervous system;
4 - Paralysis of the legs - for paraplegic persons, that is, persons with the lower members paralyzed;
5 - Total paralysis - for quadriplegic persons, that is, persons with both the upper members (arms) and lower members (legs) paralyzed;
6 - Is missing one or more limbs or part of a limb:

a) Is missing one upper limb or part of an upper limb - for persons who are missing one or both upper limbs since birth or from later amputation due to disease or accident. Consider as missing an upper member the loss of an arm, forearm or hand. Do not consider the lack of fingers;
b) Is missing one lower limb or part of a lower limb - for persons who are missing one or both lower limbs since the birth or from later amputation due to disease or accident. Consider as missing a lower limb the loss of an entire leg, part of a leg or a foot. Do not consider lack of toes;

7 - Mental deficiency - for persons with mental retardation due to irreversible lesion or syndrome which was first determined during childhood and which is characterized by great difficulty in learning and social adaptation. Do not consider as such those persons who present a mental disturbance or disorder such as neurotics, psychotics or schizophrenics, vulgarly known as mad or crazy;
8 - More than one - for persons with more than one of the listed handicaps; and
0 - None of the above - for persons who do not have any of the deficiencies described above or for those who are not handicapped.


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Burkina Faso 1996 — source variable BF1996A_DISAB — Handicap
Questionnaire form view entire document:  text  image

Entire Population
[Questions P01 to P14 were asked for all persons.]


P10. Principal nature of handicap

[] 00. No handicap
[] 01. Paralysis of upper extremities
[] 02. Paralysis of lower extremities
[] 03. Quadriplegic
[] 04. Amputation of upper extremities
[] 05. Amputation of lower extremities
[] 06. Amputation of upper and lower extremities
[] 07. Leprosy
[] 08. Mental retardation
[] 09. Insanity
[] 10. Blind
[] 11. Deaf
[] 12. Mute
[] 13. Deaf-mute
[] 14. Other


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Burkina Faso 2006 — source variable BF2006A_DISAB — Handicap
Questionnaire form view entire document:  text  image
II. Individual Characteristics
Entire Population


P14. Nature of handicap

Does [the person] suffer from any form of handicap?

Circle the corresponding code.

[] 0 No handicap
[] 1 Handicap of upper extremities
[] 2 Handicap of lower extremities
[] 3 Mental retardation
[] 4 Blind
[] 5 Deaf/Mute
[] 6 Other


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Cameroon 2005 — source variable CM2005A_DISAB — Disability
Questionnaire form view entire document:  text  image

16. Chronic disease, handicap
Has the person any chronic disease? _ _
Does the person have any predominant handicap? _ _ _
See code list

Questionnaire instructions view entire document:  text  image

16. Chronic illness/dominant handicap


b- Handicap
A handicap is the disadvantage that a person endures due to a disability or an infirmity which prevents him from fulfilling completely or partially a task that could normally be done by a person similar to him in age, sex, and different cultural factors.

One is considered handicapped if they need the assistance of specific equipment. As such, a handicapped person is one does not have complete physical or mental autonomy.

Here is a list of basic handicaps that the 3rd RGPH has retained:

Basic terms Code
No handicap 00
Deaf 01
Mute 02
Blind 04
Leprous 08
Upper limbs disabled 16
Lower limbs disabled 32
Mental illness 64
Albino 128
Other handicap 256


-Ask the following question:
Q. Does the surveyed person have a/any handicap/s?

NB: If the handicap is clearly visible, mark it and go on to the following question.
-Mark after the vertical line the handicap code or codes, on the dotted line corresponding to the order number of the surveyed person.


[Examples omitted]

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Colombia 1993 — source variable CO1993A_PARALIZL — Lower extremity paralysis
Questionnaire form view entire document:  text  image

F1. Ask these questions to all persons.


28. Does the person have any of these limitations?

[] 1 Blindness
[] 1 Loss of hearing
[] 1 Mute
[] 1 Retardation or mental deficiency
[] 1 Paralysis or missing upper appendages
[] 1 Paralysis or missing lower appendages
[] 2 None of the above limitations


[Numbering shown as appears in the original language form]
Questionnaire instructions view entire document:  text  image

F1. Ask these questions to all persons


28. Does [the respondent] have any of these limitations?

The objective of this question is to determine the number of persons with permanent limitations in the functioning of their sensory, locomotive, and mental organs.

[Below the text is a form.]

Read each of the alternatives and mark all those that in which the interviewed person answers affirmatively.

If a person answers that they have no limitations or mention something that is not included in the list, mark "none of the previous".

The option "paralysis or absence of superior members" is marked when a person is missing fingers or has lost movement of them. Also when the problem affects the hand completely, the arm or the forearm. In a similar manner, "paralysis or absence of inferior members" when the members affected are the feet or legs.


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Côte d'Ivoire 1998 — source variable CI1998A_DISLOWER — Disability of the lower limbs
Questionnaire form view entire document:  text  image
All residents
[Question 21 through 25 were asked of all resident persons.]

23. Physical handicaps

[] 1 Blind (nv)
[] 2 Deaf (so)
[] 4 Mute (mu)
[] 8 Handicapped in the lower limbs (hi)
[] 16 Handicapped in the upper limbs (hs)
[] 32 Other handicaps (ah)
[] 0 No handicap (sh)
Questionnaire instructions view entire document:  text  image
Question 23: Physical disabilities
A physical disability is any disadvantage or infirmity that deprives the individual of his/her physical abilities. For example:

- disability of the lower and/or upper limbs;
- hearing and/or speech disability: deaf and/or mute;
- vision disability: blind, etc.

Ask: "Do you have a physical disability or infirmity?"

- If the answer is no, circle code 33: no disability.
- If the answer is yes, ask: "What type of physical disability or infirmity do you have?"

Circle the code that matches the correct answer(s).

[] 1 NV: blind
[] 2 SO: deaf
[] 4 MU: mute
[] 8 HI: disability of the lower limbs
[] 16 HS: disability of the upper limbs
[] 32 AH: other disabilities.
[] 33 SH: no disability

Note: For all physical disabilities and infirmities that an individual presents but that do not appear on the short list of basic physical disabilities mentioned on the questionnaire, circle code "32: Other physical disabilities."


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Dominican Republic 2002 — source variable DO2002A_DISLEGS — Missing or limited mobility: legs
Questionnaire form view entire document:  text  image
35. Does [the respondent] have any of the following disabilities? Read each option and mark cases where the answer is yes.

[] a Blind in one eye
[] b Blind in both eyes
[] c Deaf
[] d Mute
[] e Loss or permanent limitation in arm movement
[] f Loss or permanent limitation in leg movement
[] g Mental retardation or deficiency
[] h Other disability
[] I No disability (Skip to question 37)
Questionnaire instructions view entire document:  text  image
Question 35: Does (NAME) have any of the following disabilities?

Read to the interviewee each option and fill in the answer every time the person says "YES". If the person answers "None", fill in the corresponding bubble and then skip to question 37.
If the person said another disability different than the ones previously read, fill in the bubble with "other disability".


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Dominican Republic 2010 — source variable DO2010A_DISLEGS — Permanent difficulty moving one or both legs
Questionnaire form view entire document:  text  image
Section VI - Personal characteristics

34. Does [the respondent] have permanent difficulty with any of the following?

Read slowly all the possible answers, and fill in every time there is a "yes" or "no" accordingly.
e. Moving or both legs?
[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Question 34. Does [the respondent] have any of the following disabilities?
This question is designed to gather data about certain types of disabilities in the population. A disability is the result of a deficiency in an individual's activity or their ability to perform physically. Therefore, a disability represents a disruption in a person's level (of personal life).
Read, to the interviewee, each type of disability and fill in the bubble according to the informant's answers. Remember to read each option one by one and immediately fill in the answers accordingly.
The correct way to read the question is:

  • Does [the respondent] have permanent difficulty seeing, even though he/she uses glasses?
  • Does [the respondent] have permanent difficulty hearing, even though he/she uses a hearing aid?
  • Does [the respondent] have permanent difficult walking or climbing stairs?
  • And so on, until all questions are asked.

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Dominican Republic 2010 — source variable DO2010A_AMPLEGS — Missing one or both legs
Questionnaire form view entire document:  text  image
Section VI - Personal characteristics

34. Does [the respondent] have permanent difficulty with any of the following?

Read slowly all the possible answers, and fill in every time there is a "yes" or "no" accordingly.
k. Is he/she or missing one or both legs?
[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Question 34. Does [the respondent] have any of the following disabilities?
This question is designed to gather data about certain types of disabilities in the population. A disability is the result of a deficiency in an individual's activity or their ability to perform physically. Therefore, a disability represents a disruption in a person's level (of personal life).
Read, to the interviewee, each type of disability and fill in the bubble according to the informant's answers. Remember to read each option one by one and immediately fill in the answers accordingly.
The correct way to read the question is:

  • Does [the respondent] have permanent difficulty seeing, even though he/she uses glasses?
  • Does [the respondent] have permanent difficulty hearing, even though he/she uses a hearing aid?
  • Does [the respondent] have permanent difficult walking or climbing stairs?
  • And so on, until all questions are asked.

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Egypt 1986 — source variable EG1986A_DISAB — Disability
Questionnaire form view entire document:  text  image
Part B: Individual data

15. Type of disability ____

Questionnaire instructions view entire document:  text  image
Handicap column number (21)
The type of the person's handicap is specified either because of impairment or more such as:
The loss of one of the eyes or both of them / the loss of one of the hands or both of them / the loss of one of the legs or both of them or the person is either deaf or mute, poliomyelitis, paralysis and handicap, mental retarded, mentally subnormal and mongolism.

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Egypt 1996 — source variable EG1996A_HANDICAP — Type of disability
Questionnaire form view entire document:  text  image

15. Type of disability ____
Questionnaire instructions view entire document:  text  image

Type of disability column No.(15)
The type of the person's disability is specified either if there is a handicap or more or others example:
The loss of one of the eyes or both of them/ the loss of one of the hands or both of them/ the loss of one of the legs or both of them/ or the person is either deaf or mute/ poliomulitis/ mentally retarded or mentally subnormal/ mongolism

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El Salvador 1992 — source variable SV1992A_DISAB1 — First disability
Questionnaire form view entire document:  text  image

V. Information on members of the household


1. All persons


7. Do you have any of the following disabilities?
(You may mark more than one)

[] 1 Blindness
[] 2 Deafness
[] 3 Muteness
[] 4 Mental retardation
[] 5 Paralysis or loss of use of an upper extremity
[] 6 Paralysis or loss of use of a lower extremity
[] 7 No disability

Questionnaire instructions view entire document:  text  image

7. Physical conditions
Does anyone suffer from one of the following conditions?
This question should be responded to affirmatively when the impediment is total in the case of blindness, deafness and muteness, and when the loss of limbs is partial or total. If a person has more than one condition, all can be marked without limiting to one answer.


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El Salvador 1992 — source variable SV1992A_DISAB2 — Second disability
Questionnaire form view entire document:  text  image

V. Information on members of the household


1. All persons


7. Do you have any of the following disabilities?
(You may mark more than one)

[] 1 Blindness
[] 2 Deafness
[] 3 Muteness
[] 4 Mental retardation
[] 5 Paralysis or loss of use of an upper extremity
[] 6 Paralysis or loss of use of a lower extremity
[] 7 No disability

Questionnaire instructions view entire document:  text  image

7. Physical conditions
Does anyone suffer from one of the following conditions?
This question should be responded to affirmatively when the impediment is total in the case of blindness, deafness and muteness, and when the loss of limbs is partial or total. If a person has more than one condition, all can be marked without limiting to one answer.


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Ethiopia 1984 — source variable ET1984A_DISAB — Disability status
Questionnaire form view entire document:  text  image
Disability status
28. Is [person] disabled? If yes, state type of disability.

____
Questionnaire instructions view entire document:  text  image
Column 28 - Disability Status: Is [the respondent] disabled? If yes, state type of disability.

A person having physical or mental impairment or defect of a body part is said to be disabled. Generally speaking a disabled person is one who is limited in terms of performing social and economic functions fully and is unable to perform fully or partly the functions normal people can perform because his/her body part is impaired, injured or damaged. Each member of the household will be asked about his/her disability status and the response will be entered in column 28.

Some people are not happy when asked directly "Are you disabled?" Hence care has to be taken when posing this question to respondents. Instead of asking directly that the respondent is disabled, it is better to ask friendly and indirectly if the person has some kind of health problem, such as sight and hearing problems, difficulty of mobility due to problems on extremities of the body, etc. and try to understand the situation.

A person may have multiple disability conditions. Each household member has to be asked about his/her disability condition and identify the type among those listed, together with the corresponding codes 00 - 27, below and record the type in the space provided and its code in card columns 51-52.

List of Disability Types and Codes

Code: Disability Type

00 = Not Disabled
01 = Full blind
02 = One eye blind
03 = Two ears deaf
04 = One ear blind
05 = Deaf and Mute
06 = Deaf, Mute and Blind
07 = One leg amputated below knee
08 = One leg amputated above knee
09 = Two legs amputated below knee
10 = Two legs amputated above knee
11 = Both arms and legs amputated
12 = One arm amputated below elbow
13 = One arm amputated above elbow
14 = Two arms amputated below elbow
15 = Two arms amputated above elbow
16 = Limp/having only one leg/
17 = Limp/Having no leg/
18 = Mental sickness /Madness/
19 = Paralyzed /One leg/
20 = Paralyzed /Both legs/
21 = Paralyzed /One arm/
22 = Paralyzed /Both arms/
23 = Complete paralysis /Both arms and legs/
24 = paralyzed /One arm and one leg/
25 = Leprosy
26 = Epilepsy
27 = Multiple disability
28 = Other /Specify/

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Ethiopia 1994 — source variable ET1994A_DISAB — Disability
Questionnaire form view entire document:  text  image
Section III: Detailed particulars of household members

25. Disability status

Is there a member of a household who is physically or mentally disabled? If yes, state the type.
____
Questionnaire instructions view entire document:  text  image
Column 25: Is there a member of the household who is physically or mentally disabled?
A person is said to be disabled if, due to physical or mental injuries, he/she cannot fully perform activities that other healthy persons can do. Therefore, each regular member of a household will be asked about disability status in question 25.

Since some people are not happy to be asked whether there is a household member who is physically or mentally disabled, care should be taken when asking this question. Instead of directly asking, "are you disabled?" ask them, "do you have disability?" Then it should be born in mind that it is possible to know if they have disability or not by trying to make them understand and asking them indirectly by asking "do you have a seeing problem with your eyes? A problem with your ears, hands, legs, etc.?"

Some members may have more than one disability. Depending on the situation, by asking each regular member of the household about their disability status, identify the appropriate code for the type of disability mentioned by the member from the list of codes 00-10 given below and then, if possible, write the type of disability.

00 = Not disabled
01 = Totally blind (blind in both eye; total blindness)
02 = Partially blind (partly seeing with both eyes; totally blind in one eye; partially blind)
03 = Hearing problem (completely deaf, can partially hear with both ears, can hear only loud sounds, has one healthy ear and some problem with the other)
04 = Hearing and speaking problems, deaf and dumb (totally unable to hear and speak, partially unable to hear and speak, deaf and has speech problems, partially hearing and has speech problem)
05 = Leg problem (one leg or two legs amputated, paralyzed, one leg has problem, any other type of leg problem)
06 = Hand/arm problem (one hand or two hands amputated, paralyzed, finger cut or any other type of hand/arm problem)
07 = Hanson diseases (Leprosy)
08 = Mental problem (epilepsy, madness, self isolation, mental disturbance, nudity, unconsciousness, neglecting of self security, mental retardation)
09 = Other disability
10 = Multiple disabilities
Note: As much as possible, "other disability" (code 09) should be recorded for household members who mention a disability type different from those mentioned above in codes 01 - 08. In addition, if a household member has multiple disabilities and if one is the most severe then record the code for most severe type of disability. Otherwise, if it is not possible to differentiate, record code 10.

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Ethiopia 2007 — source variable ET2007A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image
Section 3: Details of persons in the household

Disability status

11. If yes, what is [the respondent]'s type of difficulty or problem?

[] 1 Blind
[] 2 Seeing difficulty
[] 3 Deaf
[] 4 Hearing difficulty
[] 5 Unable to speak
[] 6 Speaking difficulty
[] 7 Dear and unable to speak
[] 8 No functional upper limbs
[] 9 No functional lower limbs
[] 10 Body movement problem
[] 11 Learning difficulties
[] 12 Mental problem (go to 13)
[] 13 Other
Questionnaire instructions view entire document:  text  image
Question 11:- Type of Disability or Problem?

For each household members that are identified as disabled or having mental problem under question 10, type of disability or problem should be identified and the correct code should be marked for this question. Enumerators should mark a correct response for those identified as disabled or having mental problem by associating the type of disability mentioned by respondents with the explanations given below.

List of the Type of Disability or Problem is provided below

1 = Blind:- Code 1 will be marked for those household members who mentioned that both of their eyes are blind due to accident occurred during or after birth.

2 = Have Seeing Difficulties
This refers to persons whose both eyes partly see because of the defects occurred to them during or after birth. Persons who have seeing difficulties are those who cannot count fingers with both of their eyes at a distance of two meters or those who cannot identify the feature of a person standing four meters away from them.
Note: Members who became one eye blind due to defects occurred to them and have similar problems mentioned above with the remaining eye are regarded as persons having seeing difficulties. Therefore, code 2 should be marked for disabled persons whose both eyes partly see.
3 = Deaf and those who can speak
For persons who were exposed to the problem of not hearing with both ears due to the defects occurred to them during or after birth meaning those who cannot even hear loud noise but can speak shade/mark code 3.

4 = Who have Hearing Difficulties
Code 4 will be shaded for persons who are not totally hearing with one ear and partly hear with other ear or those who hear partly with both ears due to defects that had occurred to them during or after birth Partly hearing means hearing only loud noise or not clearly hear.

5 = Dumb and those who can hear
Code 5 should be shaded for persons who became dumb/ totally unable to speak/ due to defects occurred to them during or after birth but who can hear.

6 = Have speaking Problem
Code 6 should be shaded for persons who does not speak like what normal person does or those who couldn't be clearly heard when they are speaking due to defects that had occurred to them during or after birth.

7 = Deaf and Unable to Speak
Code 7 should be shaded for persons who became deaf and dumb due to defects that had occurred to them during or after birth.

8 = Non Functioning Upper Limbs/Gripping; Stretching, .../
This refers to household members whose hands not functioning due to defects that had occurred to them during or after birth. It includes unable to use hands / for example for grasping, for writing/ due to lack of strength or weakness; feebleness, paralysis and others. These problems could be caused by problems of Nervous system, malformation of bone muscle, extremely shortened or elongated of hands. Therefore, based this explation code 8 will be shaded for those who mentioned problems related to hands or mainly related to hands.

9 = Non functioning Lower Limbs/Standing; Walking . .../
This refers to household members who cannot use their legs for various functions due to defects that had occurred to them during or after birth. It includes unable to use legs due to lack of strength or weakness; feebleness, paralysis and others. These problems could be caused by problems of nervous system, malformation of bone muscle, extremely shortened or elongated of legs. Therefore, based on this explanation code 9 will be shaded for those who mentioned problems related to legs or mainly related to legs.

10 = Body Movement Difficulties
This includes household members who due to defects that occurred to them during or after birth lost body balance for sitting, stagger, severe jerking unable to stand or move from place to place, unable to coordinate body movement /for instance eye and hand, turning neck/, unable to use body due to lack of strength,. It includes unable to use legs due to lack of strength or weakness; feebleness, paralysis and others. These problems may be caused by problems of nervous system, malformation of bone muscle, lack or extremely shortened or elongated of legs. Therefore, except problems of upper and lower limbs that are mentioned above code 10 will be shaded for those who mentioned body movement difficulties.

11= Mental Retardation
This refers to persons whose level of cognition, understanding of their surrounding social relationships and intelligence are extremely low compared to what is expected of their age. Among such people there are differences due to variations in the type and extent of injuries. Mentally retarded persons can be classified into three categories depending on their leaning capacities.
Learning Capacities
Children under this category though they have mental retardation, they can read, write and do mathematics and other subjects/ until limited grade level/. Studies show that they can attend formal education up to junior secondary level. Usually most of them cannot go beyond primary school level. Except their retardation in academic learning there are not significantly different from others.

Training Capacities
Though children under this category generally have mental retardation problem, they may have the capacity of training different skills of assisting themselves and developing social relationships. For this they need continuous training. However, it is not appropriate to force them to learn reading and writing skills as they lack the capacity.

Unable to train
This includes persons who can't help themselves and who always seek continuous and full assistances of others. They need the assistances of others in day to day routine activities such as feeding, wearing clothes and others. Besides thinking problem, some may have problems of usage of words, movement, social and emotional. Because of this, it is difficult for them to train on practical activities. After relating the situation of members' mental problem with the explanations given for mental retardation enumerators should shade code 11 if the case is verified to be mental retardation.
12 = Mental Disturbance
These are members who have no disability but have different cases related to mental problems. Thus, in question 12 enumerators should immediately shade code 12 for members identified to have mental disturbance in question 11. Enumerators should be cautious that members with mental retardation and epilepsy problems will not be considered as having mental disturbance.

13 = Others
Code 13 should be shaded for members who found to have other type of disability different from those mentioned above.
Note: When you encounter members who mention more than one disability probe the respondent to identify one which is the most severe and then shade the appropriate code.

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France 1962 — source variable FR1962A_DISAB — Nature of disability
Questionnaire form view entire document:  text  image

For all persons, regardless of age:

18a. If you have an impairment or permanent physical disability, please state it here:

____


Examples: blind, almost blind, deaf-mute; characterized deafness [surdite caracteriseee]. For Amputation, maiming [mutilation], paralysis: please specify. For other impairment: please specify.

18b. Is it the result of:

[] 1 A war injury
[] 2 A work accident
[] 3 Other accident
[] 4 Illness or other reason


18c. If necessary, indicate the corresponding percentage of disability: ____ %

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Guatemala 1994 — source variable GT1994A_DISAB — Disability
Questionnaire form view entire document:  text  image
VII. People in the census household

7. Disability

Are you invalid or have an impediment in:

[] 1 One or both arms?
[] 2 One or both legs?
[] 3 The whole body?
Are you:
[] 4 Blind
[] 5 Deaf
[] 6 Deaf mute
[] 7 Mentally handicapped
[] 8 Without impediment
Questionnaire instructions view entire document:  text  image
3.3.4 Section VII: Persons in the census household

The first seven questions sets in this section refer to family relationship, age, sex, current marital status, ethnic group, death of mother and disability.

Questions 8-12 refer to the person's migration and ethnic characteristics. Only questions 11 and 12 are for persons aged three and older.

Questions 13-15 refer to literacy, level of education and attendance at school and are intended for persons aged seven and older.

The four following questions (16-19) refer to the person's type of economic activity, principal employment, branch of activity, and occupational category. They are also intended for persons aged seven and older.

The last five questions (20-24) cover fertility, and are intended only for females aged 12 and older.

The housing form has enough space to record a maximum of ten person, and so the section is repeated an equal number of times. The information about each person who spends the night in the homeless shelter should be written in the same order as they were listed in section V, "list of persons."

If the homeless shelter has more than ten persons, use an additional form.

Section VII is designed to allow you to record the complete information about one person. Write the person's order number in the grid space according to the list in section V. Spell out completely the first names and complete surnames of each person.

7. Disability
Take note of the following definitions before you begin asking the questions in this question set.

A disability is the difficulty some people have in hearing, seeing, speaking, learning, and moving as others do. It may be from birth, illness, or any type of accident.

[A graphic of box 7 "disability," is reproduced on the left-hand side of the page.]

- Physical disability: this is the inability to move one or more parts of the body: legs, arms, trunk or head. Some people may not be able to sit down, stand up or walk.

- Sensory disability: this is the total or partial inability to see, hear, or speak. The most important categories are blind, deaf, and deaf-mute.

[p. 50]

- Mental disability: this is a person, either a child or an adult, who has difficulty learning or understanding and is less developed than he/she should be with respect to his/her age. These are people who appear not to have grown up completely. They have little heads, eyes which are far apart and small or almond-shaped, and a snub nose. They may have a small mouth and a large tongue, for which reason they keep their mouth open and the tongue hangs out, and the back of the head is flatter than normal.

Ask the respondent, "Is this person disabled" or "is this person blind, deaf, or mute, or does he/she have a mental disability?"

Note that there are more likely to be persons with disabilities among this population. Make sure you enumerate them!


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Guinea 1996 — source variable GN1996A_DISAB — Disability
Questionnaire form view entire document:  text  image

Resident Population (Present and Absent)
[Questions P09 to P12 were asked of the resident population.]


P10 Type of major disability or handicap
[This code is a concatenated code with 2nd adding]

[] 1 Blind
[] 2 Deaf
[] 4 Mute
[] 8 Disability in lower limbs
[] 16 Disability in upper limbs
[] 32 Multiple disability
[] 64 Other
[] No disability or handicap

Questionnaire instructions view entire document:  text  image

Column P10: Type of major disability
One of the goals of the census is to produce statistics related to handicapped people which will serve as the government's basis in developing the nation's social policies. The central variable in determining if a person is handicapped is "Type of major disability." According to the International Classification on Impairments, Disabilities and Handicaps (Classification International des Déficiences, Incapacités et Handicaps (CIDIH)) of the World Health Organization, "a handicap is the disadvantage for an individual resulting from an impairment or disability which limits that individual in fulfilling/exercising what would be considered a normal role for him/her, taking into account age, sex and socio-cultural factors.

An impairment is any loss or abnormality of a structure or a psychological, physiological or anatomical function. A disability is all loss or absence, due to an impairment, of the ability to perform an activity in the manner or within the range considered normal for a human being."

[p. 41]

Defined in this way, the scope of handicaps is broad, and it is for this reason that for the purposes of the census the National Census Bureau has limited it to a certain number of broad categories of the following visible disabilities: complete blindness, complete deafness, being maimed, impairment of upper limbs, impairment of lower limbs, mental impairment. For all of the handicaps not mentioned above, the National Census Bureau provides for grouping them into a single group called "Other Disabilities." Thus it is possible to distinguish between people who are "handicapped" and those who are not in a given population.

If one counts carefully, the variable "Type of major disability," has 8 modalities/possibilities. An individual can be at the same time deaf, mute and blind, for example, and display several disabilities. Thus for each possible response there is a small box [in] which you should mark an "x" if the person displays the corresponding handicap. Otherwise, do not write anything in the box. The 8 modalities/possibilities are as follows:

1) Av: Blind (completely blind)
2) So: Deaf (completely deaf)
3) Mu: Mute (completely mute)
4) IMI: Impairment in one or both upper limbs
5) IMS: Impairment in one or both lower limbs
6) DM: Mental impairment
7) Aut: Other handicap
8) SH: No handicap

Example 1:
Case of a blind person
Av X
So
IMS
IMI
MU
DM
AUT
SH
/ / /

Example 2:
Case of a person with one eye and one arm
Av
So
IMS X
IMI
MU
DM
AUT X
SH
/ / /

Example 3:
Case of a normal person
Av
So
IMS
IMI
MU
DM
AUT
SH X
/ / /

When the person being enumerated is in front of you, it is possible to see if he/she is blind, deaf, mute, disabled or not during the interview. As a result your approach and the type of questions you should ask are largely determined by the circumstances of the interview.

A very easy question, one which is perhaps a little too lengthy and might often give rise to smiles, is to ask a series of 7 questions to verify if the person being enumerated is affected or not in each of the 7 categories of handicap mentioned in the questionnaire. If all of the responses are negative, all of the corresponding boxes should remain empty, and the person is normal, so put an "x" in the box corresponding to "no handicap" (SH).

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Guinea 2014 — source variable GN2014A_DISAB — Major disability
Questionnaire form view entire document:  text  image
III. Individual characteristics

[Questions 9-12 were asked of present or absent residents]

P12. Major disability

Does [the respondent] have a major disability?

If yes, which? Enter the appropriate code; if no, enter 0.

[] 0 No major disability
[] 1 Invalid in lower body parts
[] 2 Invalid in upper body parts
[] 3 Blind
[] 4 Mute
[] 5 Deaf
[] 6 Deaf-mute
[] 7 Mentally disabled
[] 8 Deformed
[] 9 Albino

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Haiti 2003 — source variable HT2003A_LOWLIMB — Disability, lower limbs
Questionnaire form view entire document:  text  image

10. Does this person have a disability? (Check off as many boxes as apply)
[] 01 No disability
[] 02 Blind
[] 03 Deaf
[] 04 Mute
[] 05 Upper limbs
[] 06 Lower limbs
[] 07 Mentally retarded
[] 08 Mental illness [problème mental]
[] 09 Other


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Iran 2006 — source variable IR2006A_DISAB1 — Disability status (first)
Questionnaire form view entire document:  text  image

40. Physical disability
[For all members of the household]
Does any member of the household have at least one of the following?
[Question 40 provides three columns to insert up to three disabilities for each household member]

[] 0 None
[] 1 Blindness
[] 2 Deafness
[] 3 Speech and voice disorder
[] 4 Hand amputation
[] 5 Hand impairment
[] 6 Leg amputation
[] 7 Leg impairment
[] 8 Torso impairment
[] 9 Mental disorder

Questionnaire instructions view entire document:  text  image

29. Disability status, Columns 40/1 to 40/3
In this column, some specific types of disability should be recorded. These kinds of disabilities might be a result of disease, war, accident or congenital. Read the cases for the respondent in the order written in the questionnaire and ask them whether there is a person in the household who is facing at least one of these disabilities.
If none of the members of the household have any disability conditions, mark the box 2 ("No") and leave all the columns corresponding to this question blank. But if some of the members have at least one of the listed disabilities, mark box 1 ("Yes") and ask the respondent to specify the disabled person and the type of their disability. After identifying the disabled persons, write the corresponding code or codes to the type of disability in columns 40/1 to 40/3 and for other members of the household who do not have any of the disabilities listed, mark the column 40/1 with "--" and leave Columns 40/2 and 40/3 blank.
In case the disabilities listed in this column are not apparent enough for the respondent and s/he has difficulties identifying them, help them as follows:
[] 1, Blind: is referring to someone who has lost the sight of both eyes and cannot see, even with the help of a tool like glasses, or their ability to see is only enough for them to identify light around them but cannot recognize any movement farther than one meter (3 feet). Assign code 1 to a blind person, based on the above explanation.
[] 2, Deaf: a deaf person is someone who is not able to hear anything even with the help of a device like a hearing aid. In fact, a deaf person has no reactions even to a very loud sound like a shout. Assign code 2 to a deaf person.
[] 3, Speech and voice disorder: a speech and voice disorder means any kind of weakness in speaking or making sounds by throat in a normal and natural way. Some examples of speech and voice disorders are as follow:
- Those who are unable to speak (mute).
- Those who speak with involuntary pauses or repetitions (speech impediment).
- Those who due to a larynx defect, disease or any other reason are not able to make a natural sound from their throat, their voice breaks off or their voice is completely different than that of a normal one, like men whose voices are delicate because of a throat surgery.
- Those whose speaking is not fluent and smooth due to mental problems.

For any members of the household who have a speech and voice disorder, assign code 3.
[] 4, Hand amputation: the loss of thumb or other four fingers together or arm amputation from any point lower than the shoulder in any of the arms is considered as a hand amputation. For any member who has an amputation in a part of their hand/arm, assign code 4.
[] 5, Hand impairment: hand impairment means a shortage of performance or any deformation in the hand, forearm, elbow, arm or shoulder in any of the arms. Examples of hand impairment are as follow:
- Hand paralysis
- Loss of the pointing finger (note that the loss of other fingers besides the pointing finger and thumb is not considered as a hand impairment.)
- Any type of deformation of the arm like thinness or shortness compared to the normal condition, etc.
- Any kind of deficiency in performance in holding objects.

For any member who has an impairment in the arm, assign code 5.
- Note that since mentioning only "hand impairment" is not sufficient for the respondent to distinguish it from hand amputation, it is necessary to explain the examples for him.

[] 6, Leg amputation: leg amputation means the loss of toes, ankle, knee or thigh in any of the legs. In other words, any kind of loss lower than the pelvis in any of the legs is leg amputation. For any member who has a leg amputation, write code 6.
[] 7, Leg impairment: leg impairment means a shortage of performance or deformation of the toes, ankle, knee, thigh or pelvis in any of the legs. Examples of leg impairment are as follows:
- Leg paralysis
- Any unusual shape of the leg like shortness compared to the other leg, abnormal thinness, etc.
- Any type of deficiency in performance of the leg such as imbalance in walking (staggering), etc.

For any member who has a leg impairment, assign code 7. Since the phrase "leg impairment" is not sufficient for the respondent to distinguish it from leg amputation, it is necessary to explain some examples to them.
[] 8, Torso impairment: torso means the part of the body including the neck, back and chest and torso impairment means any deformation or deficiency in performance of the skeletal and muscular structure of the torso. Examples are as follows:
- Torso paralysis, meaning that the person is not able to change the position of the torso (for instance from resting to sitting, from sitting to standing) due to a general torso paralysis.
- Any deformation or deficiency in performance of the spinal column, like deflection of the spinal column to the sides or to the front (crooked back).
- Torso prolapsed, meaning that the person is not able to hold the body straight.

In case of disabilities related to the impairment of the hand, leg and torso, note the following:
- Those having myeloid impairment, based on the aspects of their impairment, are facing one or more of the hand, leg or torso impairments.
- Those having myeloid impairment in the bottom of the torso are mostly facing leg paralysis and those having myeloid impairment in their chest and neck are usually facing hand, leg and torso impairment.
- For any member having torso impairment, consider code 8.

[] 9, Mental disorder: a person has a mental disorder if their IQ is less than normal so that they have retardation. These people are weaker than others of the same age in learning and are dependent and in need of others for their daily personal matters. If a member of the household has a mental disorder based on the answer of the respondent, consider code 9 for them.
- Note that those studying in Special Children Schools (mentally retarded) and those who are under particular care in special organizations for mentally retarded people should be considered as having mental disorders.

To fill these columns, pay attention to the following:
Any person having a disability can have one or more types of disabilities. Therefore, Columns 40/1 to 40/3 are designed to record a maximum of three disabilities.
- If someone has only one kind of disability, write the code in column 40/1 and mark other columns with "--". For instance, for someone whose leg is amputated from their knee, write code "6" in column 40/1 and mark columns 40/2 and 40/3 with "--".
- If someone has two kinds of disabilities, write the codes in columns 40/1 and 40/2 and mark column 40/3 with "--". For example, for a deaf person who also has a speech disorder, write down code 2 in Column 40/1, code 3 in Column 40/2 and mark column 40/3 with "--".
- If a person has 3 types of the listed disabilities, write the codes in Columns 40/1 to 40/3. For instance, for someone who is completely paralyzed and is unable to move the arm, leg and torso, write codes 5, 7, and 8 in Columns 40/1 , 40/2, and 40/3. For someone who is blind, deaf and mute, put down codes 1, 2, and 3 in the mentioned columns.
- If a person's disabilities are more than 3 of the listed, identify the three of them that limit the person's life the most and write the corresponding codes in these columns.


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Iran 2006 — source variable IR2006A_DISAB2 — Disability status (second)
Questionnaire form view entire document:  text  image

40. Physical disability
[For all members of the household]
Does any member of the household have at least one of the following?
[Question 40 provides three columns to insert up to three disabilities for each household member]

[] 0 None
[] 1 Blindness
[] 2 Deafness
[] 3 Speech and voice disorder
[] 4 Hand amputation
[] 5 Hand impairment
[] 6 Leg amputation
[] 7 Leg impairment
[] 8 Torso impairment
[] 9 Mental disorder

Questionnaire instructions view entire document:  text  image

29. Disability status, Columns 40/1 to 40/3
In this column, some specific types of disability should be recorded. These kinds of disabilities might be a result of disease, war, accident or congenital. Read the cases for the respondent in the order written in the questionnaire and ask them whether there is a person in the household who is facing at least one of these disabilities.
If none of the members of the household have any disability conditions, mark the box 2 ("No") and leave all the columns corresponding to this question blank. But if some of the members have at least one of the listed disabilities, mark box 1 ("Yes") and ask the respondent to specify the disabled person and the type of their disability. After identifying the disabled persons, write the corresponding code or codes to the type of disability in columns 40/1 to 40/3 and for other members of the household who do not have any of the disabilities listed, mark the column 40/1 with "--" and leave Columns 40/2 and 40/3 blank.
In case the disabilities listed in this column are not apparent enough for the respondent and s/he has difficulties identifying them, help them as follows:
[] 1, Blind: is referring to someone who has lost the sight of both eyes and cannot see, even with the help of a tool like glasses, or their ability to see is only enough for them to identify light around them but cannot recognize any movement farther than one meter (3 feet). Assign code 1 to a blind person, based on the above explanation.
[] 2, Deaf: a deaf person is someone who is not able to hear anything even with the help of a device like a hearing aid. In fact, a deaf person has no reactions even to a very loud sound like a shout. Assign code 2 to a deaf person.
[] 3, Speech and voice disorder: a speech and voice disorder means any kind of weakness in speaking or making sounds by throat in a normal and natural way. Some examples of speech and voice disorders are as follow:
- Those who are unable to speak (mute).
- Those who speak with involuntary pauses or repetitions (speech impediment).
- Those who due to a larynx defect, disease or any other reason are not able to make a natural sound from their throat, their voice breaks off or their voice is completely different than that of a normal one, like men whose voices are delicate because of a throat surgery.
- Those whose speaking is not fluent and smooth due to mental problems.

For any members of the household who have a speech and voice disorder, assign code 3.
[] 4, Hand amputation: the loss of thumb or other four fingers together or arm amputation from any point lower than the shoulder in any of the arms is considered as a hand amputation. For any member who has an amputation in a part of their hand/arm, assign code 4.
[] 5, Hand impairment: hand impairment means a shortage of performance or any deformation in the hand, forearm, elbow, arm or shoulder in any of the arms. Examples of hand impairment are as follow:
- Hand paralysis
- Loss of the pointing finger (note that the loss of other fingers besides the pointing finger and thumb is not considered as a hand impairment.)
- Any type of deformation of the arm like thinness or shortness compared to the normal condition, etc.
- Any kind of deficiency in performance in holding objects.

For any member who has an impairment in the arm, assign code 5.
- Note that since mentioning only "hand impairment" is not sufficient for the respondent to distinguish it from hand amputation, it is necessary to explain the examples for him.

[] 6, Leg amputation: leg amputation means the loss of toes, ankle, knee or thigh in any of the legs. In other words, any kind of loss lower than the pelvis in any of the legs is leg amputation. For any member who has a leg amputation, write code 6.
[] 7, Leg impairment: leg impairment means a shortage of performance or deformation of the toes, ankle, knee, thigh or pelvis in any of the legs. Examples of leg impairment are as follows:
- Leg paralysis
- Any unusual shape of the leg like shortness compared to the other leg, abnormal thinness, etc.
- Any type of deficiency in performance of the leg such as imbalance in walking (staggering), etc.

For any member who has a leg impairment, assign code 7. Since the phrase "leg impairment" is not sufficient for the respondent to distinguish it from leg amputation, it is necessary to explain some examples to them.
[] 8, Torso impairment: torso means the part of the body including the neck, back and chest and torso impairment means any deformation or deficiency in performance of the skeletal and muscular structure of the torso. Examples are as follows:
- Torso paralysis, meaning that the person is not able to change the position of the torso (for instance from resting to sitting, from sitting to standing) due to a general torso paralysis.
- Any deformation or deficiency in performance of the spinal column, like deflection of the spinal column to the sides or to the front (crooked back).
- Torso prolapsed, meaning that the person is not able to hold the body straight.

In case of disabilities related to the impairment of the hand, leg and torso, note the following:
- Those having myeloid impairment, based on the aspects of their impairment, are facing one or more of the hand, leg or torso impairments.
- Those having myeloid impairment in the bottom of the torso are mostly facing leg paralysis and those having myeloid impairment in their chest and neck are usually facing hand, leg and torso impairment.
- For any member having torso impairment, consider code 8.

[] 9, Mental disorder: a person has a mental disorder if their IQ is less than normal so that they have retardation. These people are weaker than others of the same age in learning and are dependent and in need of others for their daily personal matters. If a member of the household has a mental disorder based on the answer of the respondent, consider code 9 for them.
- Note that those studying in Special Children Schools (mentally retarded) and those who are under particular care in special organizations for mentally retarded people should be considered as having mental disorders.

To fill these columns, pay attention to the following:
Any person having a disability can have one or more types of disabilities. Therefore, Columns 40/1 to 40/3 are designed to record a maximum of three disabilities.
- If someone has only one kind of disability, write the code in column 40/1 and mark other columns with "--". For instance, for someone whose leg is amputated from their knee, write code "6" in column 40/1 and mark columns 40/2 and 40/3 with "--".
- If someone has two kinds of disabilities, write the codes in columns 40/1 and 40/2 and mark column 40/3 with "--". For example, for a deaf person who also has a speech disorder, write down code 2 in Column 40/1, code 3 in Column 40/2 and mark column 40/3 with "--".
- If a person has 3 types of the listed disabilities, write the codes in Columns 40/1 to 40/3. For instance, for someone who is completely paralyzed and is unable to move the arm, leg and torso, write codes 5, 7, and 8 in Columns 40/1 , 40/2, and 40/3. For someone who is blind, deaf and mute, put down codes 1, 2, and 3 in the mentioned columns.
- If a person's disabilities are more than 3 of the listed, identify the three of them that limit the person's life the most and write the corresponding codes in these columns.


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Iran 2006 — source variable IR2006A_DISAB3 — Disability status (third)
Questionnaire form view entire document:  text  image

40. Physical disability
[For all members of the household]
Does any member of the household have at least one of the following?
[Question 40 provides three columns to insert up to three disabilities for each household member]

[] 0 None
[] 1 Blindness
[] 2 Deafness
[] 3 Speech and voice disorder
[] 4 Hand amputation
[] 5 Hand impairment
[] 6 Leg amputation
[] 7 Leg impairment
[] 8 Torso impairment
[] 9 Mental disorder

Questionnaire instructions view entire document:  text  image

29. Disability status, Columns 40/1 to 40/3
In this column, some specific types of disability should be recorded. These kinds of disabilities might be a result of disease, war, accident or congenital. Read the cases for the respondent in the order written in the questionnaire and ask them whether there is a person in the household who is facing at least one of these disabilities.
If none of the members of the household have any disability conditions, mark the box 2 ("No") and leave all the columns corresponding to this question blank. But if some of the members have at least one of the listed disabilities, mark box 1 ("Yes") and ask the respondent to specify the disabled person and the type of their disability. After identifying the disabled persons, write the corresponding code or codes to the type of disability in columns 40/1 to 40/3 and for other members of the household who do not have any of the disabilities listed, mark the column 40/1 with "--" and leave Columns 40/2 and 40/3 blank.
In case the disabilities listed in this column are not apparent enough for the respondent and s/he has difficulties identifying them, help them as follows:
[] 1, Blind: is referring to someone who has lost the sight of both eyes and cannot see, even with the help of a tool like glasses, or their ability to see is only enough for them to identify light around them but cannot recognize any movement farther than one meter (3 feet). Assign code 1 to a blind person, based on the above explanation.
[] 2, Deaf: a deaf person is someone who is not able to hear anything even with the help of a device like a hearing aid. In fact, a deaf person has no reactions even to a very loud sound like a shout. Assign code 2 to a deaf person.
[] 3, Speech and voice disorder: a speech and voice disorder means any kind of weakness in speaking or making sounds by throat in a normal and natural way. Some examples of speech and voice disorders are as follow:
- Those who are unable to speak (mute).
- Those who speak with involuntary pauses or repetitions (speech impediment).
- Those who due to a larynx defect, disease or any other reason are not able to make a natural sound from their throat, their voice breaks off or their voice is completely different than that of a normal one, like men whose voices are delicate because of a throat surgery.
- Those whose speaking is not fluent and smooth due to mental problems.

For any members of the household who have a speech and voice disorder, assign code 3.
[] 4, Hand amputation: the loss of thumb or other four fingers together or arm amputation from any point lower than the shoulder in any of the arms is considered as a hand amputation. For any member who has an amputation in a part of their hand/arm, assign code 4.
[] 5, Hand impairment: hand impairment means a shortage of performance or any deformation in the hand, forearm, elbow, arm or shoulder in any of the arms. Examples of hand impairment are as follow:
- Hand paralysis
- Loss of the pointing finger (note that the loss of other fingers besides the pointing finger and thumb is not considered as a hand impairment.)
- Any type of deformation of the arm like thinness or shortness compared to the normal condition, etc.
- Any kind of deficiency in performance in holding objects.

For any member who has an impairment in the arm, assign code 5.
- Note that since mentioning only "hand impairment" is not sufficient for the respondent to distinguish it from hand amputation, it is necessary to explain the examples for him.

[] 6, Leg amputation: leg amputation means the loss of toes, ankle, knee or thigh in any of the legs. In other words, any kind of loss lower than the pelvis in any of the legs is leg amputation. For any member who has a leg amputation, write code 6.
[] 7, Leg impairment: leg impairment means a shortage of performance or deformation of the toes, ankle, knee, thigh or pelvis in any of the legs. Examples of leg impairment are as follows:
- Leg paralysis
- Any unusual shape of the leg like shortness compared to the other leg, abnormal thinness, etc.
- Any type of deficiency in performance of the leg such as imbalance in walking (staggering), etc.

For any member who has a leg impairment, assign code 7. Since the phrase "leg impairment" is not sufficient for the respondent to distinguish it from leg amputation, it is necessary to explain some examples to them.
[] 8, Torso impairment: torso means the part of the body including the neck, back and chest and torso impairment means any deformation or deficiency in performance of the skeletal and muscular structure of the torso. Examples are as follows:
- Torso paralysis, meaning that the person is not able to change the position of the torso (for instance from resting to sitting, from sitting to standing) due to a general torso paralysis.
- Any deformation or deficiency in performance of the spinal column, like deflection of the spinal column to the sides or to the front (crooked back).
- Torso prolapsed, meaning that the person is not able to hold the body straight.

In case of disabilities related to the impairment of the hand, leg and torso, note the following:
- Those having myeloid impairment, based on the aspects of their impairment, are facing one or more of the hand, leg or torso impairments.
- Those having myeloid impairment in the bottom of the torso are mostly facing leg paralysis and those having myeloid impairment in their chest and neck are usually facing hand, leg and torso impairment.
- For any member having torso impairment, consider code 8.

[] 9, Mental disorder: a person has a mental disorder if their IQ is less than normal so that they have retardation. These people are weaker than others of the same age in learning and are dependent and in need of others for their daily personal matters. If a member of the household has a mental disorder based on the answer of the respondent, consider code 9 for them.
- Note that those studying in Special Children Schools (mentally retarded) and those who are under particular care in special organizations for mentally retarded people should be considered as having mental disorders.

To fill these columns, pay attention to the following:
Any person having a disability can have one or more types of disabilities. Therefore, Columns 40/1 to 40/3 are designed to record a maximum of three disabilities.
- If someone has only one kind of disability, write the code in column 40/1 and mark other columns with "--". For instance, for someone whose leg is amputated from their knee, write code "6" in column 40/1 and mark columns 40/2 and 40/3 with "--".
- If someone has two kinds of disabilities, write the codes in columns 40/1 and 40/2 and mark column 40/3 with "--". For example, for a deaf person who also has a speech disorder, write down code 2 in Column 40/1, code 3 in Column 40/2 and mark column 40/3 with "--".
- If a person has 3 types of the listed disabilities, write the codes in Columns 40/1 to 40/3. For instance, for someone who is completely paralyzed and is unable to move the arm, leg and torso, write codes 5, 7, and 8 in Columns 40/1 , 40/2, and 40/3. For someone who is blind, deaf and mute, put down codes 1, 2, and 3 in the mentioned columns.
- If a person's disabilities are more than 3 of the listed, identify the three of them that limit the person's life the most and write the corresponding codes in these columns.


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Iraq 1997 — source variable IQ1997A_HANDICAP — Kind of disability
Questionnaire form view entire document:  text  image

The fields (71, 72) are filled for all handicapped persons without recognition to the sex or age.


71. Type of disability

[] 1 No hearing
[] 2 Dumb
[] 3 No hearing and dumb
[] 4 Lost one eye
[] 5 Lost both eyes
[] 6 Lost one leg
[] 7 Lost both legs
[] 8 Lost one hand
[] 9 Lost both hands
[] 10 Insane
[] 11 Paralysis
[] 12 Others ____

Questionnaire instructions view entire document:  text  image

71. The type of Handicapped:
Indicated by the sign (x) in the square opposite to the type of handicapped the person had. If the person is blind the sign is put in the square opposite to the phrase (lost 2 eyes) if one of his legs is cut the sign is put in the square opposite to the phrase (lost 1 leg), if the person has lost one leg and one eye at the same time the state is recorded in the special space for that and so on.

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Lesotho 2006 — source variable LS2006A_DISAB — Disability
Questionnaire form view entire document:  text  image
Section C. For all persons - Disability

18. Is (the respondent) disabled?

Note: State the main disability

[] 1 Amputation of fingers
[] 2 Amputation of arms
[] 3 Amputation of hands
[] 4 Amputation of toes
[] 5 Amputation of foot/leg
[] 6 Lame/ paralyzed limb
[] 7 Blind (total/ partial)
[] 8 Deaf (total/ partial)
[] 9 Speech problem
[] 10 Mental illness
[] 11 Mental retardation
[] 12 Not disabled [Skip to Question 21.]
[] 13 Other, specify ____
[] 99 Don't know [Skip to Question 21.]
Questionnaire instructions view entire document:  text  image
Part C of the questionnaire for all persons (Disability)

87. Column 18: Is (name) disabled.

Ask for the main disability and code according to the list.

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Liberia 2008 — source variable LR2008A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image
P15-17. Disability

P15. Does [the respondent] have any form of disability?

[] 1 Yes
[] 2 No -- Skip to P18
P16. Type of disability?
____

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Mauritius 1990 — source variable MU1990A_DISAB1 — First reported disability
Questionnaire form view entire document:  text  image
In strict confidence
Ministry of Economic Planning and Development
Central Statistical Office

Population Census
Mauritius

Night of 1-2 July 1990

Notice

1. Persons by whom the return is to be made
In the case of:

(i) households: the Head of the household or person for the time being acting as head;
The head of a household is any adult member, whether male or female, who is acknowledged as head by the other members. A household is either (i) a person living on his own or (ii) a group of two or more persons who may or may not be related, but who live together and make common provision for food and other essentials for living. Two families living in one house constitute one household if they have common housekeeping arrangements, but should be considered as separate households if they have separate housekeeping arrangements and should then be entered on two separate census forms.
(ii) hotels, clubs, boarding houses: the Manager or other person for the time being in charge of the premises;
(iii) hospitals, infirmaries, asylums, prisons or any other residential institution: the Chief Resident Officer or other person for the time being in charge of the institution;
(iv) Naval Forces, Air Forces, the Special Mobile Force or the Police Training School: the Commanding Officer or the officer presently in charge;
(v) ships, barges or other vessels in any port or harbor in Mauritius: the Captain, master or other person for the time being in charge of the vessel;
(vi) persons arriving after midnight on the night 1-2 July 1990 and who have not been enumerated elsewhere: the person specified above by whom the return is to be made with respect to the persons present at midnight on 1 July 1990 in any of the premises mentioned above;
(vii) persons not included in any of the above-mentioned categories: the person in respect of whom the return is to be made.

2. Persons in respect of whom the return is to be made

(i) All persons who spend census night 1-2 July 1990 on the premises whether they are members of the household, visitors, guests, boarders or servants;
(ii) all persons who arrive on the premises and join the household on Monday July 2 1990 without having been enumerated elsewhere; and
(iii) all temporarily absent members of the household, i.e. all persons who usually live in the household, but who are away on census night, for example, on a business trip, on vacation, in hospital or studying abroad; include them even if you know that they are being enumerated elsewhere.

3. Legal provisions

(i) The Census is taken by the Central Statistical Office under the Statistics Act. Every person is required by law to give to the person responsible for making the return such information as may be necessary to enable the return to be made. No use may however be made of such information by the person to whom it is given except for the purpose of making the return.
(ii) Any person who refuses or neglects to fill in the form or to supply the particulars required therein or who knowingly makes in this form any statement which is untrue in any material particular shall commit an offence under the Statistics Act, and shall, on conviction, be liable to imprisonment for a term not exceeding one year and to a fine not exceeding Rs. 1,000.
(iii) All information obtained in the course of the Census is treated as confidential. No information about named individuals is ever passed on by the central Statistical Office to any other Government Department or to any other Authority or person. All enumerators and other officers engaged in the taking of the Census are under oath and are liable to prosecution if they improperly disclose any information which has come to their knowledge while performing their duties.

4. Completion of the form

The form should be completely filled in by the person designated in section 1 above. If any difficulty is experienced, particularly with columns 24 to 37, guidance should be sought from the Enumerator when he calls to collect the form. If the answers are incomplete or inaccurate, the enumerator will ask any questions necessary to enable him to complete or correct the form.
The information should be entered in the space provided using ink or a ball-point pen. Nothing should be written in the boxes which are reserved for codes.

5. Collection of the form

The form will be collected on 2 or 3 July 1990 by the appointed enumerator.
Before completing the census form, please consult the guide which is in both English and French.

Declaration
I declare that the information in this return is true to the best of my knowledge and belief.

Signature or mark of the person making the return: ____
Signature of authorized officer: ____

Please do not write anything in the boxes
Complete a line for every person present on Census night (1-2 July 1990) and also for every person who usually lives in the household but was absent on Census night.
See instructions in section 2 on front page.

11 Disability ____

Does the person have any long-term disabilities or handicaps which limit his/her participation in individual and/or social activities which are considered normal for a person of his/her age?
Write 'yes' or 'no'.
If 'yes', insert as many disabilities as applicable as follows:
[] LF - Incomplete use of legs/feet
[] AF - Incomplete use of arms/fingers
[] EYE - Partial or total loss of sight even with glasses
[] EAR - Partial or total loss of hearing
[] SPCH - Partial or total loss of speech
[] SLOW - Slow development/learning difficulties
[] BEH - Behaviour problems/mental disability
[] CFB - Loss of consciousness, fits, blackouts
[] OTHER - Other disabilities (specify)
Questionnaire instructions view entire document:  text  image
7. Instructions on how to fill in the census form
The Census form has to be filled in completely by the head of the household.
A household is either one person living alone, or a group of persons, who may or may not be related, but who live together and make common provision for food and other essentials for living. The head of household is any adult member, whether male or female, who is acknowledged as head by the other members.

The census form can contain information for up to 10 persons. If there are more than ten persons, continue on a new form which can be obtained from the Census enumerator. Please note that nothing should be written in the shaded boxes [][]: they are reserved for inserting codes.

[Next page]

After completing the form, have it ready so that the enumerator can collect it on Monday 2 July 1990 or soon after. If you are not sure how to complete any of the entries, please ask the enumerator to help you when he or she calls. He or she will also check your answers and ask any questions necessary to complete the form and correct inaccurate entries.

Column 11
Disability
Write 'yes' if the person has any long-term disability or handicap which limit his/her participation in individual and/or social activities which are considered normal for a person of his/her age, Also describe the disabilities using the abbreviations given in column 11 of the Census form.
A long-term disability or handicap is one that has lasted or is expected to last for six months or more.

If the person has no long-term disability or handicap, write 'no'.


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Mozambique 2007 — source variable MZ2007A_LEGS — Amputated or atrophied legs
Questionnaire form view entire document:  text  image
Section D: Questions about the Population
Enumerator: Ask questions to all of the people listed in Section C.

[Question 6 through 36 were asked to the residents]

9. Does [the person] have any disability?

[] 1 No- Go to question 11
Yes:
[] 2 Blind
[] 3 Deaf
[] 4 Amputated/ Atrophied arms(s)
[] 5 Amputated/ Atrophied legs(s)
[] 6 Paralysis
[] 7 Mental
[] 8 Other
Questionnaire instructions view entire document:  text  image
P9. Does (the person) have any disability?

This is a very delicate question. Some people do not like to talk about their or their relatives' disabilities, especially if it concerns the minors. For that reason you should try and be gentle when asking that question.

Consider as a disability any of the following: blindness, deafness, amputated/atrophied arm(s) or leg(s), paralysis, mental and others.

If the respondent does not have any disability, write an X in box number 1 and go to P11. If they have any physical disability, write an X in the box that corresponds to the kind of disability.

This question admits more than one response. This means that if the respondent has an amputated arm and is blind, you should mark an X in the boxes that correspond to numbers 2 and 5.


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Mozambique 2007 — source variable MZ2007A_PARALYSIS — Paralysis
Questionnaire form view entire document:  text  image
Section D: Questions about the Population
Enumerator: Ask questions to all of the people listed in Section C.

[Question 6 through 36 were asked to the residents]

9. Does [the person] have any disability?

[] 1 No- Go to question 11
Yes:
[] 2 Blind
[] 3 Deaf
[] 4 Amputated/ Atrophied arms(s)
[] 5 Amputated/ Atrophied legs(s)
[] 6 Paralysis
[] 7 Mental
[] 8 Other
Questionnaire instructions view entire document:  text  image
P9. Does (the person) have any disability?

This is a very delicate question. Some people do not like to talk about their or their relatives' disabilities, especially if it concerns the minors. For that reason you should try and be gentle when asking that question.

Consider as a disability any of the following: blindness, deafness, amputated/atrophied arm(s) or leg(s), paralysis, mental and others.

If the respondent does not have any disability, write an X in box number 1 and go to P11. If they have any physical disability, write an X in the box that corresponds to the kind of disability.

This question admits more than one response. This means that if the respondent has an amputated arm and is blind, you should mark an X in the boxes that correspond to numbers 2 and 5.


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Paraguay 2002 — source variable PY2002A_DISAB — Disability
Questionnaire form view entire document:  text  image
Chapter I. Disability information

36. Is there any person in this household who has a permanent physical or mental disability? ... Such as for example:

[] 1 Yes - Write on one line the name, surname, age, and disability (or disabilities) of the person, followed by the cause(s).
[] 6 No - Go on to Chapter J

Write down the impediment

List of possible impediments:

[] 1 Paralysis or diminished strength (kangy) of legs or arms
[] 2 Missing a part of the body
[] 3 Deaf (hears nothing)
[] 4 Does not hear well, needs or uses a hearing aid
[] 5 Mute (doesn't speak)
[] 6 Speaks with great difficulty
[] 7 Blind in both eyes (sees nothing)
[] 8 Blind in one eye
[] 9 Sees poorly, even with glasses
[] 10 Down syndrome (mongoloid)
[] 11 Mental retardation
[] 12 Crazy (dementia)
Questionnaire instructions view entire document:  text  image
I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.


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Paraguay 2002 — source variable PY2002A_DISAB2 — Second disability
Questionnaire form view entire document:  text  image
Chapter I. Disability information

36. Is there any person in this household who has a permanent physical or mental disability? ... Such as for example:

[] 1 Yes - Write on one line the name, surname, age, and disability (or disabilities) of the person, followed by the cause(s).
[] 6 No - Go on to Chapter J

Write down the impediment

List of possible impediments:

[] 1 Paralysis or diminished strength (kangy) of legs or arms
[] 2 Missing a part of the body
[] 3 Deaf (hears nothing)
[] 4 Does not hear well, needs or uses a hearing aid
[] 5 Mute (doesn't speak)
[] 6 Speaks with great difficulty
[] 7 Blind in both eyes (sees nothing)
[] 8 Blind in one eye
[] 9 Sees poorly, even with glasses
[] 10 Down syndrome (mongoloid)
[] 11 Mental retardation
[] 12 Crazy (dementia)
Questionnaire instructions view entire document:  text  image
I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.


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Paraguay 2002 — source variable PY2002A_DISAB3 — Third disability
Questionnaire form view entire document:  text  image
Population Information

Chapter E. For all persons.

Enumerator: Keep in mind the following instructions for questions 7, 8 and 9:

a. Mark "in this place" if referring to the same district in which the person is being enumerated;

b. Mark "in another place" if referring to another district, and specify the name of the district, whether it is a city/town or company [compañía]/colony [colonia]/indigenous community, and the name of the department.

c. If you marked "in another country," write the name of the country.

For office use only:

_ _ _ Disability
_ _ _ Disability
_ _ _ Disability

_ _ Ethnicity
Questionnaire instructions view entire document:  text  image
I. Information about disabilities

Do not forget to ask this question.

Question 36: Is there a person in this household who has a permanent physical of mental disability?

Exclude the incapacities due to temporary problems, such as broken bones or illnesses.


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Peru 1993 — source variable PE1993A_DISLOWER — Lower extremity loss or paralysis
Questionnaire form view entire document:  text  image

5. Do you have any of the following disabilities?
Circle one or more numbers, as appropriate:

[] 1 Total blindness
[] 2 Total deafness
[] 3 Muteness
[] 4 Mental retardation
[] 5 Mental illness
[] 6 Polio
[] 7 Loss or paralysis of upper extremity
[] 8 Loss or paralysis of lower extremity
[] 9 Other (specify) ____
[] 0 No disability

Questionnaire instructions view entire document:  text  image

For All People
[Applies to questions 1 - 6]


Question No. 5: Do you have any of the following disabilities:
Read the question and each one of the options. Then, circle one or more numbers, based on the informant's answers.
[There is a picture of question 5 in this section of the Enumeration Form.]
If the informant reports having a physical handicap that is not included in any of the alternatives, you should circle number 9 (Other) and write it on the corresponding line.
If the informant reports not having any handicap, circle number 0.


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Philippines 1995 — source variable PH1995A_DISABTYP — Type of disability
Questionnaire form view entire document:  text  image

All Persons
[Applies to questions P1-P10]


P8. Does [respondent] have any problem with his/her eyes, ears, speech, communication, legs, arms or any combination of these impairments?
Encircle code.

[] 1. Yes
[] 2. No. Skip to P10.


P9. What type of disability does [respondent] have?

[] 01. Cannot see with both eyes (TOT-BLIND)
[] 02. Absence of one eye with low vision on the other eye (PART-BLIND)
[] 03. Can see form or movement but not details of objects (color, surface, lines) (LOW VISION)
[] 04. Cannot hear with both ears (TOT-DEAF)
[] 05. Cannot hear with one ear but with moderate hearing loss on the other ear (PART-DEAF 1)
[] 06. Can hear speech but cannot discriminate the words (PART-DEAF 2)
[] 07. Cannot say words (MUTE)
[] 08. Can say words but stammers (includes cleft-palate and hare-lip with speech defect) (SPEECH DEFECT)
[] 09. Loss of one or both arms/hands (NO ARM)
[] 10. Loss of one or both legs/feet (NO LEG)
[] 11. Paralysis of one or both upper extremities (PARA-ARMS)
[] 12. Paralysis of one or both lower extremities (PARA-LEGS)
[] 13. Paralysis of one arm and one leg (PARA-COM)
[] 14. Paralysis of all four limbs (QUADRIP)
[] 15. Can learn simple communication, elementary health and safety habit and simple manual skills, but does not progress in functional reading or arithmetic (REGARDED)
[] 16. Mentally ill (INSANE)
[] 17. Others, specify (includes multiple disabilities and other combination of arm-leg impairment/paralysis) (OTHER)

Questionnaire instructions view entire document:  text  image

Disability (P8 and P9)

To identify household members who may have disabilities, a "screening" question is asked in column P8. For each household member, ask the respondent "Does _________ have any impairment of his/her eyes, ear, speech, communication, legs, arms, or any combination of these?" If the answer is YES, encircle " 1 " in P8 and ask the question in column P9: "What type of disability does ________ have?". If the answer in P8 is NO, encircle "2" and place a dash (--) in P9.

For the POPCEN, the specific types of disabilities and their respective codes are found in the Codes Sheet. Be sure to use this list as your guide in probing for information and for coding the responses in column P9. Descriptions of the disabilities are given below. Use the key words (in bold type capital letters after each type of disability) as the write-in entries.

01 - Cannot see with both eyes. [Refers to a person with total lack of vision of both eyes (totally blind)]. TOT-BLIND

02 - Absence of one eye with low vision in the other eye. [Refer to a person with no vision in one eye whether with or without an eyeball but low vision in the other eye (partially blind).] PART-BLIND

03 - Can see form or movement but not details of objects (color, surface, lines). LOW VISION

04 - Cannot hear with both ears. [Refers to a person with total deafness.]
TOT-DEAF

[p. 93 ]

05 - Cannot hear with one ear but with moderate hearing loss on the other ear. [Refers to a person with one ear totally deaf while the other ear can still react or recognize sounds (partially deaf).] PART-DEAF1

06 - Can hear speech but cannot discriminate the words. [Refers to a person whose both ears can recognize sounds but cannot determine the words (partially deaf).] PART-DEAF2

07 - Cannot say words. [Refers to a person who cannot talk (e.g. mute -- this is because of lack of training on speech development or caused by accident or sickness that damage the vocal cord or tongue.] MUTE

08 - Can say words but stammers (includes cleft-palate and hare-lip with speech defect). SPEECH DEFECT

09 - Loss of one or both arms/hands. [Refers to a person without one or both arms/hands either acquired from birth or amputated as a result of accident or sickness] NO ARM

10 - Loss of one or both legs/feet. [Refers to a person with one or both legs or feet missing, either congenital or amputated as a result of accident or sickness.]
NO LEG

11 - Paralysis of one or both upper extremities. [Refers to a person who cannot use his/her arms and hands either one or both (e.g. stroke victim) and the paralysis is permanent).] PARA-ARMS

12 - Paralysis of one or both lower extremities. [Refers to a person who cannot move either one or both feet and the paralysis is permanent.] PARA-LEGS

13 - Paralysis of one arm and one leg. PARA-COM

14 - Paralysis of all four limbs. [Refers to a person who is a quadriplegic.]
QUADRIP

15 - Can learn simple communication, elementary health and safety habit and simple manual skills, but does not progress in functional reading or arithmetic. [Refers to people with severe mental retardation.] RETARDED

[p. 94]

16 - Mentally insane. [Refers to a person who is suffering from nervous breakdown/mental illness or one who is insane.] INSANE

17 - Others, specify. [Refers to disabilities other than the above, including multiple disabilities and other combination of other arm-leg impairment/paralysis.]
OTHER


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Philippines 2000 — source variable PH2000A_DISABTYP — Type of disability
Questionnaire form view entire document:  text  image

P13. Does [respondent] have any physical or mental disability? (If no skip to P15)

[] Yes
[] No


P14. What type of disability does [respondent] have?
(Please see code book)
_ _

Questionnaire instructions view entire document:  text  image

P13 and P14 Disability

Disability refers to any restriction or lack of ability (resulting from an impairment) to perform an activity in the manner or within the range considered normal for a human being. Impairments associated with disabilities may be physical, mental, or sensory motor impairment such as partial or total blindness and deafness, muteness, speech defect, orthopedic handicaps, and mental retardation. Data on disability will enable planners to prepare plans for rehabilitation, education development and preventive programs.

To identify household members who may have disabilities. A "screening" question is asked in column P13. For each household member, ask the respondent "Does _____ have any physical or mental disability?" If the answer is Yes, draw an "x" mark on the circle before YES in

P13 and ask the question in P14: "What type of disability does ____have?" If the answer in P13 is NO, draw an "x" mark on the circle before NO in P13 and skip to P15.

The specific types of disabilities and their respective codes are listed in the Code Book. Be sure to use this Code Book as your guide in probing for information and for coding the responses in column P14. If the answer of the respondent is other than the types of disability listed, write in the space provided the answer of the respondent. The descriptions of the disabilities are given below:

Code 01
No useful sight in any of the two eyes. (Cannot distinguish objects in front of him). Persons may have some light perception (e.g., can realize that it is midday or midnight), but do not have usable sight. They need Braille materials for reading.
Short name: Tot-Blind

Code 02
With better eyesight than totally blind: can distinguish objects in front of him. However, even with eyeglasses cannot distinguish large letters. Practically, this person can walk without hitting his head against the wall, but cannot read anything. Included here as persons with severely limiting vision situations: central only or the sides only or only like a pie of a cake. Persons who can see some objects so that they can walk better and do some activities, but they cannot read printed text even with eyeglasses. They need Braille materials for reading.
Short name: Part-Blind

Code 03
With the better eye, even with eyeglasses, cannot distinguish regular size letters. Practically, can only read the bigger headlines in the newspapers. Included here are persons with limiting vision situations: central only or the sides only or only like a pie of a cake. Persons who, even with appropriate eyeglasses, need large print text (i.e., at least 18 points font) to read at a distance of one foot (30 cm.)
Short name: Low vision

Code 04
Cannot realize any regular sound. Practically the person does not react when somebody claps his hands behind his back. Person may still hear the blowing of a horn of a truck, or the beat of a drum, cannot understand words even with a hearing aid. Mute: There are almost no mute people. The normal case is the so-called "deaf-mute" which is for people who, because of deafness, did not learn to talk but they have all what is physically necessary to talk. Treat them as deaf.
Short name: Tot-Deaf

Code 05
Can hear speech but cannot discriminate the words. [Refers to a person whose both ears can recognize sounds but cannot determine the words (partially deaf).]
Short name: Part- Deaf

Code 06
Person can understand words only if spoken very loud or close to the ear and (normally) has severe difficulties if there are other noises (e.g.,) of other people speaking in the room. Person can be helped with a hearing aid but still has difficulties understanding normal speech.
Short name: Hard-Hear

Code 07
Person at least 15 years old, is object of ridicule or has severely limited job opportunities because of either: - a general stammering problem which makes normal speech extremely difficult - or a cleft-palate or hare-lip that cannot be solved by current medical procedures.
Short name: Oral defect

Code 08
Person has only one useful hand. One arm is not usable (e.g., amputated, deformed or paralyzed arm). Included here are two artificial arms if they are rather useful (i.e., both arms are missing but are replaced with artificial arm).
Short name: One hand

Code 09
Person has no useful hands. Both arms are not usable (e.g., amputated, deformed and missing).
Short name: No hands

Code 10
Person has only one useful leg: walks with crutches and/or artificial leg and/or braces. Note (1) Walking with an artificial leg can be considered if it really prevents the person from holding most jobs. (2) If the person has two legs amputated but in such a way that artificial legs can be used, the person can still go to most places, including going up the stairs. It may be slower, but it is surely very different from a person in a wheelchair who cannot even climb a single step without help.
Short name: One leg

Code 11
Person has no useful legs or two legs unusable (e.g., normally sits in a wheelchair.)
Short name: No legs

Code 12
Regular/Mild cerebral palsy: person can still walk and do most activities or might only be slightly awkward and require no special assistance.
Short name: Cr-Quadrip

The term cerebral refers to the brain's two halves, or hemispheres, and palsy describes any disorder that impairs control of body movement. Thus, these disorders are not caused by problems in the muscles or nerves. Instead, faulty development or damage to motor areas in the brain disrupts the brain's ability to adequately control movement and posture. An individual with cerebral palsy may have difficulty with fine motor tasks, such as writing or cutting with scissors; experience trouble with maintaining balance and walking; or be affected by involuntary movements, such as uncontrollable writhing motion of the hands or drooling.

Code13
Severe cerebral palsy: person is severely affected by the cerebral palsy or might be unable to walk and need extensive, lifelong care.
Short name: Cs-Quadrip

Code14
Regularly intellectually impaired: can be trained to be toilet trained, to wash himself, eat on his own and follow single instructions. Included here are those with Down Syndrome (Mongoloids) and most autistic (persons with autism). Note, not included are slow learners and persons who can travel alone.
Short name: Ir-Retarded

Code15
Severely intellectually impaired: cannot be toilet trained, eat alone, severe autism, etc.
Short name: Is-Retarded

Code16
Regularly impaired by mental illness: actually under psychiatric care or should be under psychiatric care (but do not have the money) as well as patients who recovered within the last three years (to consider the problem that so many becomes sick again). Included here are most persons with epilepsy even if the origin of their problem is very different, people treat them a bit the same as the mentally ill, they have more difficulties obtaining jobs, etc.
Short name: Pr-Mentally ill

Code17
Severely impaired by mental illness: persons needing hospitalization or having been hospitalized within the last three years (as mentioned above, to consider the fact that so many become sick again).
Short name: Ps-Mentally ill

Code18
Regularly multiple impaired. Multiple impairment is always a severe disability, yet among those with multiple impairment, one can be much lighter than the others whom we call severely multiple handicapped. Examples, are one arm and one leg unusable, mentally retarded and some physical defect.
Short name: Mr-Impairment

Code19
Severely multiple impaired. Examples are both legs and both arms paralyzed (quadriplegic); deaf and blind, and severely cerebral palsied and blind.
Short name: Ms-Impairment

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Rwanda 2002 — source variable RW2002A_DISAB — Major handicap / disability
Questionnaire form view entire document:  text  image
A. Questions to be asked to all members of the household
[Questions 1-14.]


P13. Major disability or handicap

Does ____ have any sort of disability?

If the answer is "Yes", ask what type of disability or handicap, and circle the code corresponding to one of the abbreviations copied at the bottom of the page, according to the declaration of the interviewee.

If the answer is "No", circle the number 1, and go to P15.

[] 1. SH = No handicap or disability
[] 2. AV = Blind
[] 3. SM = Mute/deaf
[] 4. MI = Disability or handicap in lower limbs
[] 5. MS = Disability or handicap in upper limbs
[] 6. DM = Mental deficiency
[] 7. TR = Trauma
[] 8. AH = Other handicap or disability

Questionnaire instructions view entire document:  text  image

P13: Major disability or Handicap

For item P13, the census enumerator has to ask each person the type of disability or handicap that he/she suffers from, whether the disability or handicap is visible or not. When the enumerated person mentions his/her disability or handicap, one will circle the number corresponding to the answer given.

- Total handicap (ikimara) is classified as "Other handicaps".

- When an enumerated person declares having no disability or handicap, one will circle the number "1".
One will write nothing under P14, and one will go to question P15.

Remark:
If the person has several disabilities or handicaps, write down the most severe one.

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Saint Lucia 1991 — source variable LC1991A_DIS5 — Disability: lower limb (legs)
Questionnaire form view entire document:  text  image

3.2 What type of disability or impairment does ____ have?
(More than one oval may be marked)

[Question 3.2 is asked of persons who have long-standing illness, disability or infirmity, per question 3.1]

[] Sight
[] Hearing
[] Speech
[] Upper limb (arm)
[] Lower limb (legs)
[] Neck and spine
[] Slowness at learning or understanding
[] Mental retardation
[] Other (please specify) ____


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Senegal 2002 — source variable SN2002A_DISLOW — Disability in the lower limbs
Questionnaire form view entire document:  text  image
Section B: Individual Characteristics

Total Population


B13. Disability / Handicap

Record all the disability or handicaps shown by the respondent, by writing "1" in the appropriate box.

[] None
[] Blind
[] Deaf
[] Mute
[] Disability in lower limbs
[] Disability in upper limbs
[] Mental deficiency
[] Albinos
[] Leper with mutilations
[] Other cases

Questionnaire instructions view entire document:  text  image

B13. Disability / Handicap

Ask the following question: "Do you have a member of your household who suffers from any disability or handicap that could limit him (or her) in his (or her) daily activities?

If the answer is "no", circle: 1. None [AU], and go to the next question.

If the answer is "yes"; ask "what type of disability or handicap". Then record all the disability or handicaps declared, by writing the number "1" in the boxes corresponding to the different types of handicap given by the respondent.

AU - for persons who have no disability or handicap;
AV- for persons who are blind;
SO - for persons who are deaf, those who cannot hear;
MU - for persons who are mute, those who lost the ability to speak;
IMI - for persons who have a disability in the lower limbs. This may be one leg or both legs together;
IMS - for persons who have a disability in the upper limbs. This may be one arm or both arms together;
DM - for persons who are mentally deficient (lunatics, Down syndrome, etc.);
AL - for the albinos;
LM - for the lepers with mutilations;
AU - for the other cases not mentioned above.

Remarks: The natural mental weakness of the elderly is not considered as a handicap; a person who lost one eye is also not considered to be handicapped.

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Sierra Leone 2004 — source variable SL2004A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image

P15. Disability
Is [the respondent] disabled?
[] 1 Yes
[] 2 No (go to P19)


Disability
[Questions 16-18 were asked of persons who are disabled, per question P15]


P16. Type of disability

[] 01 Limited use of legs
[] 02 Loss of leg(s)
[] 03 Limited use of arms
[] 04 Loss of arm(s)
[] 05 Serious problem with back spine
[] 06 Hearing difficulty
[] 07 Unable to hear (deafness)
[] 08 Sight difficulty
[] 09 Blindness
[] 10 Speech impairment
[] 11 Unable to speak (mute)
[] 12 Mental retardation
[] 13 Mental illness (strange behavior)
[] 14 Epileptic
[] 15 Rheumatism
[] 16 Others (specify) ____

Questionnaire instructions view entire document:  text  image

Section 1 - Population
Columns P1 to P18 -- These should provide particulars of all members who slept in the household/institution on census night. They therefore apply to all persons.


Columns P15 - P18 -- Disability
105. It is absolutely important that this information is collected as accurately as possible, which means that the question applies to everybody in the household. You must be particularly careful to distinguish between actual disability and other forms of illnesses.

106. For example, you may be told that a member of the household has had tuberculosis or has been suffering from backache or stomach pains for a very long time. These are not disabilities for the purpose of these questions. It may be necessary to see the persons who have been reported as being disabled. This

[p.15]

will give you an opportunity to determine whether the persons) is/are disabled according to the specifications below.

107. Somebody is disabled if he/she is blind, crippled, deaf, dumb, mentally retarded or has lost limbs), etc.


P15 -- Whether person is disabled
108. Ask, "Is [the respondent] disabled?" If the answer is "Yes", ask the second question relating to the type of disability (question P16) before you make any entry. If you are satisfied that the type of disability falls within our prescribed category, you can then fill in P15 and P16. This is necessary to avoid messing up the questionnaire.


P16 -- Type of disability
109. Ask for the type of disability and record the appropriate code refer to the code list). For example, "Limited use of legs" is 01, "Loss of legs" is 02, etc.

110. Some people may have more than one disability. In such cases, record the most serious one.


P16 Type of disability

[] 01 Limited use of legs
[] 02 Loss of legs)
[] 03 Limited use of arms
[] 04 Loss of arms)
[] 05 Serious problem with back spine
[] 06 Hearing difficulty
[] 07 Unable to hear deafness)
[] 08 Sight difficulty
[] 09 Blindness
[] 10 Speech impairment
[] 11 Unable to speak mute)
[] 12 Mental retardation
[] 13 Mental illness strange behaviour)
[] 14 Epileptic
[] 15 Rheumatism
[] 16 Othersspecify)


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South Sudan 2008 — source variable SS2008A_LIMLEG — Limited use of leg(s)
Questionnaire form view entire document:  text  image
Details of persons in the household -- All household members
[Questions 1 to 14: All persons]


14. Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?

(Mark all that apply)
[] 1 Limited use of legs
[] 2 Loss of leg(s)
[] 3 Limited use of arms
[] 4 Loss of arm(s)
[] 5 Difficulty in hearing
[] 6 Deaf
[] 7 Difficulty in seeing
[] 8 Blind
[] 9 Difficulty in speaking
[] 10 Mute
[] 11 Mental disability
[] 12 No disability
[] 13 Don't know

Questionnaire instructions view entire document:  text  image

Q14 "Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?" Continuing with the first person listed "Person 01", ask question 14. You must ask the question exactly as it is written on the questionnaire. Do not ask if the person has any form of handicap or disability.
  • If the respondent states that a person has no difficulty in moving, seeing, hearing, speaking or learning, shade "12" for "No disability"
  • If the respondent states that a person does have difficulty in moving, seeing, hearing, speaking or learning, ask the respondent to mention all problems the person has. Shade the appropriate number of all problems mentioned. For example, a person may be deaf and mute, which means that you would shade "6" for "Deaf" and "10" for "Mute"
  • If the respondent doesn't know if a person has any difficulties, ask if anyone else in the household would be able to answer the question. If no one is able to speak for the person, then shade "13" for "Don't know"
  • This is a multiple response question. Shade all difficulties mentioned for a person, or shade 12 for "No disability" or 13 for "Don't know"


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South Sudan 2008 — source variable SS2008A_LOSSLEG — Loss of leg(s)
Questionnaire form view entire document:  text  image
Details of persons in the household -- All household members
[Questions 1 to 14: All persons]


14. Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?

(Mark all that apply)
[] 1 Limited use of legs
[] 2 Loss of leg(s)
[] 3 Limited use of arms
[] 4 Loss of arm(s)
[] 5 Difficulty in hearing
[] 6 Deaf
[] 7 Difficulty in seeing
[] 8 Blind
[] 9 Difficulty in speaking
[] 10 Mute
[] 11 Mental disability
[] 12 No disability
[] 13 Don't know

Questionnaire instructions view entire document:  text  image

Q14 "Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?" Continuing with the first person listed "Person 01", ask question 14. You must ask the question exactly as it is written on the questionnaire. Do not ask if the person has any form of handicap or disability.
  • If the respondent states that a person has no difficulty in moving, seeing, hearing, speaking or learning, shade "12" for "No disability"
  • If the respondent states that a person does have difficulty in moving, seeing, hearing, speaking or learning, ask the respondent to mention all problems the person has. Shade the appropriate number of all problems mentioned. For example, a person may be deaf and mute, which means that you would shade "6" for "Deaf" and "10" for "Mute"
  • If the respondent doesn't know if a person has any difficulties, ask if anyone else in the household would be able to answer the question. If no one is able to speak for the person, then shade "13" for "Don't know"
  • This is a multiple response question. Shade all difficulties mentioned for a person, or shade 12 for "No disability" or 13 for "Don't know"


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Sudan 2008 — source variable SD2008A_LIMLEG — Limited use of leg(s)
Questionnaire form view entire document:  text  image

14. Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?
(Mark all that apply)

[] 1 Limited use of legs
[] 2 Loss of leg(s)
[] 3 Limited use of arms
[] 4 Loss of arm(s)
[] 5 Difficulty in hearing
[] 6 Deaf
[] 7 Difficulty in seeing
[] 8 Blind
[] 9 Difficulty in speaking
[] 10 Mute
[] 11 Mental disability
[] 12 No disability
[] 13 Don't know

Questionnaire instructions view entire document:  text  image

Q14 "Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?" Continuing with the first person listed "Person 01", ask question 14. You must ask the question exactly as it is written on the questionnaire. Do not ask if the person has any form of handicap or disability.
  • If the respondent states that a person has no difficulty in moving, seeing, hearing, speaking or learning, shade "12" for "No disability"
  • If the respondent states that a person does have difficulty in moving, seeing, hearing, speaking or learning, ask the respondent to mention all problems the person has. Shade the appropriate number of all problems mentioned. For example, a person may be deaf and mute, which means that you would shade "6" for "Deaf" and "10" for "Mute"
  • If the respondent doesn't know if a person has any difficulties, ask if anyone else in the household would be able to answer the question. If no one is able to speak for the person, then shade "13" for "Don't know"
  • This is a multiple response question. Shade all difficulties mentioned for a person, or shade 12 for "No disability" or 13 for "Don't know"


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Sudan 2008 — source variable SD2008A_LOSSLEG — Loss of leg(s)
Questionnaire form view entire document:  text  image

14. Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?
(Mark all that apply)

[] 1 Limited use of legs
[] 2 Loss of leg(s)
[] 3 Limited use of arms
[] 4 Loss of arm(s)
[] 5 Difficulty in hearing
[] 6 Deaf
[] 7 Difficulty in seeing
[] 8 Blind
[] 9 Difficulty in speaking
[] 10 Mute
[] 11 Mental disability
[] 12 No disability
[] 13 Don't know

Questionnaire instructions view entire document:  text  image

Q14 "Does [the respondent] have any difficulty in moving, seeing, hearing, speaking or learning?" Continuing with the first person listed "Person 01", ask question 14. You must ask the question exactly as it is written on the questionnaire. Do not ask if the person has any form of handicap or disability.
  • If the respondent states that a person has no difficulty in moving, seeing, hearing, speaking or learning, shade "12" for "No disability"
  • If the respondent states that a person does have difficulty in moving, seeing, hearing, speaking or learning, ask the respondent to mention all problems the person has. Shade the appropriate number of all problems mentioned. For example, a person may be deaf and mute, which means that you would shade "6" for "Deaf" and "10" for "Mute"
  • If the respondent doesn't know if a person has any difficulties, ask if anyone else in the household would be able to answer the question. If no one is able to speak for the person, then shade "13" for "Don't know"
  • This is a multiple response question. Shade all difficulties mentioned for a person, or shade 12 for "No disability" or 13 for "Don't know"


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Togo 2010 — source variable TG2010A_DISAB1 — First handicap
Questionnaire form view entire document:  text  image
For all persons
[Columns P01 to P10B were asked of all persons]

(P10A-P10B) Presence of handicap(s)

[] 0 No handicap
[] 1 Blind
[] 2 Deaf
[] 3 Deaf and mute
[] 4 Handicapped lower members
[] 5 Handicapped higher members
[] 6 Mental illness
[] 8 Other handicap (specify) ____
Questionnaire instructions view entire document:  text  image
A- Sociodemographic characteristics

Columns P10A and P10B: Presence of handicap(s)

A handicap is any physical, auditory, visual or mental incapacity which leads to a slowing of the productive activity of the individual concerned.

These two columns serve to establish the presence or otherwise of a handicap. Pose the following question:
"Does [the respondent] suffer from any kind of handicap?"
If the response is no, record SH son the dotted lines and put the code 0 in the boxes reserved for this purpose in each of the columns P10A and P10B then go to column P11.
If the response is yes, try to find what handicap they suffer from.

[p. 29]

Taking account of the response obtained, you will record on the dotted lines the appropriate abbreviation then the code of the nature of the handicap in column P10A. If the person surveyed suffers from another handicap, do the same thing in column P10B. If he suffers from one sole handicap, put SH on the dotted lines and the code 0 in the box of the second column (P10B).

[p. 30]

For columns P10A and P10B, the possible responses are:

0 SH = Without handicap
1 AV = Blind
2 SO = Deaf
3 SM = Deaf mute
4 HMI = Handicapped in lower members (that is, amputation or paralysis of one or two feet)
5 HMS = Handicapped in higher members (that is, amputation or paralysis of one or two arms)
6 MM = "Mental illness", record under this heading all persons whose behavior is abnormal (insane, mentally retarded, and so on)
8 AH = Other handicap to be specified

Example 1: Afi is tetraplegic, that is her upper and lower members are paralyzed. You will complete as follows:

P10 A: HMI /_5/
P10 B: HMS /_6/

Example 2: Kossi is blind and suffers from no other handicap. Columns P10A and P10B will be completed as follows:

P10 A: AV /_1/
P10 B: SH /_0/
NB 21: For any person suffering from more than 2 handicaps, record the two major handicaps.

The questions starting from column P11 do not concern visitors. They only concern resident persons. Check to this end if the person surveyed is resident present (RP) or resident absent (RA).


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Togo 2010 — source variable TG2010A_DISAB2 — Second handicap
Questionnaire form view entire document:  text  image
For all persons
[Columns P01 to P10B were asked of all persons]

(P10A-P10B) Presence of handicap(s)

[] 0 No handicap
[] 1 Blind
[] 2 Deaf
[] 3 Deaf and mute
[] 4 Handicapped lower members
[] 5 Handicapped higher members
[] 6 Mental illness
[] 8 Other handicap (specify) ____
Questionnaire instructions view entire document:  text  image
A- Sociodemographic characteristics

Columns P10A and P10B: Presence of handicap(s)

A handicap is any physical, auditory, visual or mental incapacity which leads to a slowing of the productive activity of the individual concerned.

These two columns serve to establish the presence or otherwise of a handicap. Pose the following question:
"Does [the respondent] suffer from any kind of handicap?"
If the response is no, record SH son the dotted lines and put the code 0 in the boxes reserved for this purpose in each of the columns P10A and P10B then go to column P11.
If the response is yes, try to find what handicap they suffer from.

[p. 29]

Taking account of the response obtained, you will record on the dotted lines the appropriate abbreviation then the code of the nature of the handicap in column P10A. If the person surveyed suffers from another handicap, do the same thing in column P10B. If he suffers from one sole handicap, put SH on the dotted lines and the code 0 in the box of the second column (P10B).

[p. 30]

For columns P10A and P10B, the possible responses are:

0 SH = Without handicap
1 AV = Blind
2 SO = Deaf
3 SM = Deaf mute
4 HMI = Handicapped in lower members (that is, amputation or paralysis of one or two feet)
5 HMS = Handicapped in higher members (that is, amputation or paralysis of one or two arms)
6 MM = "Mental illness", record under this heading all persons whose behavior is abnormal (insane, mentally retarded, and so on)
8 AH = Other handicap to be specified

Example 1: Afi is tetraplegic, that is her upper and lower members are paralyzed. You will complete as follows:

P10 A: HMI /_5/
P10 B: HMS /_6/

Example 2: Kossi is blind and suffers from no other handicap. Columns P10A and P10B will be completed as follows:

P10 A: AV /_1/
P10 B: SH /_0/
NB 21: For any person suffering from more than 2 handicaps, record the two major handicaps.

The questions starting from column P11 do not concern visitors. They only concern resident persons. Check to this end if the person surveyed is resident present (RP) or resident absent (RA).


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Turkey 1985 — source variable TR1985A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image

Part IV: Questions on personal characteristics


Physical disability


20. Visible physical disability, mental disorder or psychological defect, if any

[] 1 Yes
[] 2 No


Ask those who answer "Yes" to question 20.
[Questions 21-22 were asked of those who had physical disability, as per question 20.]


21. Nature of disability

(One eye blind, two eyes blind, one leg crippled, crippled, one ear deaf, dumb with mental disorder or psychological defect, etc.)

____

Questionnaire instructions view entire document:  text  image

Section IV: Questions regarding individual characteristics (11-42)
This section includes questions (questions 11-42) about the population's social and economic characteristics. In this section, only write the characteristics of those people present at the time and place where the census is being conducted.
Whether or not the household head is at home, be absolutely sure to begin by first writing his/her name and surname on the first line of Section IV, together with all of his/her characteristics (from question 11 to question 42). Take care that the household head's name and surname entered in this section is identical to the one written in in the first line of Section III.
After writing down all of the characteristics of the household head, whether he/she is at home or not, also write down all the characteristics of the other household members at home, beginning from the oldest and proceeding in order of age, from oldest to youngest. After the household members, write onto the dotted line in printed letters, in order of their ages, the names surnames and all the characteristics of those, who, while being present at home, are not household members. Answer questions with a box, by placing an "X" into it.


Handicap status (20-22)


Question 21: Type of handicap you have?

(Blind in one eye, blind in both eyes, lame in one foot, crippled, deaf in one ear, deaf in both ears, mentally or emotionally impaired, etc.)

The purpose is to determine the type of handicap that the person being administered the census has.

Handicapped: Those impaired in terms of discerning reality with the eye, or clearly comprehending it, and handicapped in terms of physical malfunctions, as well as from a mental or emotional standpoint. Clearly write out whatever type of handicap it is, such as being blind in one eye, blind in both eyes, lame in one foot, crippled, deaf in one ear, deaf in both ears, mentally or emotionally impaired. For those with more than one handicap, write the one that is most advanced. Some definitions having to do with handicaps are elucidated below.

[] Blind: A person is referred to as blind if, despite all corrective measures taken, the person's vision with both eyes is less than 1/10; in other words, a person unable to make use of his/her eyesight for living a normal life or in their work.

[] Deaf: A person referred to as deaf is someone, who despite all corrective measures taken has experienced a [hearing] loss of more than 90 db (decibels) in both ears; in other words, a person unable to make use of his/her hearing for living a normal life or in their work.

[] Orthopedically handicapped: A person, who despite all corrective measures taken, cannot adequately use their skeleton, nervous system, muscles and joints in order to live a normal life and in their work is referred to as orthopedically handicapped.

[] Handicapped in terms of mental characteristics: A person, who for various reasons has undergone a continuous slow-down, interruption, and retardation of their mental, psycho-motor, social, maturity, and development functions, resulting in a one-quarter or higher [level of] enduring loss of capacity and functioning, is referred to as mentally handicapped or mentally retarded.


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Uganda 1991 — source variable UG1991A_DISAB — Nature of disability
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Complete this section for households, not for institutions

Disability

____ Is anyone who was in the household on census night disabled? (yes or no)
If yes, write: Person number [in blank column header] _____


[Columns provide space to record answers for four persons for the following questions:]

____ Nature of disability (blind, mentally ill, deaf and dumb, polio, amputee, leprosy, cripple, lame epilepsy, mentally retarded, other (specify))
____ Cause of disability (born, disease, accident, inflicted injury, etc.)

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Disability

175. "Is anyone who was in the household on census night disabled?"

Nature of Disability

176. By "disabled" we mean any condition which prevents a person from living a normal social and working life.

177. There are many disabilities and conditions which may prevent a person from living a normal life. And they may be difficult to describe accurately. But most people have a good idea of what amounts to disability and for census purposes we have to rely on your judgment and that of the household and persons concerned.

178. There are clear cases of disability such as having lost a leg, or being so crippled by polio that once cannot walk normally, or being mad. There are many cases where it is not so easy. In such cases, common sense must be your guide. If the condition is not so serious as to prevent a person from living a full life and being able to provide for him or her, it should not be counted as a disability.

179. If a person has lost an arm, he or she is disabled. A person who has lost the tip of a finger in an accident would not normally be considered disabled. In the same way a person whose sight is impaired but who wears glasses and can live and work normally while doing so is not disabled for purposes of the census. For census purposes old age is not a disability.

180. If there is anyone in the household who is disabled or whom you and others think of as disabled, write the person number and describe the nature of the disability as best you can in a few words. It is important that you write the person number because we need to know the sex, age and other particulars of the person concerned.

Cause of Disability

181. People may be born with a disability. They may be disabled as a result of illness or because of an injury received by accident or because of an injury inflicted on them by others. Describe the cause as best you can.

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Uganda 2002 — source variable UG2002A_DISAB1 — First disability/major disability
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For all persons


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) ___ ___

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[Question P1 - P15 apply to all persons]


Disability
115. A person with a disability is defined as one who is limited in the kind of or amount of activities that he or she can do, because of ongoing difficulty (-ies) due to a long-term physical condition or health problem that has lasted six months or more. This includes all those difficulties that are expected to last more than six months.
116. Note that a person can have a fractured arm or leg due to a road accident and is expected to heal within three months. For purposes of the census, you should not record this person to have a difficulty since the difficulty is expected to last for a shorter period.
117. There are some clear cases of disability such as having lost a leg, or being crippled by polio that one cannot walk normally, or being mad. However, there are also many cases where it is not so clear. In such cases, common sense must be your guide. If the respondent indicates that the condition is not so serious as to prevent a person from living a full life, it should not be counted as a disability.
118. If a person has lost an arm, he or she is disabled. A person who has lost the tip of a finger in an accident should not be considered as disabled. In the same way a person whose sight is impaired but can live and work normally by wearing glasses while doing so is not disabled for purposes of the census.
Question P13: Disability
Ask, "Does (name) have any difficulty in moving, seeing, hearing, speaking difficulty, mental or learning difficulty, which has lasted or is expected to last 6 months or more?"
119. If the respondent declares anyone in the Household as disabled, use the codes in the questionnaire and describe the nature of the disability as best as you can. Some persons with disabilities have more than one type of disability. In this case you are required to take the two major forms of disability and assign the appropriate codes in the space provided. Note that the column for each person takes care of two types of disabilities.
120. It is quite common for persons in the Household to hide information about disabilities of their kin, especially the children. Ensure that you attempt to see and probe to obtain the truth.
121. Examples of such categories of persons include, those who have

  • Seeing difficulties: an individual could have a sight problem if he/she cannot see clearly objects that are close to him/her or is unable to figure out objects, which are at a distance. Note that if one wears glasses and ceases to have a problem with sight, then he/ she does not qualify to be recorded as having any seeing difficulties. A separate code for "Blindness" is provided for persons who cannot see at all. If a person has lost one eye, this does not automatically imply that he has a sight problem. Ask the respondent to find out if he/she has a sight difficulty and assign the appropriate code.
  • Hearing difficulties: This includes those who have difficulty in hearing i.e. not following a conversation in a normal voice even with use of a hearing aid. In case an individual has a hearing aid and is able to follow a conversation in a normal voice, then she/he does not have a hearing difficulty. A separate code for unable to hear (deaf) is included for those who cannot hear at all.
  • Speech impairment: Includes persons with problems of speech, even though they are able to hear. Those who are not able to speak at all are categorized as "Mute"
  • Mental Illness (Strange Behavior): This is characterized by strange behaviors and the most common description is mad.
  • Learning difficulty/Mental Retardation: This includes persons with learning difficulties in or out of school and persons mentally less developed than their age mates. They can be adults or children.
  • Epilepsy: This is a condition where a person has episodes of loss or change of consciousness that may last from a few seconds to over an hour. The loss of consciousness is sometimes accompanied by movement of body parts. The loss of consciousness is also called fit. Epilepsy fits are NOT accompanied by fever.
  • Rheumatism: This is of when the joints of a body are swollen, hot and painful. It is often accompanied by limited movement of the joint.


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Uganda 2002 — source variable UG2002A_DISAB2 — Second disability
Questionnaire form view entire document:  text  image

For all persons


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) ___ ___

Questionnaire instructions view entire document:  text  image

[Question P1 - P15 apply to all persons]


Disability
115. A person with a disability is defined as one who is limited in the kind of or amount of activities that he or she can do, because of ongoing difficulty (-ies) due to a long-term physical condition or health problem that has lasted six months or more. This includes all those difficulties that are expected to last more than six months.
116. Note that a person can have a fractured arm or leg due to a road accident and is expected to heal within three months. For purposes of the census, you should not record this person to have a difficulty since the difficulty is expected to last for a shorter period.
117. There are some clear cases of disability such as having lost a leg, or being crippled by polio that one cannot walk normally, or being mad. However, there are also many cases where it is not so clear. In such cases, common sense must be your guide. If the respondent indicates that the condition is not so serious as to prevent a person from living a full life, it should not be counted as a disability.
118. If a person has lost an arm, he or she is disabled. A person who has lost the tip of a finger in an accident should not be considered as disabled. In the same way a person whose sight is impaired but can live and work normally by wearing glasses while doing so is not disabled for purposes of the census.
Question P13: Disability
Ask, "Does (name) have any difficulty in moving, seeing, hearing, speaking difficulty, mental or learning difficulty, which has lasted or is expected to last 6 months or more?"
119. If the respondent declares anyone in the Household as disabled, use the codes in the questionnaire and describe the nature of the disability as best as you can. Some persons with disabilities have more than one type of disability. In this case you are required to take the two major forms of disability and assign the appropriate codes in the space provided. Note that the column for each person takes care of two types of disabilities.
120. It is quite common for persons in the Household to hide information about disabilities of their kin, especially the children. Ensure that you attempt to see and probe to obtain the truth.
121. Examples of such categories of persons include, those who have

  • Seeing difficulties: an individual could have a sight problem if he/she cannot see clearly objects that are close to him/her or is unable to figure out objects, which are at a distance. Note that if one wears glasses and ceases to have a problem with sight, then he/ she does not qualify to be recorded as having any seeing difficulties. A separate code for "Blindness" is provided for persons who cannot see at all. If a person has lost one eye, this does not automatically imply that he has a sight problem. Ask the respondent to find out if he/she has a sight difficulty and assign the appropriate code.
  • Hearing difficulties: This includes those who have difficulty in hearing i.e. not following a conversation in a normal voice even with use of a hearing aid. In case an individual has a hearing aid and is able to follow a conversation in a normal voice, then she/he does not have a hearing difficulty. A separate code for unable to hear (deaf) is included for those who cannot hear at all.
  • Speech impairment: Includes persons with problems of speech, even though they are able to hear. Those who are not able to speak at all are categorized as "Mute"
  • Mental Illness (Strange Behavior): This is characterized by strange behaviors and the most common description is mad.
  • Learning difficulty/Mental Retardation: This includes persons with learning difficulties in or out of school and persons mentally less developed than their age mates. They can be adults or children.
  • Epilepsy: This is a condition where a person has episodes of loss or change of consciousness that may last from a few seconds to over an hour. The loss of consciousness is sometimes accompanied by movement of body parts. The loss of consciousness is also called fit. Epilepsy fits are NOT accompanied by fever.
  • Rheumatism: This is of when the joints of a body are swollen, hot and painful. It is often accompanied by limited movement of the joint.


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Venezuela 1990 — source variable VE1990A_LOSSLEG — Loss or disability of lower extremities
Questionnaire form view entire document:  text  image

For all individuals:
[Questions 1-10 -- are for all person]


10. Do you have any of the following disabilities?

[] Total blindness
[] Total deafness
[] Muteness
[] Mental retardation
[] Loss or disability of upper extremities
[] Loss or disability of lower extremities
[] None of the above

Questionnaire instructions view entire document:  text  image

Questions 1-10 -- are for all persons

Every person in the household should be asked these questions.

-- In the case of people who are absent or of small children, ask the Head of Household or the person who can give the most reliable information.


Question No.10

[Disabilities]
[The instructions refer to a graphic of section VI, question 10 on the census form.]

-- Read the question and the possible answers and fill in the corresponding cell.


Loss or disablement of lower extremities

Paralysis, amputation or limited movement in one or both legs.


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Venezuela 2001 — source variable VE2001A_DISLEG — Disability in a lower extremity
Questionnaire form view entire document:  text  image

9. Do you have any of the following deficiencies, problems, or disabilities?
[] Total blindness
[] Total deafness
[] Mental retardation
[] Loss or disability in upper extremities
[] Loss or disability in lower extremities
[] Other
[] None

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3.8 Deficiencies, problems, or disabilities:

This refers to any loss of or anomaly in one or more organs or limbs, or to the functioning of the organs or limbs that has caused one or more disabilities.

[p. 39]

It also refers to the limitations produced by illnesses that permanently affect the activity of the enumerated person. A person who has overcome a disability with the use of external technical assistance is still considered to have a disability.


The following categories are considered for the investigation of this variable:

-- Total blindness: This refers to the person who cannot perceive light in either eye.

-- Total deafness: This refers to the person who is not able to receive any sound, even when it is amplified.

-- Mental retardation: Deficiency in the general and specific mental functions.

-- Loss or disablement of upper limbs: Included are those who have suffered paralysis, amputation, or limited movement in the arms.

-- Loss or disablement of lower limbs: Included are those who have suffered paralysis, amputation, or limited movement in the legs.

-- Other: This refers to other limitations that affect the psychological, motor, or sensory well-being in the normal activity of a person.


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Zambia 1990 — source variable ZM1990A_CRIPPLED — Crippled
Questionnaire form view entire document:  text  image
P-7 Disability
Is [the respondent]
a. Blind

[] 1-Yes
[] 2-No

b. Deaf/ Dumb

[] 1-Yes
[] 2-No

c. Crippled

[] 1-Yes
[] 2-No

d. Mentally retarded

[] 1-Yes
[] 2-No
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P-7: Disability
18. A person is disabled if he/she is:

a. Totally Blind
b. Totally Deaf/Dumb
c. Crippled or lost the use of one or more limbs
d. Mentally Retarded;
28

If a person has lost the sight of only one eye do not categorise him/her as blind. Persons to be enumerated as deaf are those who are totally deaf. For the dumb, even those who are only able to mumble a few sounds are to be taken as dumb. Loss of limb could mean either that the limb (i.e. a hand or leg) is severed or the person has lost the powers to use the arm or leg. If the response to any of the disability categories is `yes' enter code '1', if the response is no enter code '2' in the appropriate box.