Questionnaire Text

Bangladesh 2011 Ethiopia 2007 Myanmar 2014 Sudan 2008
Benin 2002 France 1962 Nepal 2011 Suriname 2012
Benin 2013 Ghana 2010 Panama 1980 Tanzania 2012
Botswana 1991 Guatemala 1981 Panama 1990 Thailand 1990
Botswana 2001 Guatemala 1994 Panama 2000 Trinidad and Tobago 2000
Botswana 2011 Haiti 2003 Panama 2010 Trinidad and Tobago 2011
Brazil 1991 Iran 2006 Paraguay 1992 Turkey 1985
Brazil 2000 Ireland 2011 Paraguay 2002 Turkey 2000
Brazil 2010 Israel 2008 Peru 1993 Uganda 1991
Burkina Faso 1996 Jamaica 1991 Peru 2017 Uganda 2002
Cambodia 2008 Jamaica 2001 Philippines 1990 Uganda 2014
Cambodia 2013 Jordan 2004 Philippines 1995 United States 2010
Chile 1992 Kenya 2009 Philippines 2000 United States 2015
Chile 2002 Laos 2015 Portugal 2001 United States 2020
Colombia 1993 Lesotho 2006 Puerto Rico 2015 Uruguay 2006
Colombia 2005 Liberia 2008 Puerto Rico 2020 Uruguay 2011
Costa Rica 2000 Malaysia 2000 Rwanda 2002 Venezuela 1990
Costa Rica 2011 Mali 2009 Rwanda 2012 Venezuela 2001
Dominican Republic 1981 Mauritius 1990 Saint Lucia 1991 Vietnam 2009
Dominican Republic 2002 Mauritius 2000 Senegal 2013 Vietnam 2019
Dominican Republic 2010 Mauritius 2011 Sierra Leone 2004 Zambia 1990
Ecuador 2001 Mexico 2000 Sierra Leone 2015 Zambia 2000
Ecuador 2010 Mexico 2010 South Africa 1996 Zambia 2010
Egypt 1986 Mexico 2020 South Africa 2001 Zimbabwe 2012
Egypt 1996 Morocco 2014 South Africa 2007
El Salvador 1992 Mozambique 1997 South Africa 2016
El Salvador 2007 Mozambique 2007 South Sudan 2008
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Bangladesh 2011 — source variable BD2011A_DISAB — Type of disability
Questionnaire form view entire document:  text  image

19. Type of disability
[] 0 None
[] 1 Speech
[] 2 Vision
[] 3 Hearing
[] 4 Physical
[] 5 Mental
[] 6 Autistic


Q19. Disability: if no disability then write 0 in the blank box, if speaking problem write 1 in blank box, if vision problem then write 2 in blank box, if listening problem then write 3 in the blank box, if physical problem then write 4 in the blank box, if mental problem then write 5 in the blank box, if autistic write 6 in the blank box.

Questionnaire instructions view entire document:  text  image

Question-19. Is Disabled?
According to Disabled Welfare Act 2010 person who is by born or cause of others physically unable or completely/partly handicapped or mentally retarded is considered as Disabled. In this census as per recommendation of the Washington Group disabled has been categorized into six categories.
Ask the respondent is there any body in this household who is having trouble in speaking, seeing, listening, physical or mental. Ask in this regards.
For person having none of the above problem enter zero in the check box;
For person having problem in speaking enter [1] in the check box;
For person having problem in eye side even using spectacle enter [2] in the check box;
For person having listening problem even using Hearing Aid unable to listen enter [3]
For handicapped person unable to move freely enter [4] in the check box;
For person mentally retarded enter [5] in the check box;
For autistic person lack of intelligence enter [6] in the check box.

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Benin 2002 — source variable BJ2002A_MENTDIS — Mental disability
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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Benin 2013 — source variable BJ2013A_DOWNSYNDROME — Disability, down syndrome
Questionnaire form view entire document:  text  image
11. Type of disability
[] 00 No handicap
[] 01 Cerebral motor infirmity

Motor:
[] 02 Amputated
[] 03 Paralyzed

Visual:
[] 04 Amblyopic (visually impaired)
[] 05 Blind

Auditory/Verbal:
[] 06 Hard of hearing
[] 07 Deaf
[] 08 Mute

Intellectual:
[] 09 With Down syndrome
[] 10 Autistic
[] 11 Mentally impaired or retarded

Mental
[] 12 Mentally ill

Write down the codes for the three main declared disabilities

_ _ 1st
_ _ 2nd
_ _ 3rd
Questionnaire instructions view entire document:  text  image
Section 2: Individual characteristics of household members

Questions 1 [order number] to 12 [residency status] apply to all persons to count in the household.

11. Type of Handicap

A handicap is defined as a limitation of physical and/or mental abilities of a person, due to a deficiency that is congenital or acquired during one's existence. In other terms, it is a disadvantage of which a person suffers following an infirmity or incapacity and that prohibits them for totally or partially fulfilling a task that is otherwise normal given their age, sex, and different cultural factors. Any person incapable of fulfilling alone all or some necessities of a normal individual or social life, as a result of a deficiency, congenital or not, of their physical or mental capacities is considered handicapped.

Below is the list of elementary handicaps that the 4th GPHC of Benin has retained:

[] 00. No handicap

Intellectual handicap
[] 9. Trisomic [Down Syndrome] - A person suffering from a pathological state characterized by a mental debility and physical malformations, recognizable shortly following birth through an association with small size, an Asian type facies, a skin fold at the inner corner of the eye, a flattened skull, a frequently externalized tongue, hands with anomalous palm folds and short fingers.

[] 10. Autistic - An individual with a personality problem appearing in early childhood and characterized by an introverted attitude, a lack of interest in the surrounding world, a need to keep one's material environment identical, and language troubles.

[] 11. Mentally retarded [exact word used] - An individual suffering from an incomplete mental development or a stop in mental development, characterized by an insufficiency of faculties and of the global level of intelligence, notably at the level of cognitive functions, language, motor skills, and social performances.

Ask the following question:

Q: "Does [the respondent] exhibit one [or some] physical or mental handicap[s], apparent or non-apparent?"

NB: when the handicap is manifestly visible, note it down and go to the following question;
At most three main declared handicaps can be registered for a person suffering from several infirmities.

[] Write down in the 1st, then the 2nd, then the 3rd grid corresponding to the registration order number of the counted person, respectively the 1st, then potentially the 2nd, then potentially the 3rd handicap.

[Page 54]

If the counted person does not suffer from any handicap

Write down "00" in the boxes of the first grid, "00" in the boxes of the second grid, and "00" in the boxes of the third grid.

If the counted person suffers from one handicap:

Note the code corresponding to the modality of the 1st handicap in the boxes of the first grid;
Then write down "00" in the boxes of the second grid and "00" in the boxes of the third grid.

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Benin 2013 — source variable BJ2013A_AUTISM — Disability, autism
Questionnaire form view entire document:  text  image
11. Type of disability
[] 00 No handicap
[] 01 Cerebral motor infirmity

Motor:
[] 02 Amputated
[] 03 Paralyzed

Visual:
[] 04 Amblyopic (visually impaired)
[] 05 Blind

Auditory/Verbal:
[] 06 Hard of hearing
[] 07 Deaf
[] 08 Mute

Intellectual:
[] 09 With Down syndrome
[] 10 Autistic
[] 11 Mentally impaired or retarded

Mental
[] 12 Mentally ill

Write down the codes for the three main declared disabilities

_ _ 1st
_ _ 2nd
_ _ 3rd
Questionnaire instructions view entire document:  text  image
Section 2: Individual characteristics of household members

Questions 1 [order number] to 12 [residency status] apply to all persons to count in the household.

11. Type of Handicap

A handicap is defined as a limitation of physical and/or mental abilities of a person, due to a deficiency that is congenital or acquired during one's existence. In other terms, it is a disadvantage of which a person suffers following an infirmity or incapacity and that prohibits them for totally or partially fulfilling a task that is otherwise normal given their age, sex, and different cultural factors. Any person incapable of fulfilling alone all or some necessities of a normal individual or social life, as a result of a deficiency, congenital or not, of their physical or mental capacities is considered handicapped.

Below is the list of elementary handicaps that the 4th GPHC of Benin has retained:

[] 00. No handicap

Intellectual handicap
[] 9. Trisomic [Down Syndrome] - A person suffering from a pathological state characterized by a mental debility and physical malformations, recognizable shortly following birth through an association with small size, an Asian type facies, a skin fold at the inner corner of the eye, a flattened skull, a frequently externalized tongue, hands with anomalous palm folds and short fingers.

[] 10. Autistic - An individual with a personality problem appearing in early childhood and characterized by an introverted attitude, a lack of interest in the surrounding world, a need to keep one's material environment identical, and language troubles.

[] 11. Mentally retarded [exact word used] - An individual suffering from an incomplete mental development or a stop in mental development, characterized by an insufficiency of faculties and of the global level of intelligence, notably at the level of cognitive functions, language, motor skills, and social performances.

Ask the following question:

Q: "Does [the respondent] exhibit one [or some] physical or mental handicap[s], apparent or non-apparent?"

NB: when the handicap is manifestly visible, note it down and go to the following question;
At most three main declared handicaps can be registered for a person suffering from several infirmities.

[] Write down in the 1st, then the 2nd, then the 3rd grid corresponding to the registration order number of the counted person, respectively the 1st, then potentially the 2nd, then potentially the 3rd handicap.

[Page 54]

If the counted person does not suffer from any handicap

Write down "00" in the boxes of the first grid, "00" in the boxes of the second grid, and "00" in the boxes of the third grid.

If the counted person suffers from one handicap:

Note the code corresponding to the modality of the 1st handicap in the boxes of the first grid;
Then write down "00" in the boxes of the second grid and "00" in the boxes of the third grid.

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Benin 2013 — source variable BJ2013A_IMPAIRMENTAL — Disability, mentally impaired or retarded
Questionnaire form view entire document:  text  image
11. Type of disability
[] 00 No handicap
[] 01 Cerebral motor infirmity

Motor:
[] 02 Amputated
[] 03 Paralyzed

Visual:
[] 04 Amblyopic (visually impaired)
[] 05 Blind

Auditory/Verbal:
[] 06 Hard of hearing
[] 07 Deaf
[] 08 Mute

Intellectual:
[] 09 With Down syndrome
[] 10 Autistic
[] 11 Mentally impaired or retarded

Mental
[] 12 Mentally ill

Write down the codes for the three main declared disabilities

_ _ 1st
_ _ 2nd
_ _ 3rd
Questionnaire instructions view entire document:  text  image
Section 2: Individual characteristics of household members

Questions 1 [order number] to 12 [residency status] apply to all persons to count in the household.

11. Type of Handicap

A handicap is defined as a limitation of physical and/or mental abilities of a person, due to a deficiency that is congenital or acquired during one's existence. In other terms, it is a disadvantage of which a person suffers following an infirmity or incapacity and that prohibits them for totally or partially fulfilling a task that is otherwise normal given their age, sex, and different cultural factors. Any person incapable of fulfilling alone all or some necessities of a normal individual or social life, as a result of a deficiency, congenital or not, of their physical or mental capacities is considered handicapped.

Below is the list of elementary handicaps that the 4th GPHC of Benin has retained:

[] 00. No handicap

Intellectual handicap
[] 9. Trisomic [Down Syndrome] - A person suffering from a pathological state characterized by a mental debility and physical malformations, recognizable shortly following birth through an association with small size, an Asian type facies, a skin fold at the inner corner of the eye, a flattened skull, a frequently externalized tongue, hands with anomalous palm folds and short fingers.

[] 10. Autistic - An individual with a personality problem appearing in early childhood and characterized by an introverted attitude, a lack of interest in the surrounding world, a need to keep one's material environment identical, and language troubles.

[] 11. Mentally retarded [exact word used] - An individual suffering from an incomplete mental development or a stop in mental development, characterized by an insufficiency of faculties and of the global level of intelligence, notably at the level of cognitive functions, language, motor skills, and social performances.

Ask the following question:

Q: "Does [the respondent] exhibit one [or some] physical or mental handicap[s], apparent or non-apparent?"

NB: when the handicap is manifestly visible, note it down and go to the following question;
At most three main declared handicaps can be registered for a person suffering from several infirmities.

[] Write down in the 1st, then the 2nd, then the 3rd grid corresponding to the registration order number of the counted person, respectively the 1st, then potentially the 2nd, then potentially the 3rd handicap.

[Page 54]

If the counted person does not suffer from any handicap

Write down "00" in the boxes of the first grid, "00" in the boxes of the second grid, and "00" in the boxes of the third grid.

If the counted person suffers from one handicap:

Note the code corresponding to the modality of the 1st handicap in the boxes of the first grid;
Then write down "00" in the boxes of the second grid and "00" in the boxes of the third grid.

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Botswana 1991 — source variable BW1991A_IDSMENTAL — Mental disability
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_DISMODRET — Moderate retardation
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_DISSEVRET — Severe retardation
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_DISMENTAL — Mental health disorder
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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Brazil 2000 — source variable BR2000A_DISMENTL — Permanent mental problem
Questionnaire form view entire document:  text  image

4.10 Do you have a permanent mental handicap that limits your daily activities? (Like to work, go to school, play, etc.)
[] 1 yes
[] 2 no

Questionnaire instructions view entire document:  text  image

Question 4.10 - Do you have any type of permanent mental deficiency that limits your regular activities? (such as work, going to school, playing, etc.)

Mark, as the case may be:

1 - Yes - If the existence of permanent mental deficiency is confirmed, except for mental disease, which prevents the person from exercising his or her routine activities, such as working, going to school, playing, performing domestic chores, etc.
2 - No - Do not consider mental disturbances or mental disease, such as autism, neurosis, schizophrenia or psychosis, as mental deficiency.


Note: In general, mental deficiency is first seen in childhood or up to the age of 18.

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Brazil 2010 — source variable BR2010A_DISMNTL — Permanent mental/intellectual disability
Questionnaire form view entire document:  text  image

6. Resident characteristics


Disability - for all residents


6.17 Do you have any permanent mental or intellectual disability that limits you in your daily activities such as working, going to school, playing, etc.?

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image


6.17 - Do you have any permanent mental or intellectual disability that limits your daily activities like working, going to school, playing, etc.?



What is it?
What is mental disability?

Mental disability is a delay of intellectual development and is characterized by difficulty communicating with others, caring for him/herself, doing household chores, learning, working, playing, etc. In general, mental deficiency occurs in childhood up to 18 years old.


Depending on the situation, record:
1 - Yes: When the person declared the existence of a permanent disability that limits his/her daily activities.
2 - No: Even when people have mental disorders or diseases such as autism, neurosis, schizophrenia and psychosis.


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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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Cambodia 2008 — source variable KH2008A_DISBRTH — Disabled since birth
Questionnaire form view entire document:  text  image

15. Physical/mental disability, if any:
If the person is physically/mentally disabled, give the appropriate code number from the list below. Otherwise enter a dash (-)


a. Since birth

[] 1 In seeing
[] 2 In speech
[] 3 In hearing
[] 4 In movement
[] 5 Mental

Questionnaire instructions view entire document:  text  image

Column 15: Physical/Mental Disability, if any

97. This question is a sensitive one and should be canvassed without offending the feelings of the respondent. The purpose of this question is to elicit the information of whether the respondent has any physical/mental disability. If he/she has no such disability put (0) in the two sub-columns. The five types of disabilities identified for census purpose are given below:

97.1 In Seeing: A person who cannot see at all (has no perception of light) or has blurred vision even with the help of glasses or contact lenses will be considered as having disability in "Seeing" or visually disabled, and Code 1 will be entered under this question. A person with proper vision only in one eye will also be treated as visually disabled. You may come across a situation where a person may have blurred vision and had no occasion to test whether his/her eye-sight would improve by using spectacles. Such persons would be treated as visually disabled.

97.2 In Speech: A person will be recorded as having speech disability if he/she is mute. Similarly, for a person whose speech is not understood by a listener of normal comprehension and hearing, he/she will be treated as having speech disability and Code 2 will be entered. Persons who stammer but whose speech is comprehensible will not be classified as disabled by speech.

97.3 In Hearing: A person who cannot hear at all (deaf) or can hear only loud sounds will be considered as having hearing disability and in such cases Code 3 will be entered. A person who is able to hear, using a hearing aid will not be considered as disabled under this category. If a person cannot hear through one ear but his/her other ear is functioning normally, he/she should be considered as having hearing disability.

97.4 In Movement: A person who lacks limbs or is unable to use the limbs normally will be considered having movement disability and Code 4 will be entered here. Absence of a part of a limb like a finger or a toe will not be considered as disability. However, absence of all the fingers or toes or a thumb will make a person disabled by movement. If any part of the body is deformed, the person will also be treated as disabled and covered under this category. A person who cannot move herself/himself or without the aid of another person or without the aid of a stick, wheelchair, etc., will be treated as disabled under this category. Similarly, a person would be

[p.36]
treated as disabled in movement if he/she is unable to move or lift or pick up any small article placed near him/her. A person who may not be able to move normally because of problems of joints like arthritis, and has to invariably limp while moving, will also be considered to have movement disability.

97.5 Mental: A person who lacks comprehension appropriate to his/her age will be considered as mentally disabled. This would not mean that if a person is not able to comprehend his/her studies appropriate to his/her age and is failing his/her quality examination is mentally disabled. Mentally retarded and insane persons would be treated as mentally disabled. A mentally disabled person may generally depend on his/her family members for performing daily routines. It should be left to the respondent to report whether the member of the household is mentally disabled and no tests are required to be applied by you to judge the member's disability.

97.6 If a person is disabled, enter only one of the five disabilities for that person, in codes, as given below:

1: In Seeing
2: In Speech
3: In Hearing
4: In Movement
5: Mental


97.7 Please note that a person may have two or more types of disability but only one of these is to be recorded. In such cases you will have to leave it to the respondent to decide as to the type of disability he/she wants the member of his/her household to be classified into. The disability of a person will be decided with reference to the date of enumeration. Persons with temporary disability on the date of enumeration will not be considered as disabled. For example, when a person's movement may have been restricted because of some temporary injury and he/she is likely to return to his normal state after sometime, such a person will not be treated as disabled.

97.8 The code has to be given in Column 15 (a) "Since birth" if the person has the disability from his/her birth. In other words, he/she was born with this disability. If the person got this disability after birth enter the disability code in Column 15 (b) "After birth".


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Cambodia 2008 — source variable KH2008A_DISAFTER — Disabled after birth
Questionnaire form view entire document:  text  image

15. Physical/mental disability, if any:
If the person is physically/mentally disabled, give the appropriate code number from the list below. Otherwise enter a dash (-)


b. After birth

[] 1 In seeing
[] 2 In speech
[] 3 In hearing
[] 4 In movement
[] 5 Mental

Questionnaire instructions view entire document:  text  image

Column 15: Physical/Mental Disability, if any

97. This question is a sensitive one and should be canvassed without offending the feelings of the respondent. The purpose of this question is to elicit the information of whether the respondent has any physical/mental disability. If he/she has no such disability put (0) in the two sub-columns. The five types of disabilities identified for census purpose are given below:

97.1 In Seeing: A person who cannot see at all (has no perception of light) or has blurred vision even with the help of glasses or contact lenses will be considered as having disability in "Seeing" or visually disabled, and Code 1 will be entered under this question. A person with proper vision only in one eye will also be treated as visually disabled. You may come across a situation where a person may have blurred vision and had no occasion to test whether his/her eye-sight would improve by using spectacles. Such persons would be treated as visually disabled.

97.2 In Speech: A person will be recorded as having speech disability if he/she is mute. Similarly, for a person whose speech is not understood by a listener of normal comprehension and hearing, he/she will be treated as having speech disability and Code 2 will be entered. Persons who stammer but whose speech is comprehensible will not be classified as disabled by speech.

97.3 In Hearing: A person who cannot hear at all (deaf) or can hear only loud sounds will be considered as having hearing disability and in such cases Code 3 will be entered. A person who is able to hear, using a hearing aid will not be considered as disabled under this category. If a person cannot hear through one ear but his/her other ear is functioning normally, he/she should be considered as having hearing disability.

97.4 In Movement: A person who lacks limbs or is unable to use the limbs normally will be considered having movement disability and Code 4 will be entered here. Absence of a part of a limb like a finger or a toe will not be considered as disability. However, absence of all the fingers or toes or a thumb will make a person disabled by movement. If any part of the body is deformed, the person will also be treated as disabled and covered under this category. A person who cannot move herself/himself or without the aid of another person or without the aid of a stick, wheelchair, etc., will be treated as disabled under this category. Similarly, a person would be

[p.36]
treated as disabled in movement if he/she is unable to move or lift or pick up any small article placed near him/her. A person who may not be able to move normally because of problems of joints like arthritis, and has to invariably limp while moving, will also be considered to have movement disability.

97.5 Mental: A person who lacks comprehension appropriate to his/her age will be considered as mentally disabled. This would not mean that if a person is not able to comprehend his/her studies appropriate to his/her age and is failing his/her quality examination is mentally disabled. Mentally retarded and insane persons would be treated as mentally disabled. A mentally disabled person may generally depend on his/her family members for performing daily routines. It should be left to the respondent to report whether the member of the household is mentally disabled and no tests are required to be applied by you to judge the member's disability.

97.6 If a person is disabled, enter only one of the five disabilities for that person, in codes, as given below:

1: In Seeing
2: In Speech
3: In Hearing
4: In Movement
5: Mental


97.7 Please note that a person may have two or more types of disability but only one of these is to be recorded. In such cases you will have to leave it to the respondent to decide as to the type of disability he/she wants the member of his/her household to be classified into. The disability of a person will be decided with reference to the date of enumeration. Persons with temporary disability on the date of enumeration will not be considered as disabled. For example, when a person's movement may have been restricted because of some temporary injury and he/she is likely to return to his normal state after sometime, such a person will not be treated as disabled.

97.8 The code has to be given in Column 15 (a) "Since birth" if the person has the disability from his/her birth. In other words, he/she was born with this disability. If the person got this disability after birth enter the disability code in Column 15 (b) "After birth".


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Cambodia 2013 — source variable KH2013A_DISMNTL — Disability, mental retardation
Questionnaire form view entire document:  text  image
For all persons
[Questions 10 to 25 were asked of all persons]

18. Physical/mental disability, if any:

If the person is physically/mentally disabled, give the appropriate code number from the list below. Otherwise enter 0.

Type of disability

[] 1 In seeing
[] 2 In speech
[] 3 In hearing
[] 4 In movement
[] 5 Mental retardation
[] 6 Mental illness
[] 7 Any other (specify) ____
[] 8 Multiple disability (specify by code) ____
Questionnaire instructions view entire document:  text  image
52. Instructions for filling-in column 1 to 25 of Form B: part 2

You have to collect information in part 2 for all persons mentioned in statement 1.1 and statement 1.2 of part 1. Some of the following questions have been answered in part 1. Therefore there will be no need to ask these questions again. In such cases all you have to do is to copy the information in the appropriate column.

71. Column 18: physical/mental disability, if any

This question is a sensitive one and should be canvassed without offending the feelings of the respondent or other members of the household. The purpose of this question is to elicit the information whether the respondent has any physical/mental disability. If he/she has no such disability put (0) in column 18. The types of disabilities identified for survey purpose are given below:

71.1 In seeing:
(i). A person who cannot see at all (has no perception of light) or has blurred vision even with the help of glasses or contact lens will be considered as having disability in "Seeing" or visually disabled.
(ii) A person with proper vision only in one eye will also be treated as visually disabled
(iii)A person may have blurred vision and difficulty in seeing, but would not have tested whether her / his eye-sight would improve by using spectacles. Such persons also would be treated as visually disabled.

71.2 In speech:
(i). A person would be recorded as having speech disability, if she/he is dumb or he cannot speak at all.
(ii)A person whose speech is not understood by a listener of normal comprehension and hearing would be treated as having speech disability.
[p. 29]
(iii) A person who speaks single words only and is not able to speak in sentences has speech disability
(iv) A person who stammers to that extent that the speech cannot be understood is having speech disability.

71.3 In Hearing:
(i). A person who cannot hear at all (deaf) or can hear only loud sounds will be
considered as having hearing disability
(ii) A person who is able to hear, only by using hearing - aid will be treated as disabled
under this category.
(iii) If a person cannot hear through one ear though her/ his other ear is
functioning normally, should also be considered as having hearing disability.

71.4 In movement:
(i). If a person does not have leg/s or arm/s or hand/s or there is absence of all the fingers or toes or a thumb she/he is disabled in movement
(ii) If any part of the body is deformed (Example: hunch back), the person will be treated as disabled under this category
(iii) A person who cannot move herself/himself or without the aid of another person or without the aid of stick, wheel chair etc., will be treated as disabled under this category.
(iv)A person will be treated as disabled in movement if she /he is unable to move or lift or pick up any small article placed near her/ him.
(v) A person who may not be able to move normally because of problems of joints like arthritis and has to invariably limp while moving, will also be considered to have movement disability.
(vi)Very short statured persons (dwarfs) are considered as having movement difficulty.

71.5 Mental Retardation: This refers to
(i). A person with lower intelligence or has delayed development (walking, talking, learning etc).
(ii) One who lacks comprehension appropriate to her/ his age.
(iii)A person who has difficulty in communicating her/his needs and generally depends on her/his family members for performing daily routine.
Note: mental Retardation is generally from birth. If the person has got mental impairment at a later age, it may be mental illness

71.6 Mental Illness. This refers to:
(i). A person who exhibits unusual behavior like talking/laughing to self, staring in space, excessive fear and suspicion without reason.
(ii) A person who has problems like loss of memory, depression etc which are usually related to old age
(iii) Exhibits other symptoms indicative of mental disturbance
Note: a mentally ill person may or may not take medicines for her/his illness. It should be left to the respondent to report whether a member of the household is mentally disabled and no argument may be made on this issue.

71.7 Any other (specify)
Examples are: specific learning difficulties, Epilepsy which is not controlled and which limits daily function etc. Even if you find it difficult to categorize based on the explanation given by the person, then also write code 7.

Multiple Disabilities: this refers to a person having more than one disability described above

71.8 If a person is disabled as mentioned above enter code according to the following list:
[p. 30]
Disability code
[] 1 In seeing
[] 2 In speech
[] 3 In Hearing
[] 4 In movement
[] 5 Mental retardation
[] 6 Mental illness
[] 7 Any other (specify)
[] 8 Multiple disabilities (In this case write 8 and specify the disabilities within brackets. Example: 8(1,4) or 8 (,2,3,4), 8 (2,7-Epileptic fit), 8(4,5).

71.9. The disability of a person will be decided with reference to the date of enumeration. Persons with temporary disability on the date of enumeration will not be considered as disabled. For example, a person's movement may have been restricted because of some temporary injury and she/he is likely to return to his normal state after sometime, such a person will NOT be treated as disabled.


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Chile 1992 — source variable CL1992A_DISMENT — Have mental disability
Questionnaire form view entire document:  text  image

For all individuals [applies to questions 1 to 6]


4. Do you have any of the following characteristics?

[] 1 Total blindness
[] 2 Total deafness
[] 3 Muteness
[] 4 Paralyzed or injured
[] 5 Mental deficiency

Questionnaire instructions view entire document:  text  image

4. Do you have any of the following characteristics?

Read alternatives 1 to 5 to the person being surveyed and fill in the corresponding circles. If the person doesn't have any of the characteristics listed, fill in circle 6. none.

[The above directions refer to a picture of question 4 in this section of the enumeration form.]

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Chile 2002 — source variable CL2002A_MENTAL — Mental deficiency
Questionnaire form view entire document:  text  image

For all individuals [applies to questions 17 to 23]


20. Do you have any of the following disabilities?

[] 1 Total blindness
[] 2 Total deafness
[] 3 Muteness
[] 4 Paralyzed or injured
[] 5 Mental deficiency
[] 6 None of the above

Questionnaire instructions view entire document:  text  image

Question 20

If there is more than one type of impairment, mark all that apply. [These instructions refer to a graphic of question 20 on the census form.]

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Colombia 1993 — source variable CO1993A_RETARD — Mentally handicapped
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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Colombia 2005 — source variable CO2005A_LIMLEA — Permanent limitation for learning
Questionnaire form view entire document:  text  image
39. Does [the respondent] have permanent limitations for: (basic)

39.6 Understand or learn?
[] 1 Yes
[] 2 No

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Costa Rica 2000 — source variable CR2000A_DISAB — Disability
Questionnaire form view entire document:  text  image
[Questions 1 - 8 are] For all individuals

8. Does ____ have any permanent disability, such as

[] 1 partial or total blindness?
[] 2 partial or total deafness?
[] 3 mental retardation?
[] 4 paralysis or amputation?
[] 5 mental illness?
[] Other (specify) ____
[] 7 None
Questionnaire instructions view entire document:  text  image

First block

For all persons


Question 8: Disability

The objective of this question is estimating the population of the country that presents any type of permanent deficiency that can be a disability to the person, making it hard to fulfill daily activities in an independent manner; and in this way to guide the programs of attention to these persons.

[To the right of the text is a form.]

Deficiencies can be by origin: congenital (since birth) or acquired (by sickness or accident).

Mark with "X" only one of the deficiencies, the most important, according to the situation of the person.

The most common deficiencies are:

1. Partial or total blindness: Consists of the partial or total loss of visual capability. Include: blind or cannot see in one or both eyes. Among the most frequent causes are: cataracts, glaucoma, diabetes, German measles, squint or others. Exclude: persons who can correct their deficiencies with glasses or contact lenses.

[Below the text is a picture of a blind man.]

2. Partial or total deafness: consists of the partial or total loss of aural capacity. Include: deaf persons of one or both ears, such as any person who has permanent difficulty in hearing or wears a hearing aid. Exclude: persons with temporary hearing problems.

[Below the text is a picture of a deaf man.]

3. Mental retardation: Mental retardation is characterized by significant difficulty in intellectual functioning and for learning (concepts and intellectual practices). Include: persons with Downs Syndrome (previously called mongolism) and all known grades of mental retardation. Exclude: persons with learning problems such as: dyslexia, attention deficit (lack of concentration and attention), others.

4. Paralysis, amputation: Understood as the loss, paralysis or difficulty of functioning or mobility of one of many parts of the body (foot, leg, hand, arm), or both, in some cases fingers. Include: persons with cerebral paralysis, with physical difficulties by polio, severe arthritis, by amputations, congenital physical malformations, such as persons with involuntary movements, like Parkinson's disease. Exclude: cases of muscular, head or back pain, rheumatism, tiredness, or temporary fractures.

[Below the text is a picture of two handicapped persons.]

[p. 63]

5. Mental illness: take into account all mental diseases that cause serious problems of adaptation and social behavior in persons. Include: severe psychiatric problems like psychosis, schizophrenia, neurosis, dementia, permanent depression, that makes it difficult to lead a life considered "normal". Exclude: persons affected by temporary depression, stress or other transitory states of mind, known popularly as suffering from "nerves".

6. Others: are those deficiencies by losses, scarcities or anomalies that are not included in the previous deficiencies. Include: chronic obstructive lung disease (EPOC), other lung insufficiencies, cystic fibrosis, harelip, hemophiliacs, mutes, epilepsy, among others. Exclude: any other common suffering or disease such as hypertension, ulcers, emphysema, bronchitis, diabetes, whenever they have caused consequences that are classified in previous categories.

7. None: are cases in which the person claims to not have any permanent deficiency.


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Costa Rica 2011 — source variable CR2011A_DISDEV — Disability, intellectual difficulty
Questionnaire form view entire document:  text  image
12. Does [the respondent] have a permanent limitation?? (You can mark multiple options)

[] 1 Seeing, even with glasses or contacts on
[] 2 Hearing
[] 3 Speaking
[] 4 Walking or going up steps
[] 5 Using arms or hands
[] 6 Intellectually (retarded, Down?s syndrome, other)
[] 7 Mentally (bipolar, schizophrenic, other)
[] 8 None of the above
Questionnaire instructions view entire document:  text  image
Question 12: Population with disability

12. Does [name] have a permanent limitation...? (You can mark multiple options)

[] 1 seeing, even with glasses or contacts on
[] 2 hearing
[] 3 speaking
[] 4 walking or going up steps
[] 5 using arms or hands
[] 6 intellectually (retarded, Down's syndrome, other)
[] 7 mentally (bipolar, schizophrenic, other)
[] 8 none of the above

This question is asked of all the habitual residents of the household. In the case of the babies, it should be considered that they do not have permanent limitations if there is no medical opinion that indicates otherwise.

As can be observed in this question you can mark various responses that refer to the following permanent limitations.

Intellectually (retarded, Down's syndrome, other): this includes people with problems with their mental functions that affect that intellectual development.


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Dominican Republic 1981 — source variable DO1981A_MENTAL — Mental disability
Questionnaire form view entire document:  text  image
39. Does the interviewed person have any of the following disabilities?
(More than one option may be marked)

[] 1 Blind
[] 2 Deaf
[] 3 Mute
[] 4 Physical disability
[] 5 Mental disability
[] 6 Doesn't have
Questionnaire instructions view entire document:  text  image
Question 39: Does the enumerated person have any of the following disabilities?

The person is asked if he has any of the disabilities found in the question. The alternatives are read and the corresponding circles are filled in.


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Dominican Republic 2002 — source variable DO2002A_DISMNTL — Mental disability
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_DISCONC — Permanent difficulty remembering or concentrating
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.
f. Remembering or concentrating?
[] 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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Ecuador 2001 — source variable EC2001A_DISABTYP — Type of disability
Questionnaire form view entire document:  text  image

4. Does the person have any permanent physical, sensorial, or mental disability? (Incapacity)
[ ] 1 Yes

[ ] 1 To see (blindness, only shadows)
[ ] 2 To move or use his/her body (paralysis, amputations)
[ ] 3 Is deaf or uses hearing aids? (deaf, deaf/mute)
[ ] 4 Mental retardation
[ ] 5 Psychiatric Illness (craziness)
[ ] 6 Multiple (two or more of the above)
[ ] 7 Other (disfigurations, internal organs)

[ ] 2 No
[ ] 9 Don't know

Questionnaire instructions view entire document:  text  image

Question 4.- Do you have any physical, sensory, or mental disability? (Handicap)

[There is a picture of question 4 from this section of the enumeration form.]

Mr. Enumerator, this question deals with identifying a handicap in the person being enumerated. As an orientation, it's important to consider the following:

Permanent disability: physical, sensory, or mental

This is a permanent difficulty in doing an activity that is considered normal, due to irreversible effects from an incurable congenital or acquired disease.

In seeing (blindness, only shadows).- Mark box 1 when the person being enumerated cannot see or can only see shadows, with one or both eyes, and therefore needs help to get by. People that use lenses because of myopia or similar diseases are excluded from this category.

In moving or using their body (paralysis, amputations).- Mark box 2 if the person in question has a physical disability manifested by an absence of or decrease in the ability to move any part of their body: legs, arms, hands, etc. For example: paralytics who can't walk or only do so with some apparatus; people who can't use their upper body due to the aftereffects of a brain hemorrhage, bone marrow injury, polio, etc.; people who can't move parts of their body because they don't have them due to amputations; people who suffer from involuntary movements of their body.

Is deaf or uses a hearing device (deafness, mute and deaf).- Mark box 3. People who can't hear or who use devices (hearing aids or sound amplifiers) to hear should be considered in this category; in general these are deaf people or those known as deaf-mutes.

Mentally retarded.- Mark box 4 when the person being enumerated has a decreased degree of intelligence due to mental retardation. In some populations these people are called "innocents," "silly ones", or "mutes" (not because of deafness). People affected by Down syndrome, microcephaly, cretinism, autism, etc. are in this group.

[p. 39]

Psychiatric illness (insanity).- Mark box 5 if the person suffers from mental disorders and, despite having a good level of intelligence, demonstrates strange behaviors that impede them from getting along with others. These people are usually referred to as being insane.

Multiple (two or more of the previous).- Mark box 6 if the person being enumerated suffers from various disabilities simultaneously, for example: deaf-blind, blind-paralytic, etc.

Other (disfigurement, internal organs).- Mark box 7 when the person being enumerated has disfiguring problems that primarily affect their esthetic appearance and which don't impede their ability to move, such as: dwarfism, noticeable scars from wounds or burns, leprosy, etc. Include people who have severe problems with their internal organs, like those whose life depends on the use or an artificial kidney (weekly dialysis).

Mark no, box (2), if the informant indicates that they don't have any permanent physical, sensory, or mental disability (handicap) and continue with question 5.

Mark unknown, box (9), in those cases where the information is being provided by a third party who doesn't know if the person being referred to has any physical, sensory, or mental disability (handicap) or not, and continue with question 5.

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Ecuador 2010 — source variable EC2010A_DISINTEL — Intellectual disability
Questionnaire form view entire document:  text  image
For all persons
[Questions 1-18 were asked of all persons.]


9. The disability of [the respondent] is:

More than one answer is allowed.

[Question 9 was asked of all persons who reported having a permanent disability that has lasted for more than one year.]

[] 1 Intellectual? (mental retardation)
[] 2 Physical/motor? (paralysis and amputations)
[] 3 Visual? (blindness)
[] 4 Auditory? (deafness)
[] 5 Mental? (psychiatric illnesses, craziness)

Questionnaire instructions view entire document:  text  image

[Section 4]


Step 10: Section 4, information about the Population / B: General Characteristics, is divided into three parts: The first part corresponds to the questions that go from question one to ten.

[A copy of part of section 4B of the census questionnaire is omitted here.]

Tips:

(A) The information of the first person corresponds to the one listed this same section in subsection A - identification by person; row 1 (page 4 of the census questionnaire).

  • Follow the sequential order of the questions.

(B) Begin with the head of household (male or female), and for the rest of persons it register them according to the order established in relation to the head of the household. For each household, there should only be one head of household, and he/she will be registered as person 1.
(C) Register the exact age of the person in years completed. If a boy or girl is younger than one year, register 0 (zero).
(D) Pay attention to the leaps in question 5 and question 8.
(E) It will be registered that yes he/she has a citizenship certificate, even if it has been stolen or lost.

  • Pay attention to the instructions that are indicated in questions 3 and 9.
  • In question 7, do not include the insurance of the IESS.

(F) Remember that the question 9 can have several alternatives of answers.

  • The disabilities are of permanent nature and that prevent him/her from doing activities that other people would do without difficulty. If any person mentions that his/her hip hurts, that he/she has to use glasses because he/she no longer sees well, or that he/she must use an apparatus to hear because he/she no longer hears well, these will not be registered as disabilities.
  • If a person does not speak (mute person), register alternative 4 and note it in observations.


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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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El Salvador 2007 — source variable SV2007A_DISMNTL — Mental disability
Questionnaire form view entire document:  text  image

5. Do you/does the person have any permanent limitation in:


Does the person have a mental delay or impairment?

[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

Question 5: Do you/does this person have any permanent disability in
If a person has more than one permanent disability you may circle all of them; you do not need to limit yourself to a single response. Exclude temporary disabilities caused by fractured limbs or illness.


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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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Ghana 2010 — source variable GH2010A_DISDEV — Intellectual disability
Questionnaire form view entire document:  text  image
[Questions P00-P20 were asked for persons in both the household and non-household populations.]

P18. Disability (answer for all persons).

[P18 was asked of all persons.]
Does [the respondent] have any serious disability that limits his/her full participation in life activities (such as mobility, work, social life, etc.?
a. Sight
[] Yes
[] No
b. Hearing
[] Yes
[] No
c. Speech
[] Yes
[] No
d. Physical
[] Yes
[] No
e. Intellect
[] Yes
[] No
f. Emotional
[] Yes
[] No
g. Other
[] Yes
[] No
If "yes" in g (other), specify: ________
Questionnaire instructions view entire document:  text  image
P18. Disability: This question is to be asked of all household members.

Does (name) have any serious disability that limits his/her full participation in some life activities (such as mobility, work, social life, etc.?)

Persons with disabilities are defined as those who are unable to or are restricted in the performance of specific tasks/activities due to loss of function of any part of the body as a result of impairment or malformation. Examples are persons with visual/sight impairment, hearing impairment, mental retardation, emotional or behavioral disorders and physically challenged persons. A disability could be partial or total, sensory or physical and an individual may suffer from one or more disabilities. A person is considered disabled if despite the use of assistive device or supportive environment (such as eye glasses and hearing aids), the limitation/restriction cannot be improved.

Note that for each of the categories (i.e. a - g), there should be either a 'yes' or 'no' response.

1. Visual/sight impairment (blind and partially sighted)
The purpose of this item is to identify those who are restricted in the performance of a specific task or an activity for which sight is essential. Persons who are completely or partially blind and those who have difficulty in seeing or reading fall into this category. If a person is wearing glasses, make sure they understand that the question refers to difficulties they may have seeing while wearing their glasses. For such persons, shade the circle below the "yes" column.

2. Hearing impairment (deaf, hard at hearing)
You should classify, under this category, persons who have serious hearing limitation or problems of any kind with their hearing that contribute to difficulty in doing any aspect of their daily activities. It can be that they cannot hear when someone talks to them directly in a quiet space. They may not be able to hear in one ear or both. Any problem with hearing that they consider serious or important should be captured. If the person is wearing hearing aids, make sure that they understand that the question refers to difficulties they may have in hearing when they are wearing their hearing aids. For such persons, shade the circle for "yes".

3. Speech impairment
Speech is said to be impaired when it deviates so much that it interferes with communication (that is, the speaker cannot be understood) or when the speech causes the speaker or listener to be distressed (e.g. stammering, stuttering, cluttering, and mis-articulation).

4. Physical (e.g. needs wheel chair, clutches or prosthesis, leg, hand usage limitations)
Persons in the household with difficulties in moving parts of their bodies such as arms, legs or neck should be classified in this category. They may have problems walking more than a block or some short distance, or the problem can be that they cannot walk up or down steps without difficulty. In other cases, they may not be able to walk a short distance without stopping to rest or they may not be able to walk without using some type of assistive device such as a cane, a walker, wheelchair or crutches.

The capacity to walk should be without assistance of any device or human support. If such assistance is needed, the person has difficulty in walking. Note: If the person is using an assistive device such as a wheelchair or has a person to help him or her in walking, it is highly likely that they have difficulty in walking. For such persons, shade the circle below the "yes" column.

5. Intellectual (serious difficulty in learning)
Intellectually challenged (or mentally retarded) persons are those who have substantial limitation in their mental functions. Such persons are characterized by sub-average intellectual functioning and this exists concurrently with one or more deficiencies in adaptive skills during the developmental period (0-18 years). Adaptive skills include communication skills, self-care, home living, social skills, etc. These persons usually have difficulty doing things their peers can do, for example, a ten-year old may have difficulty in doing things such as wearing a dress, using a spoon, playing with friends, etc. For such persons, shade the circle corresponding to "yes" under this heading.

6. Emotional/behavioral disorders
This refers to a disability that is characterized by behavioral and emotional responses which sometimes affect other people and impose undue stress on them. Emotional disorders are usually inward feelings that may lead to isolation, withdrawal, moodiness, weeping, etc., while behavior disorder is an outward expression characterized by hitting, shouting and distraction that are generally aggressive and violent. People who tend to hear voices or see things that others do not see or hear should be classified under this category. Also included in this category are persons who have changed so much that they have stopped cleaning themselves, dressing properly or tend to speak or move in a strange way. For such persons, shade the circle under the "yes" column in P18f.

7. Other (specify)
This category includes those considered by the household as having difficulty in carrying out normal activities but cannot be classified under any of the above-mentioned categories. This category also includes dwarfism, hunchback, albinism, etc. For such persons, shade the circle under the "yes" column and specify the type of disability in the space provided.

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Guatemala 1981 — source variable GT1981A_DISMNTL — Mental retardation
Questionnaire form view entire document:  text  image
VII. People in the census household

For all individuals
[Questions 1 - 8 were asked for all persons]

8. Disability

Do you have any physical or mental impediment, from birth or other cause?

(Circle one or more numbers as the case may be.)

[] 1 No disability
[] 2 Blind
[] 3 Deaf-mute
[] 4 Paralyzed
[] 5 Amputee
[] 6 Mentally retarded
[] 7 Other (specify) ____
Questionnaire instructions view entire document:  text  image

A. First block: personal characteristics (for all persons)

This part of the census form is designed to study the composition of the population according to the following characteristics: relationship to the head of household, sex, age, marital status, maternal orphanhood, ethnicity, and disabilities.

Questions 1-8 are presented to all enumerated persons, without exception, following the specific instructions presented below:


Question 8: disability

1. How to formulate the question

Do you have any physical or mental impediment, congenital or by another cause?

The following definition will help the enumerator investigate the question:

Disabled person: The person whose physical or mental well-being is temporarily or permanently disturbed, either from birth or during life because of illness or any type of accident.

2. How to record the data

One or more of the numbers corresponding to categories in the census form are circled.

If the enumerated person does not have a physical or mental disability, number "1. no disability" is circled.

3. Example:

[These instructions refer to a graphic of question 8 of the census form]


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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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Haiti 2003 — source variable HT2003A_MENTALD — Disability, mental development
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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Ireland 2011 — source variable IE2011A_DISMNTL — Intellectual disability
Questionnaire form view entire document:  text  image
16. Do you have any of the following long-lasting conditions or difficulties?
(d) An intellectual disability
[] Yes
[] No
Question 16 -- Do you have any of the following long-lasting conditions or difficulties?
For the purpose of this question a long lasting condition or difficulty is one which has lasted or is expected to last 6 months or longer, or that regularly re-occurs.
Questionnaire instructions view entire document:  text  image
Questions 16 and 17. The results of questions 16 and 17 coupled with other questions will provide important data on the number of people whose activities are reduced because of a disability and the effect of the disability on their lives. The questions are slightly different to those asked in 2006. In question 16, vision and hearing impairments have been separated and there is a separate category for intellectual disabilities. The questions were chosen after pre-Census consultation with experts from the various disability umbrella bodies and government departments.

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Ireland 2011 — source variable IE2011A_DISLEARN — Learning disability
Questionnaire form view entire document:  text  image
16. Do you have any of the following long-lasting conditions or difficulties?
(e) A difficulty with learning remembering or concentrating
[] Yes
[] No
Question 16 -- Do you have any of the following long-lasting conditions or difficulties?
For the purpose of this question a long lasting condition or difficulty is one which has lasted or is expected to last 6 months or longer, or that regularly re-occurs.
Questionnaire instructions view entire document:  text  image
Questions 16 and 17. The results of questions 16 and 17 coupled with other questions will provide important data on the number of people whose activities are reduced because of a disability and the effect of the disability on their lives. The questions are slightly different to those asked in 2006. In question 16, vision and hearing impairments have been separated and there is a separate category for intellectual disabilities. The questions were chosen after pre-Census consultation with experts from the various disability umbrella bodies and government departments.

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Israel 2008 — source variable IL2008A_DISMNTL — Difficulty remembering or concentrating
Questionnaire form view entire document:  text  image
Questions on daily functioning
The following questions relate to difficulties in performing certain activities due to health, physical or mental problems which have continued for 6 months or more.

41. Do you difficulties in remembering or concentrating?

[Question 41 asked of persons 5 years and older]
[] 1 No - have no difficulties
[] 2 Yes - have slight difficulties
[] 3 Yes - have great difficulties
[] 4 Can't at all
Questionnaire instructions view entire document:  text  image
Part F: Daily Functioning

2. Instructions for answering questions
A wide variety of questions can help us learn about the country's residents' level of functioning and ability to cope in their daily life. In the population census survey we examine these issues through questions about the level of difficulty a person experiences when performing different activities.
Each question in this part is separate from the others and does not depend on the other questions. Therefore, each question is asked regardless of the answer received for the previous question.
a. The introduction
An introduction sentence appears before the questions, explaining the framework within which the questions are asked. The introduction presents the subject of the questions and explains the type of difficulties that should be addressed. The introduction is read out once and refers to the series of questions that follows.
In the questions, you should refer to difficulties which are the result of a health, physical or mental problem, lasting six months or more. This time frame was determined in order to focus on long-term and permanent difficulties and avoid collecting data on temporary difficulties, such as a person who broke his leg but will fully recover within a short time.

Question 5.30 - Do you experience any difficulty in remembering things or concentrating?

[] 1 No - no difficulty
[] 2 Yes - little trouble
[] 3 Yes - it is very hard
[] 4 Cannot at all

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Jamaica 1991 — source variable JM1991A_DISTYP — Type of disability
Questionnaire form view entire document:  text  image

3.7. Do you / does [the respondent] suffer from any long standing illness, disability or infirmity?
[] Yes
[] No (Go to Question 4.1)
[] Not stated


3.8. Does this limit your / [the respondent's] activities compared with most people of the same age?

[] Yes
[] No (go to Question 4.1)
[] Not stated


3.9. What type of disability of impairment do you / does [the respondent] have?

[] Sight only
[] Hearing only
[] Speech only
[] Physical disability only
[] Multiple disability
[] Slowness at learning or understanding
[] Mental retardation
[] Mental illness
[] Other (specify) ______
[] Not stated

Questionnaire instructions view entire document:  text  image

Section 3 - Characteristics

Questions 3.1 - 3.10 which comprise Section 3 provide some basic characteristics about the individual and are to be answered for all members of the household.


5.43 Question 3.7-3.10 General
These questions seek to determine whether the respondent has a physical or mental disability. In order to set the respondent at ease before asking these questions which might be seen as sensitive, begin by saying: "Now I would like to ask you some questions about any difficulty which you (or other members of the household) might have in carrying out every day activities due to mental or physical problems."

Disability - is defined as any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Such restriction or lack of ability must be as a result of an impairment. A person has an impairment if he or she has suffered any loss or abnormality of mind or body.


5.44 Question 3.9 Type of Disability
The categories are for the most part self-explanatory.

Physical Disability only - score this if the person's only impairment is the loss of use of parts of the body e.g. arms, legs.

Multiple Disability - score this for any combination of impairments.

Slowness at Learning or Understanding - score this only for persons who have been medically tested and found to be 'slow'.

Mental Retardation - it is very important to distinguish between mental retardation and mental illness. Mental Retardation exists where the person is born with a mental problem. Score this where it has been determined that the disease is one with which the person was born.

Mental Illness - is an illness acquired after birth.


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Jamaica 1991 — source variable JM1991A_CHRONIC — Illness, disability, infirmity status
Questionnaire form view entire document:  text  image

3.7. Do you / does [the respondent] suffer from any long standing illness, disability or infirmity?
[] Yes
[] No (Go to Question 4.1)
[] Not stated

Questionnaire instructions view entire document:  text  image

Section 3 - Characteristics

Questions 3.1 - 3.10 which comprise Section 3 provide some basic characteristics about the individual and are to be answered for all members of the household.


5.43 Question 3.7-3.10 General
These questions seek to determine whether the respondent has a physical or mental disability. In order to set the respondent at ease before asking these questions which might be seen as sensitive, begin by saying: "Now I would like to ask you some questions about any difficulty which you (or other members of the household) might have in carrying out every day activities due to mental or physical problems."

Disability - is defined as any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Such restriction or lack of ability must be as a result of an impairment. A person has an impairment if he or she has suffered any loss or abnormality of mind or body.


5.44 Question 3.9 Type of Disability
The categories are for the most part self-explanatory.

Physical Disability only - score this if the person's only impairment is the loss of use of parts of the body e.g. arms, legs.

Multiple Disability - score this for any combination of impairments.

Slowness at Learning or Understanding - score this only for persons who have been medically tested and found to be 'slow'.

Mental Retardation - it is very important to distinguish between mental retardation and mental illness. Mental Retardation exists where the person is born with a mental problem. Score this where it has been determined that the disease is one with which the person was born.

Mental Illness - is an illness acquired after birth.


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Jamaica 2001 — source variable JM2001A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image

[Questions 1.9 - 1.13 were asked of all persons]


1.13 What type of disability do you/does [the respondent] have?

[] 0 Sight only
[] 1 Hearing only
[] 2 Speech only
[] 3 Physical disability only
[] 4 Multiple disability
[] 5 Slowness of learning
[] 6 Mental retardation
[] 7 Mental illness
[] 8 Other
[] 9 Not stated

Questionnaire instructions view entire document:  text  image

5.49 Questions l.9-1.13: General
These questions seek to determine whether the respondent suffers from any chronic illness and or has a physical or mental disability. In order to set the respondent at ease before asking these questions which might be seen as very sensitive, begin by saying: "Now I would like to ask you some questions about any difficulty that you (or other members of the household) might have in carrying out everyday activities due to illness and to mental or physical problems."


[Question 1.9 is missing from the original document]


5.51 Question 1.13: Type of disability

The categories are self-explanatory. Note however the following:

Sight only: Score this for persons who are blind (only) or almost blind, indicating that the impairment is at a stage where even wearing eye glasses would not help.

Physical disability: Score this if the person's only impairment is the loss of use of parts of the body: e.g., arms.

Multiple disabilities: Score this for any combination of impairments.

Slowness of learning or understanding: Score this only for persons who have been subjected to testing and found to be slow at learning or understanding simple instructions.

Mental retardation: Score this for persons who function intellectually below a level regarded as normal for their age. In most cases the motor skills, language skills, and self-help skills develop at a much slower rate than in their peers. These persons exhibit decreased learning ability and are generally unable to meet the educational demands of school.

Mental illness: This could range from depression to insanity. In many instances persons suffering from some type of mental illness are able to function normally but require medication.


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Jordan 2004 — source variable JO2004A_DISAB — Kind of handicap
Questionnaire form view entire document:  text  image

235. Does any member of the household suffer from any handicap?
[] 1 Yes
[] 2 No (skip to section 4)
[] 3 Don't know (skip to section 4)
[] 4 No answer (skip to section 4)


239. Kind of handicap

[Question 239 was asked of persons who were handicapped, per Question 235.]
[] 1 Deaf or dumb
[] 2 Physical
[] 3 Cerebral palsy
[] 4 Mental
[] 5 Visual
[] 6 Multiple handicap
[] 7 Other (specify) ____


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Kenya 2009 — source variable KE2009A_DISAB1 — Disability 1
Questionnaire form view entire document:  text  image

C: Information regarding persons with disability
[Questions P-37 and P-38 were asked of all individuals.]


P-37. What type of disability does [person] have?

[] 1 Visual
[] 2 Hearing
[] 3 Speech
[] 4 Physical
[] 5 Mental
[] 6 Self care
[] 7 Others
[] 8 None

List not more than three.

Questionnaire instructions view entire document:  text  image
32. Section C: Information regarding disability

Columns P37 to P38 contain questions pertaining to disabilities. These questions are to be asked of the head of the household or any other responsible person.

32.1 Introduction

Questions regarding disabilities have to be asked very carefully and with caution. You should not ask "Do you have a disability, or are you disabled, or are you blind, or deaf" nor "are you lame?'. This will generate very low rates of response because you will not get the correct answer. The word "disability" is regarded negatively in most communities particularly in developing countries. People may feel stigmatized or be ashamed to be identified as having a disability. In some cultures, disability is seen as punishment for sins committed in previous lives.
Also, even if people do not feel stigmatized, the word "disability" often implies a very significant condition. Persons who can walk around their homes but are unable to walk to the market may perceive their situation as not severe enough to be considered as having a disability.
Disability is interpreted relative to what is considered normal functioning (or different). This may vary across various cultures, age groups, or social class.

32.2 Definition of disability

The Disability Act 2003 defines disability as: physical, sensory, mental, or other impairment, including a visual, hearing or physical disability, which has a substantial long term adverse effect on a person's ability to carry out usual day to day activities. Disability is, therefore, viewed as a physical, mental, or psychological condition or impairment that substantially affects a person's daily activities or limits a person's ability to perform one or more basic life activities (referred to as activities of daily life? ADL) such as caring for oneself, performing manual tasks, walking, seeing, hearing, speaking, breathing, earning a living, or working and interacting with other persons.
In this context, activities refer to a wide range of deliberate actions performed by an individual as opposed to particular body functions or structures. These are basic deliberate actions undertaken in order to accomplish a task such as dressing or feeding oneself.
In the 2009 Kenya Population and Housing Census we will classify one as having a disability if they have any of the following: visual, hearing and speech impairment; physical, mental and other disabilities, and self?care difficulties.

32.3 Types of disabilities

- Visual impairment
Visual impairment describes the various degrees of vision loss. A person is considered to have an eyesight or vision disability if he/she doesn't have normal vision even if he/she wears eyeglasses or contact lenses. Visual impairments are caused by injury, disease, through accident, muscular degeneration or cataracts or are congenital. Congenital blindness could be noted at birth or within the first five years of life. Vision impairment can be treated by medicines and therapies though impairments caused by birth or accident are less likely to cure.

- Hearing impairment
Hearing impairment refers to complete deafness or partial hearing in one or both ears. Hearing impairment can be caused by birth or are due to inheritance. In some cases extremely high frequency sound waves may also cause hearing disability. Persons who are able to hear well with the aid of devices are not considered to be having this disability.

- Physical disability
Physical or mobility impairment refers to difficulties in moving (i.e. walking, climbing stairs, using hands, sitting upright or standing). This disability restricts one's physical movement, say body movement, or paralysis of legs, hands, or the whole body. Persons with this type of disability can use assistive equipment and supportive devices that assist them to move around.

- Mental disability
Mental disability affects people's ability to perform activities like other people of similar age groups. They may have difficulty in remembering things or concentrating on what he/she is performing. It includes many different functions such as our abilities to pay attention, learn and retain information, solve problems, and use language to express thoughts. This disability hampers clear thoughts in the mind. It also exhibits problems in comprehending any new ideas or opinions or finding solutions and therefore restrains a person from learning or even coordinating functions/activities.

- Self-care difficulties
This refers to difficulties in dressing, bathing, eating, grooming and hygiene, toileting or getting around the home or inside the home. The difficulties may have arisen as a result of other disabilities or impairments. These types of difficulties maybe present in most disabilities. It may be more pronounced in mental disabilities and severe physical disabilities. The question on self? care disability should be asked of all persons.

- Speech impairment
Speech and language disorders refer to problems in communication or difficulties in producing oral speech sounds or problems with voice quality. They might be characterized by an interruption in the flow or rhythm of speech, such as stammering. These delays and disorders range from simple sound substitutions to the inability to understand or use language. Some causes of speech and language disorders include hearing loss, brain injury, learning disability, substance abuse, physical impairments such as cleft lip (deformed lip) or palate, and vocal abuse or misuse. Persons with speech disabilities are often not able to communicate well with others.

- Other disabilities
This refers to any other disability not mentioned or covered above. These could be any of the following: albinism, epilepsy, autism, or chronic health conditions/ailments of more than six months etc. e.g. mental illnesses, cancer.

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Kenya 2009 — source variable KE2009A_DISAB2 — Disability 2
Questionnaire form view entire document:  text  image

C: Information regarding persons with disability
[Questions P-37 and P-38 were asked of all individuals.]


P-37. What type of disability does [person] have?

[] 1 Visual
[] 2 Hearing
[] 3 Speech
[] 4 Physical
[] 5 Mental
[] 6 Self care
[] 7 Others
[] 8 None

List not more than three.

Questionnaire instructions view entire document:  text  image
32. Section C: Information regarding disability

Columns P37 to P38 contain questions pertaining to disabilities. These questions are to be asked of the head of the household or any other responsible person.

32.1 Introduction

Questions regarding disabilities have to be asked very carefully and with caution. You should not ask "Do you have a disability, or are you disabled, or are you blind, or deaf" nor "are you lame?'. This will generate very low rates of response because you will not get the correct answer. The word "disability" is regarded negatively in most communities particularly in developing countries. People may feel stigmatized or be ashamed to be identified as having a disability. In some cultures, disability is seen as punishment for sins committed in previous lives.
Also, even if people do not feel stigmatized, the word "disability" often implies a very significant condition. Persons who can walk around their homes but are unable to walk to the market may perceive their situation as not severe enough to be considered as having a disability.
Disability is interpreted relative to what is considered normal functioning (or different). This may vary across various cultures, age groups, or social class.

32.2 Definition of disability

The Disability Act 2003 defines disability as: physical, sensory, mental, or other impairment, including a visual, hearing or physical disability, which has a substantial long term adverse effect on a person's ability to carry out usual day to day activities. Disability is, therefore, viewed as a physical, mental, or psychological condition or impairment that substantially affects a person's daily activities or limits a person's ability to perform one or more basic life activities (referred to as activities of daily life? ADL) such as caring for oneself, performing manual tasks, walking, seeing, hearing, speaking, breathing, earning a living, or working and interacting with other persons.
In this context, activities refer to a wide range of deliberate actions performed by an individual as opposed to particular body functions or structures. These are basic deliberate actions undertaken in order to accomplish a task such as dressing or feeding oneself.
In the 2009 Kenya Population and Housing Census we will classify one as having a disability if they have any of the following: visual, hearing and speech impairment; physical, mental and other disabilities, and self?care difficulties.

32.3 Types of disabilities

- Visual impairment
Visual impairment describes the various degrees of vision loss. A person is considered to have an eyesight or vision disability if he/she doesn't have normal vision even if he/she wears eyeglasses or contact lenses. Visual impairments are caused by injury, disease, through accident, muscular degeneration or cataracts or are congenital. Congenital blindness could be noted at birth or within the first five years of life. Vision impairment can be treated by medicines and therapies though impairments caused by birth or accident are less likely to cure.

- Hearing impairment
Hearing impairment refers to complete deafness or partial hearing in one or both ears. Hearing impairment can be caused by birth or are due to inheritance. In some cases extremely high frequency sound waves may also cause hearing disability. Persons who are able to hear well with the aid of devices are not considered to be having this disability.

- Physical disability
Physical or mobility impairment refers to difficulties in moving (i.e. walking, climbing stairs, using hands, sitting upright or standing). This disability restricts one's physical movement, say body movement, or paralysis of legs, hands, or the whole body. Persons with this type of disability can use assistive equipment and supportive devices that assist them to move around.

- Mental disability
Mental disability affects people's ability to perform activities like other people of similar age groups. They may have difficulty in remembering things or concentrating on what he/she is performing. It includes many different functions such as our abilities to pay attention, learn and retain information, solve problems, and use language to express thoughts. This disability hampers clear thoughts in the mind. It also exhibits problems in comprehending any new ideas or opinions or finding solutions and therefore restrains a person from learning or even coordinating functions/activities.

- Self-care difficulties
This refers to difficulties in dressing, bathing, eating, grooming and hygiene, toileting or getting around the home or inside the home. The difficulties may have arisen as a result of other disabilities or impairments. These types of difficulties maybe present in most disabilities. It may be more pronounced in mental disabilities and severe physical disabilities. The question on self? care disability should be asked of all persons.

- Speech impairment
Speech and language disorders refer to problems in communication or difficulties in producing oral speech sounds or problems with voice quality. They might be characterized by an interruption in the flow or rhythm of speech, such as stammering. These delays and disorders range from simple sound substitutions to the inability to understand or use language. Some causes of speech and language disorders include hearing loss, brain injury, learning disability, substance abuse, physical impairments such as cleft lip (deformed lip) or palate, and vocal abuse or misuse. Persons with speech disabilities are often not able to communicate well with others.

- Other disabilities
This refers to any other disability not mentioned or covered above. These could be any of the following: albinism, epilepsy, autism, or chronic health conditions/ailments of more than six months etc. e.g. mental illnesses, cancer.

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Kenya 2009 — source variable KE2009A_DISAB3 — Disability 3
Questionnaire form view entire document:  text  image

C: Information regarding persons with disability
[Questions P-37 and P-38 were asked of all individuals.]


P-37. What type of disability does [person] have?

[] 1 Visual
[] 2 Hearing
[] 3 Speech
[] 4 Physical
[] 5 Mental
[] 6 Self care
[] 7 Others
[] 8 None

List not more than three.

Questionnaire instructions view entire document:  text  image
32. Section C: Information regarding disability

Columns P37 to P38 contain questions pertaining to disabilities. These questions are to be asked of the head of the household or any other responsible person.

32.1 Introduction

Questions regarding disabilities have to be asked very carefully and with caution. You should not ask "Do you have a disability, or are you disabled, or are you blind, or deaf" nor "are you lame?'. This will generate very low rates of response because you will not get the correct answer. The word "disability" is regarded negatively in most communities particularly in developing countries. People may feel stigmatized or be ashamed to be identified as having a disability. In some cultures, disability is seen as punishment for sins committed in previous lives.
Also, even if people do not feel stigmatized, the word "disability" often implies a very significant condition. Persons who can walk around their homes but are unable to walk to the market may perceive their situation as not severe enough to be considered as having a disability.
Disability is interpreted relative to what is considered normal functioning (or different). This may vary across various cultures, age groups, or social class.

32.2 Definition of disability

The Disability Act 2003 defines disability as: physical, sensory, mental, or other impairment, including a visual, hearing or physical disability, which has a substantial long term adverse effect on a person's ability to carry out usual day to day activities. Disability is, therefore, viewed as a physical, mental, or psychological condition or impairment that substantially affects a person's daily activities or limits a person's ability to perform one or more basic life activities (referred to as activities of daily life? ADL) such as caring for oneself, performing manual tasks, walking, seeing, hearing, speaking, breathing, earning a living, or working and interacting with other persons.
In this context, activities refer to a wide range of deliberate actions performed by an individual as opposed to particular body functions or structures. These are basic deliberate actions undertaken in order to accomplish a task such as dressing or feeding oneself.
In the 2009 Kenya Population and Housing Census we will classify one as having a disability if they have any of the following: visual, hearing and speech impairment; physical, mental and other disabilities, and self?care difficulties.

32.3 Types of disabilities

- Visual impairment
Visual impairment describes the various degrees of vision loss. A person is considered to have an eyesight or vision disability if he/she doesn't have normal vision even if he/she wears eyeglasses or contact lenses. Visual impairments are caused by injury, disease, through accident, muscular degeneration or cataracts or are congenital. Congenital blindness could be noted at birth or within the first five years of life. Vision impairment can be treated by medicines and therapies though impairments caused by birth or accident are less likely to cure.

- Hearing impairment
Hearing impairment refers to complete deafness or partial hearing in one or both ears. Hearing impairment can be caused by birth or are due to inheritance. In some cases extremely high frequency sound waves may also cause hearing disability. Persons who are able to hear well with the aid of devices are not considered to be having this disability.

- Physical disability
Physical or mobility impairment refers to difficulties in moving (i.e. walking, climbing stairs, using hands, sitting upright or standing). This disability restricts one's physical movement, say body movement, or paralysis of legs, hands, or the whole body. Persons with this type of disability can use assistive equipment and supportive devices that assist them to move around.

- Mental disability
Mental disability affects people's ability to perform activities like other people of similar age groups. They may have difficulty in remembering things or concentrating on what he/she is performing. It includes many different functions such as our abilities to pay attention, learn and retain information, solve problems, and use language to express thoughts. This disability hampers clear thoughts in the mind. It also exhibits problems in comprehending any new ideas or opinions or finding solutions and therefore restrains a person from learning or even coordinating functions/activities.

- Self-care difficulties
This refers to difficulties in dressing, bathing, eating, grooming and hygiene, toileting or getting around the home or inside the home. The difficulties may have arisen as a result of other disabilities or impairments. These types of difficulties maybe present in most disabilities. It may be more pronounced in mental disabilities and severe physical disabilities. The question on self? care disability should be asked of all persons.

- Speech impairment
Speech and language disorders refer to problems in communication or difficulties in producing oral speech sounds or problems with voice quality. They might be characterized by an interruption in the flow or rhythm of speech, such as stammering. These delays and disorders range from simple sound substitutions to the inability to understand or use language. Some causes of speech and language disorders include hearing loss, brain injury, learning disability, substance abuse, physical impairments such as cleft lip (deformed lip) or palate, and vocal abuse or misuse. Persons with speech disabilities are often not able to communicate well with others.

- Other disabilities
This refers to any other disability not mentioned or covered above. These could be any of the following: albinism, epilepsy, autism, or chronic health conditions/ailments of more than six months etc. e.g. mental illnesses, cancer.

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Laos 2015 — source variable LA2015A_DISMNTL — Difficulty to remember or to concentrate
Questionnaire form view entire document:  text  image
B. For all persons in the household

Do you have any difficulty with the following activities?

Q14. Remember/concentrate
[] 1. No difficulty
[] 2. Yes, some difficulty
[] 3. Yes, a lot of difficulty
[] 4. Cannot do at all
Questionnaire instructions view entire document:  text  image
Questions Q11, Q12, Q13, Q14, Q15, Q16: Do you have the following difficulties?
The purpose of the question is to know the difficulties in seeing, hearing, walking or moving, remembering or concentrating, self-caring, speaking, and communicating in the daily life of the household members (except in the case of injury that prevents movement from time to time).
 
The data collection is divided according to categories of disabilities as follows:

Q14: Difficulties in remembering or concentrating:
Refers to people with mental and intellectual disabilities in remembering or concentrating to work for a long period of time, which is an obstacle in their daily life and living with others in society.


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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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Malaysia 2000 — source variable MY2000A_DISABLE1 — Handicapped 1
Questionnaire form view entire document:  text  image

B6. Is any member of this household handicapped?
[] No
[] Yes


[For those who answer yes in Question B6.]
Type of handicap

(Fill in respective handicap code for the relevant member only. Transfer the code(s) to Question C30 for the respective person.)

(Multiple answers accepted)

[] 1 Sight
[] 2 Hearing
[] 3 Speech
[] 4 Limbs
[] 5 Mental
[] 6 Others


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Malaysia 2000 — source variable MY2000A_DISABLE2 — Handicapped 2
Questionnaire form view entire document:  text  image

B6. Is any member of this household handicapped?
[] No
[] Yes


[For those who answer yes in Question B6.]
Type of handicap

(Fill in respective handicap code for the relevant member only. Transfer the code(s) to Question C30 for the respective person.)

(Multiple answers accepted)

[] 1 Sight
[] 2 Hearing
[] 3 Speech
[] 4 Limbs
[] 5 Mental
[] 6 Others


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Malaysia 2000 — source variable MY2000A_DISABLE3 — Handicapped 3
Questionnaire form view entire document:  text  image

B6. Is any member of this household handicapped?
[] No
[] Yes


[For those who answer yes in Question B6.]
Type of handicap

(Fill in respective handicap code for the relevant member only. Transfer the code(s) to Question C30 for the respective person.)

(Multiple answers accepted)

[] 1 Sight
[] 2 Hearing
[] 3 Speech
[] 4 Limbs
[] 5 Mental
[] 6 Others


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Mali 2009 — source variable ML2009A_DISAB — Disability
Questionnaire form view entire document:  text  image
P12) Handicap
Does [Name] have any kind of handicap?

Record the corresponding code.

[] 00 None
[] 01 Physical handicap
[] 02 Hearing handicap
[] 03 Visual handicap
[] 04 Mental handicap
[] 05 Multiple handicaps
Questionnaire instructions view entire document:  text  image
6.2.3.11 Disability (Column P12)
This question covers the main disabilities encountered in the Malian population. The term "disability," refers to a physical, auditory, hearing, visual or mental disability in everyday life resulting in a slowdown of the productive activity of the individual. In some cases, disability can result in complete incapacitation. The question to ask the CM for each household member: "Does [Name] have a disability?"

The agent records:

0 No: Person with no disability
1 Physical Disability: This is a person who, for various reasons (injury, heredity ...), lost or has deformations of its upper or lower members
2 Hearing impairment: This is person affected by a difficulty related to hearing (ears)
3 Visual Impairment: This is a person affected by an difficulty related sight (eyes)
4 Special Needs: This is about a difficulty related to the nervous system
5 Polyhandicaped: This is a person who suffers from several disabilities at once
6 Mute: This is a person who does not have the ability to speak
7 Other Disabilities: This is any other disability outside of everything already mentioned.

[Omitted example]

Instructions: A disability is an everyday disturbance. The agent must verify that it is not a temporary illness (malaria, diarrhea, influenza, leprosy, tuberculosis ...).


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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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Mauritius 2000 — source variable MU2000A_DISAB1 — First reported disability
Questionnaire form view entire document:  text  image
[Population census form]

11. Disability _ _ _

Does the person experience any disability (i.e., any limitation to perform a daily-life activity in a manner considered normal for a person of his/her age), because of a long-term physical/mental condition or health problem?
Write 'yes' or 'no'.

[] Yes
[] No

If 'yes', insert as many disabilities as applicable as follows:
[] SPCH - speaking and talking disabilities
[] EAR - hearing and listening disabilities even with hearing aid
[] EYE - seeing disabilities even with glasses
[] MTION - walking, running, and other ambulation disabilities
[] MANU - manual activity disabilities such as fingering, gripping, and holding
[] LEARN - disturbance of ability to learn and acquire education
[] BEH - disturbances of behavior, maladjustment, and liability to self-injury
[] CARE - inability to look after oneself with regard to personal care and hygiene, feeding, etc.
[] OTHER - other disabilities (specify)
Questionnaire instructions view entire document:  text  image
7. Instructions on how to fill in the census form

Column 11 - Disability
Write 'Yes' if the person, because of a long-term physical/mental condition or health problem, experiences any disability, i.e. any limitation to perform any daily-life activity in a manner considered normal for a person of his/her age. Long-term physical/mental condition or health problem is one that has lasted or is expected to last for six months or more.
A long-term disability or handicap is one that has lasted or is expected to last for six months or more.
Then describe the disabilities using the following abbreviations:

SPCH- speaking and talking disabilities;
EAR- hearing and listening disabilities even with hearing aid;
EYE- seeing disabilities even with glasses;
MTION- walking, running and other ambulation disabilities;
MANU- manual activity disabilities such as fingering, gripping and holding;
LEARN- disturbance of ability to learn and acquire education;
BEH- disturbances of behaviour, including antisocial behaviour, maladjustment and liability to self injury;
Are included under this category:
- conduct that is embarrassing, aggressive, extremely overactive, psychopathic and delinquent;
- disturbances of appearance such as personal uncleanliness, careless dressing and bizarre appearance;
- disturbances resulting from loss of consciousness, fits and blackouts;
- inability to correctly locate external objects events, and himself in relation to time and space and understand relations between objects and persons and to cope with specific situations.
CARE- Personal care and hygiene disabilities, i.e. inability for the person to look after himself/herself in regard to basic physiological activities, such as excretion and feeding, and caring for himself/herself, such as hygiene and dressing;
OTHER- other disabilities (specify).

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


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Mauritius 2011 — source variable MU2011A_DISMEM — Difficulty remembering, concentrating, or acquiring education and learning
Questionnaire form view entire document:  text  image
Individual form

P12B. If [Yes] at P12A, state the severity of all applicable difficulties as follows:

D. Remembering, concentrating or acquiring education and learning

[] 1 Some difficulty
[] 2 A lot of difficulty
[] 3 Cannot do at all
Questionnaire instructions view entire document:  text  image
6. Population census topics and their usefulness

P12A and P12B - Disability
The question provides information which is needed for the formulation and implementation of programs in support of the disabled (e.g. special education, employment and social aid).

8. How to fill in the Population Census Questionnaire

P12A and P12B - Disability
[figure omitted]
This question should be asked tactfully to obtain information as to whether the person has any difficulty to perform a daily-life activity (as listed at P12B - A to I) considered normal for his/her age. If the answer is "Yes", ask for the severity of all applicable difficulties as follows:

1. Some difficulty
2. A lot of difficulty
3. Cannot do at all

[figure omitted]
Shade the degree of severity for all applicable difficulties. If a difficulty is not applicable, leave the corresponding boxes blank.
If a person has reported that he/she is experiencing "I - Other difficulties" at P12B, specify the nature of the difficulty in the adjacent boxes.
[figure omitted]


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Mexico 2000 — source variable MX2000A_DISMENT — Disability, mental disability or retardation
Questionnaire form view entire document:  text  image

6. Type of disability

This person has limitation for:

Read all the options and circle the affirmative responses.

1 Moving, walking, or needs assistance
2 Using arms and hands
3 Is deaf or uses a hearing aid
4 Is mute
5 Is blind or only sees shadows
6 Has some retardation or mental deficiency
7 Has other physical or mental limitation.
_____Write the limitation.

8 Has no physical or mental limitation (Continue with number 8)

Questionnaire instructions view entire document:  text  image

6. Type of Disability

A disabled person is one who has some physical or mental limitation, which limits their ability to carry out activities in their house, school, or job, such as walking, dressing, bathing, reading, writing, hearing, etc.

This question obtains information from people who have long term or permanent disabilities or limitations.

Long term disabilities are those that exist for more than six months, or which are expected to last for at least that long.

[Depiction of this completed question on the enumeration form]

When a person has more than one limitation or disability, circle the codes of the affirmative responses. The following people can be considered to have disabilities:

[P. 68]

Those who cannot, or are limited in, moving or walking due to a partial or total lack of legs, or those who, having complete legs, cannot move them; they generally need help from other people, from a wheel chair, walkers, or an artificial foot or leg. This includes invalids, people with polio, people who have had one or both legs (or a portion of them) amputated, among others.

Those who cannot, or are limited in, using their arms or hands due to a partial or total lack of arms, hands, or fingers; or those people who, having both their arms, have lost the ability to move them, such that they cannot grab or move objects, push, throw, pull, dress, bathe, or perform other actions; those with one hand/arm are an example.

Those who cannot hear with one or both ears, those who only hear high pitched noises, or those who use any kind of hearing aid. For example, those who only hear with one ear, and those who only hear when they are spoken to very loudly.

Those who cannot speak. In this case, do not include babies who are not yet able to talk.

Those who are blind, those who see with only one eye, and those who only distinguish large shapes, or shadows.

People with mental retardation, who learn slowly, those who have Down syndrome, etc.

[Depiction of this completed question on the enumeration form, and a related drawing]

Any physical or mental disability or limitation other than the previous should be registered as it is reported to you, in the space write the disability.

If, after having read through the options, they report that the person does not have any disabilities, circle code 8 and go on to question 8. use of health services.

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Mexico 2010 — source variable MX2010A_DISLRN — Disability paying attention or learning simple things
Questionnaire form view entire document:  text  image
III. Personal characteristics

Now I am going to ask you about (name): ________
Copy the name of the person from section II

For all persons
[Questions 1-10 are asked of all persons.]


10. Disability
Does [the respondent] have difficulty doing the following activities in his/her daily life:

Read all the options and circle those with an affirmative answer.

[] 10 Walking, moving, going up and down [the stairs]
[] 11 Seeing, even when using glasses
[] 12 Speaking, communicating or conversing
[] 13 Hearing, even when using a hearing aid
[] 14 Getting dressed, bathing or eating
[] 15 Paying attention or learning simple things
[] 16 Has any mental limitations
[] 17 This person does not have any physical or mental difficulties (go to 12)

Questionnaire instructions view entire document:  text  image
6.5 Section III. Characteristics of the people

In this section the information of the people who inhabit the dwelling, like the sex, age, level of studies, income, among others, is obtained.

Before requesting the information for each person, copy all the names in the spaces designated for them, and for each person start with the phrase: "Now I'm going to ask about (mention the name of the person you previously noted)", so that the informer knows about whom you will be asking the information.

For all persons
[Questions 1-11 are for all persons.]


10. Disabilities
This question identifies the people who have difficulties completing activities in daily life such as walking, seeing, speaking or communicating, listening, learning, or attending to their personal care.

For each question consider the following:

  • Ask all the people who live in the dwelling.
  • You can circle up to six codes when a person declares more than one difficulty.


People with disabilities are those who:
  • Have difficulties and limitations moving or getting around, going up stairs because of the lack of one or a part of one's leg; this also includes those whose legs are impaired or display movement restrictions, in such a way that they need the help of another person, wheelchair or other apparatus, like walkers or artificial legs.
  • Display total loss of vision in one or both eyes, as well as those with weak vision and those who while using glasses can't see very well because of their advanced visual problem.
  • Have difficulty communicating with others, due to the speech limitations or because they can't chat or converse in a comprehensible way. Remember to not include small children in this situation because due to their young age they still have natural difficulty speaking because they are still learning to do so.
  • Can't hear, as well as those who display difficulties hearing (weak audio), in one or both ears, or those who even while using an audial device have listening difficulties due to the advanced state of the problem.
  • Can't attend to their own personal care or display difficulties and limitations completing activities such as bathing themselves, getting dressed, or consuming food.
  • Declare limitations or difficulties learning a new task of paying attention for a determined amount of time, as well as limitations remembering information, or performing activities that should be completed in daily life.
  • This also includes the people who declare a mental problem like mental retardation or alternative conduct and behavior.


If the person declares that he/she has some sickness or suffering (diabetes, cancer, arthritis, among others), ask what limits or prevents him/her to complete the daily activities in the dwelling, work, or at school, according to the options of the responses indicated in the question.

[p. 98]

When the person discloses information or knows the response by direct observation, use the confirmation of the other members of the dwelling, but never record the response without verifying the information with the informer.

If after having read all the response options, they declare that the person doesn't have difficulties, circle code 17 and continue to question 12 "Indigenous languages" if the person is age 3 or older; if not, continue to the following person.

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Mexico 2010 — source variable MX2010A_DISMENT — Mental limitation
Questionnaire form view entire document:  text  image
III. Personal characteristics

Now I am going to ask you about (name): ________
Copy the name of the person from section II

For all persons
[Questions 1-10 are asked of all persons.]


10. Disability
Does [the respondent] have difficulty doing the following activities in his/her daily life:

Read all the options and circle those with an affirmative answer.

[] 10 Walking, moving, going up and down [the stairs]
[] 11 Seeing, even when using glasses
[] 12 Speaking, communicating or conversing
[] 13 Hearing, even when using a hearing aid
[] 14 Getting dressed, bathing or eating
[] 15 Paying attention or learning simple things
[] 16 Has any mental limitations
[] 17 This person does not have any physical or mental difficulties (go to 12)

Questionnaire instructions view entire document:  text  image
6.5 Section III. Characteristics of the people

In this section the information of the people who inhabit the dwelling, like the sex, age, level of studies, income, among others, is obtained.

Before requesting the information for each person, copy all the names in the spaces designated for them, and for each person start with the phrase: "Now I'm going to ask about (mention the name of the person you previously noted)", so that the informer knows about whom you will be asking the information.

For all persons
[Questions 1-11 are for all persons.]


10. Disabilities
This question identifies the people who have difficulties completing activities in daily life such as walking, seeing, speaking or communicating, listening, learning, or attending to their personal care.

For each question consider the following:

  • Ask all the people who live in the dwelling.
  • You can circle up to six codes when a person declares more than one difficulty.


People with disabilities are those who:
  • Have difficulties and limitations moving or getting around, going up stairs because of the lack of one or a part of one's leg; this also includes those whose legs are impaired or display movement restrictions, in such a way that they need the help of another person, wheelchair or other apparatus, like walkers or artificial legs.
  • Display total loss of vision in one or both eyes, as well as those with weak vision and those who while using glasses can't see very well because of their advanced visual problem.
  • Have difficulty communicating with others, due to the speech limitations or because they can't chat or converse in a comprehensible way. Remember to not include small children in this situation because due to their young age they still have natural difficulty speaking because they are still learning to do so.
  • Can't hear, as well as those who display difficulties hearing (weak audio), in one or both ears, or those who even while using an audial device have listening difficulties due to the advanced state of the problem.
  • Can't attend to their own personal care or display difficulties and limitations completing activities such as bathing themselves, getting dressed, or consuming food.
  • Declare limitations or difficulties learning a new task of paying attention for a determined amount of time, as well as limitations remembering information, or performing activities that should be completed in daily life.
  • This also includes the people who declare a mental problem like mental retardation or alternative conduct and behavior.


If the person declares that he/she has some sickness or suffering (diabetes, cancer, arthritis, among others), ask what limits or prevents him/her to complete the daily activities in the dwelling, work, or at school, according to the options of the responses indicated in the question.

[p. 98]

When the person discloses information or knows the response by direct observation, use the confirmation of the other members of the dwelling, but never record the response without verifying the information with the informer.

If after having read all the response options, they declare that the person doesn't have difficulties, circle code 17 and continue to question 12 "Indigenous languages" if the person is age 3 or older; if not, continue to the following person.

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Mexico 2020 — source variable MX2020A_DISMNTL — Difficulty remembering or concentrating
Questionnaire form view entire document:  text  image
10. Disabilities: In day-to-day life, does [the respondent] have difficulty:

Read all options and circle one code for each option: for codes 2, 3, 4 or 5, apply question 11
Remembering or concentrating?
[] 1 No difficulty
[] 2 Little difficulty
[] 3 Great difficulty
[] 4 Unable to do it
Questionnaire instructions view entire document:  text  image
15.3 Section III. People characteristics

In this section, information is obtained for each of the people living in the housing unit.

Before requesting data for each resident, copy the details from Section II. List people and general data, their names, gender, and age, and write them down in the spaces provided. Do not forget to correct the person number when using more than one questionnaire.

[Figure omitted: image with text]

For the respondent to know who to provide the information about, start with the sentence: "Now I'm going to ask you about...", and mention the name of the person you previously wrote down.

Apply questions 1 through 11 for all the people who are habitual residents, including children, as well as elderly people.

10. Disability
This question identifies the degree of difficulty people have in performing some activities in their daily lives, such as seeing, hearing, walking, remembering or concentrating, providing self-care, speaking, or communicating. Also, if they have any mental problems or conditions.

The question consists of two parts. The first part asks about the degree of difficulty in six activities of daily living. The second part identifies people who have a mental problem or condition.

[p. 309]

[Figure omitted: image with text]

To ask these questions, consider the following:

- Apply them to all people living in the housing unit.
- You must circle seven codes for each person.
- In infants and young children, there are cases in which congenital anomalies, illnesses, or injuries are detected that imply difficulties or limitations from birth or in the first years of life. If so, record the difficulty or limitation in the activity stated by the respondent, but if the respondent mentions that the child cannot perform some activity because they are still small, that is, it is typical of the growth stage of babies and small children, do not record it as a limitation. If in doubt, confirm each of the options with the respondent.
- If the person states that they have difficulties typical of an older adult, or that they have any disease or condition such as diabetes, cancer, or arthritis, among others, ask what limits them or prevents them from carrying out their daily activities according to the answer options indicated in the questions.
- In case the respondent anticipates the answer for one or all of the people in the housing unit, it is important that when recording the information corresponding to each one, you confirm whether or not they present some degree of difficulty for each of the activities indicated. Also, check for any mental problems or conditions by circling the appropriate code. Never record the response without confirming the information; this will ensure that the entire population with a limitation or disability is identified.
[p. 310]
- For the application of the first part, read the complete question with each of its six complementary options, as well as each of the four degrees of difficulty, wait for the answer, and circle a code for each type of activity.
- If the respondent expresses discomfort when you apply the DISABILITY question, even though they gave you a general answer for all the residents of the housing unit, make it clear that you have to ask the question for each of them, in order to identify the people with limitations or disabilities, without omitting any of them.
Activity limitations
Keep in mind that activity limitations are difficulties a person may have in performing certain tasks of daily living due to a health problem such as:

- Visual difficulties, to distinguish the shape, size, and color of a visual stimulus at short and long distances and even wearing glasses (frame, contact, or intra-ocular lenses), the person cannot see well due to the advanced stage of a disease or problem visual; as well as total loss and weakness of sight in one or both eyes.
- Hearing difficulties, in one or both ears and who, even using a hearing aid or implant, cannot hear due to the advanced stage of a disease or hearing problem, or those with total or partial hearing loss
[p. 311]
- Walking or mobility difficulties, going up or down steps or slopes using their legs, due to the total or partial lack of legs or immobility of them.
- Difficulties remembering or concentrating due to problems recalling, focusing, keeping attention, recording and storing information, as well as retrieving it when necessary; exclude those activities related to the process of growth or development of the child population (younger than 3 years old). Remember that they are the result of a birth or health condition.
[p. 312]
- Difficulties bathing, dressing, or eating due to problems in performing self-care tasks or limitations in washing, caring for their own body, dressing (includes taking clothes from where they are usually kept, buttoning, tying laces, etc.), eating and drinking, or taking care of their own health. It excludes those activities related to the growth or development process of the child population (younger than 3 years old).
- Communicating or speaking difficulties, are those problems in producing and transmitting messages through oral (spoken) language, such as expressing a fact or telling a story; it includes the loss or restriction of speech, as well as difficulties in maintaining and understanding a conversation. It excludes limitations related to the growth or development process of the child population (younger than 3 years old).

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Morocco 2014 — source variable MA2014A_DISMNTL — Difficulty remembering or focusing
Questionnaire form view entire document:  text  image
Difficulties in carrying out everyday activities

For all members of the household, specify the degree of difficulty the person has in
[Questions 16 to 21 were asked of all household members]

19. Remembering or focusing

[] 0 Without difficulty (SD)
[] 1 Slight difficulty (DL)
[] 2 Considerable difficulty (GD)
[] 3 Unable to do so (IN)

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Mozambique 1997 — source variable MZ1997A_DISAB — Disability
Questionnaire form view entire document:  text  image
[Questions 6 through 31 were asked of usual residents of the household.]

9. Does (the person) have any disability?

[] No
[] Mental
[] Physical
[] Mental and Physical
Questionnaire instructions view entire document:  text  image
P9. Do you have any disability?
This question is very delicate, some people do not like to talk of their disability or the disability of their relatives, especially that of the minors. So try to be gentle when asking the question. Consider as physical or mental disability of the following impairments: blindness, deafness, muteness, mental retardation, disability of the arms or legs, etc.
If the respondent has no disability, mark X in box number 1. Mark X in box number 2 if the respondent has a mental disability, the number 3 if present physical disabilities and the number 4 if present both defects, i.e. mental and physical.

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Mozambique 2007 — source variable MZ2007A_MENTAL — Mental deficiency
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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Myanmar 2014 — source variable MM2014A_DISMNTL — Disability remembering
Questionnaire form view entire document:  text  image
For all members of the household (1 through 18)
[Question 1 through 18 were asked of all persons living in the household.]

9. Disability: does [the respondent] have any difficulty...?

i. Seeing, even if wearing glasses
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
_ ii. Hearing, even if using hearing aid
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
_ iii. Walking, climbing steps, carrying items
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
_ iv. Remembering or concentrating
[] 1. No - no difficulty
[] 2. Yes - some difficulty
[] 3. Yes a lot of difficulty
[] 4. Cannot do at all
Questionnaire instructions view entire document:  text  image
Disability section

137. Disability serves as an umbrella term for impairments, activity limitations or participation restrictions (ICF, 2005). While it is desirable to collect information on all aspects of disability, this aim cannot be achieved in censuses or even in surveys not dedicated to disability. However, tge census can be used to obtain data on selected aspects of disability.

138. Disability can be measured for a variety of purposes. Each purpose can be related to different dimensions of disability or different conceptual components of disability. Hence, there is a need for a clear link between the purpose of measurement and the operationalization of the indicators of disability.

139. In order to collect disability information, the questions to identify persons who are at greater risk than the general population of experiencing restrictions in performing complex activities (such as activities of daily living) or participating in roles (such as working) if no support were accorded to them. Measurements intended to identify this 'at risk' population represent the most basic end of the spectrum of activities (i.e. activities such as walking, remembering, seeing, hearing). This 'at risk' group would include persons with limitations in basic activities who may or may not also experience limitations in more complex activities and/or restrictions in participation. This in turn may depend on whether or not they use assistive devices or have a supportive environment.

140. The questions on disability ask about difficulties the person may have when doing certain activities, because of a health or other problem.

Objective: The purpose of the introduction is to get the respondent to focus on difficulties they may have that are the result of some physical or mental health problem. Since persons living in developing countries may not have access to modern medicine, which would provide a diagnosed 'condition', the term problem was substituted. However, the term "condition" can be interchangeably used with the term "problem" if that facilitates the respondent understanding the context. We are interested in establishing difficulties that occur within a health or social life context rather than those caused by a lack of resources.
Definitions: Health refers to the general condition of the body or mind with reference to soundness, vitality, and freedom from disease. Problem refers to the respondent's perception of a departure from physical, mental or emotional well-being. This includes specific health problems such as a disease or chronic condition, a missing limb, organ, or any type of impairment. It also includes more vague disorders not always thought of as health-related such as senility, depression, retardation, drug dependency, accidental injuries, etc.

144. Ask "does [the respondent] have difficulty remembering or concentrating or learning?"

1. No - no difficulty
2. Yes - some difficulty
3. Yes - a lot of difficulty
4. Cannot do at all
Objective: The purpose of this question is to identify persons who have some problems with remembering or thinking that contributes to difficulty in doing their daily activities. They can have a problem finding their way around, they can't concentrate on what they are doing, or they may forget where they are or what month it is. They may not remember what someone just said to them or they may seem confused or frightened about most things. Any difficulty with remembering, concentrating or understanding what is going on around them that they or family members (if the family member is the respondent) consider a problem should be captured. We do not intend to capture difficulties remembering or concentrating because of common everyday situations such as high workload or stress, or as a result of substance abuse.
Definition/s: Remembering refers to an individual using his/her memory capacity in order to recall what has happened around them. It means the individual can bring to mind or think again about something that has taken place in the past (either the recent past or further back). In connection with younger people, remembering is often associated with storing facts learned in school and being able to retrieve them when needed. Concentrating refers to an individual using his mental ability to accomplish some task such as reading, calculating numbers, learning something. It is associated with focusing on the task at hand in order to complete the task. It is the act of directing ones full attention to one subject or to focus without distraction on one thing.

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Nepal 2011 — source variable NP2011A_DISAB — Type of disability
Questionnaire form view entire document:  text  image
Personal Information

[12] What is the physical and mental disability of [the respondent]?

[] 1 No disability
[] 2 Physical disability
[] 3 Blind and low vision
[] 4 Deaf and hard of hearing
[] 5 Deaf-blind
[] 6 Speech problem
[] 7 Mental illness
[] 8 Intellectual disability
[] 9 Multiple disabilities
Questionnaire instructions view entire document:  text  image
Individual information
After collecting the introductory and household information of data sheet 1, there are questions for individual information collection on the right side of the page. To write individual information, a row has been allocated for each member of the family. Sequence and rules for information collection have been put accordingly. In line with this, ask the question and fill the information. The response of each individual question should be written in the respective column.

Column 12: is there any kind of physical or mental disability in [the respondent]?

[] 1 No disability
[] 2 Physical disability
[] 3 Vision disability
[] 4 Hearing disability
[] 5 Deaf and blind
[] 6 Speech related disability
[] 7 Mental disability
[] 8 Intellectual disability
[] 9 Multiple disabilities
[p. 58]

This question has been put to record information on physical and mental condition of each person to be enumerated. Some people might have one type of different types of physical or mental problem (disability) or do not have any kind of disability. At the time of enumeration, there might be members with disability in a family. While enumerating disabled persons, this should be done at their usual living place.

Definition of disability: Disability is the condition that creates problems in running daily activities normally and full participation in social life due to problems in body parts and physical system of a person, coupled with activity limitations and participation restrictions in the physical, social, and cultural environment, as well as communication. For the purpose of enumeration, different types of disabilities have been divided into eight different categories as above. In order to understand whether a person has disability or not, the following description has be illustrated.

1. No disability - At the time of enumeration, if a person has no disabilities, circle the reference 1 to indicate it.

2. Physical disability: A physical disability is a limitation on a person's physical functioning, mobility, dexterity, or stamina due to various problems in the structure and movement of spinal curve, muscle, joints, and bones. E.g. (of body parts) - if there are weak, thin, and deformed hand/leg, bending body or any kind of impairments that restricts the general movement of these body parts, such condition should be understood as physical disability. For example: The disabilities caused by polio, cerebral palsy, epilepsy, loss of physical organs, muscular dystrophy, spinal cord injury, club feet, rickets, bone deformities, etc. are physical disabilities. Short heights also fall under physical disability. If a person has any of the above stated physical disability, circle the reference 2.

3. Vision disability: Generally if a person has problems in seeing things clearly around him/her, sees the things blurry, or cannot see at all, it is vision disability. In other words, if a person does not have clear knowledge about an object's picture, size, types, and color due to vision impairment, it is vision disability. Vision disability has two types - (a) Blindness, and (b) Low vision.

(a) Blindness: If a person cannot identify or see his fingers from 10 feet distance even with treatment like medicine, surgery, and use of glasses, or cannot read the first line of the Snellen chart, such person is considered with blindness.

(b) Low vision: If a person cannot identify or see his fingers from 20 feet distance even with treatment like medicine, surgery, and use of glasses or cannot read the fourth line of the Snellen chart, such person is considered with weak vision.

If a person has any type of vision disability stated above (blindness and low vision), circle the reference 3.

4. Hearing disability: The problems of a person in the structure of hearing organs, identification of voice, its distance and location, loudness and quality is the hearing disability. Hearing disability are of two kinds - (a) Deaf and (b) Low hearing.

(a) Deaf: A person who is unable to hear, has unclear voice or inability to speak, and needs sign language for communication is deaf. The person is considered deaf who even cannot hear the sound above 80 decibels. In simple sense, a person should be considered deaf if he cannot hear the communication of two persons near him or completely unable to hear.

[p. 59]

(b) Low hearing: A person who cannot hear sounds clearly but speak clearly with minimum hearing and has to put a hearing device to hear is a person with low hearing or moderate hearing loss. Generally, the person who cannot hear sounds that are less than 65-80 decibels sound is a low hearing person.

If any person has the hearing problems stated above, circle the reference 4.

NB: Generally the person who cannot speak or his/her spoken voice is unclear is call dumb. But actually, they are low hearing people. Such person generally cannot hear clearly. But all the people who cannot hear would not be dumb. If a person cannot speak clearly or the spoken voice is unclear and are unable to hear, circle the reference 4.

5. Deaf and blind: The person having both problems of deaf and blind is considered with deaf and blind disability. If there is a person with such problem in the family, circle reference 5.

6. Speech related disability: The person who has difficulty in speaking, unclear voice, has problem of repeating words or letters while speaking due to the uneasiness in the speech related organs is the person with speech related disability. If a person has speech related disability, circle the reference 6. The person with cleft lips or palate is also counted under speech related disability.

7. Mental disability: Mental disability is a kind of illness. This illness may appear to a person at any age or situation due to failure, distress, or depression. It does not come with birth and can be healed with treatment. A person who has difficulty in daily living due to mental illness or distress should be understood as a person with mental disability. If a person has such problem, circle the reference 7.

8. Intellectual disability: The condition which creates problems or limitations to perform age or environment appropriate intellectual activities due to lack of intellectual development before the age of 18 should be understood as intellectual disability or mentally retarded problem. Intellectual disability is not a disease, it is a state. It might come along with birth. In simple words, the state where required help of others for daily activities of life (e.g. for eating, dressing, going to toilet, care, etc.) or has low memory power (quick forgetting) or slow in learning as per the age should be understood as mentally retarded. Similarly, persons with no sign of adaptive behaviors along with the age development, showing unusual reaction, repeating the same activity or unable to be close to other persons or acute mental illness, autism are also come under intellectual disability and to indicate the status of such person, circle the reference 8.

9. Multiple disabilities: If a person has two or more than two disability problems among the above stated disabilities from 2 to 8, circle the reference 9.


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Panama 1980 — source variable PA1980A_RETARD — Mental retardation
Questionnaire form view entire document:  text  image

30. Do you have, from birth or other cause, any physical or mental disability?
Mark one or more boxes, as appropriate

Blind

[] 1 From birth
[] 2 Other cause

Deaf-mute

[] 3 From birth
[] 4 Other cause

Mental retardation

[] 5 From birth
[] 6 Other cause

Paralysis or other physical disability

[] 7 From birth
[] 8 Other cause

[] 9 No disability

Questionnaire instructions view entire document:  text  image

For persons up to 40 years of age

Question 30 Do you have, from birth or other cause, any physical or mental disability?

Mark one or more boxes according to the following definitions.
a. Blind: The person has no vision or sees very little (visual weaknesses).
b. Deaf: The person does not see or talk, communicates through signs but with normal intelligence.
c. Mental retardation: consists of a below average or below normal intellectual capacity and is seen through growing up and the development of the person.
d. Invalid: is a person who through injuries in the locomotive system is not self-sufficient. It includes those who suffer from cerebral paralysis and those paralyzed in the arm or leg. Do not include those who walk with crutches or lack an arm.

If the person does not have any impediment, mark the corresponding box.

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Panama 1990 — source variable PA1990A_DISAB — Disability
Questionnaire form view entire document:  text  image

6. If the person is noted in questions 4 and 5 of the List of Occupants, ask:
What type of physical or mental impediment do you have?
(Mark the most severe)

[] 1 Blind
[] 2 Deaf
[] 3 Mental retardation
[] 4 Cerebral paralysis
[] 5 Permanent physical disability
[] 6 Other
[] 7 None

Questionnaire instructions view entire document:  text  image

Question Number 6: What type of physical or mental impediment do you have?
Mark with an "X" a single box agreeing with the response of the person. Remember that this question is asked only to the persons who declared to have some impediment in the list of occupants. If the person does not have an impediment mark circle 7 (none).

[Below the text is a picture of a filled out question.]

Consider as:
Blind: a person who has no vision or sees very little (visual weaknesses) an impediment that cannot be normalized with the use of glasses, treatments or other optical aids. Include persons who are blind from birth, blind by sickness like glaucoma, "toxoplasmosis", and diverse infections, and those blind by accident (hit in the eye, diverse injuries, etc.).
Deaf: a person who does not hear or talk and communicates through signs but with normal intelligence.
Mental Retardation: a person who has a below normal intellectual capacity. The characteristics are shown through a low performance in school, problems with adaptation and behavior, and retardation in mental and social development. A typical case is a "mongoloid" [Down's syndrome] person.
Cerebral Paralysis: a person who cannot move because of an injury or pain in the brain. Generally, there is an aural, visual, mental or language problem.
Permanent Physical Disability: includes paraplegics who are paralyzed in the lower extremities of their bodies and quadriplegics who are persons paralyzed in the upper and lower extremities of their bodies. This condition could have happened from sickness or accident.
Other: Mark this circle in the case of a person who is mute, autistic or suffers from dementia.


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Panama 2000 — source variable PA2000A_DISAB — Disability
Questionnaire form view entire document:  text  image
For all individuals in the household

[Questions 1 - 9 were asked of all individuals.]


5. What type of physical or mental impediment do you have?

(Mark the most severe)

[] 1 Blindness
[] 2 Deafness
[] 3 Mental retardation
[] 4 Cerebral Paralysis
[] 5 Permanent physical disability
[] 6 Other
[] 7 None

Questionnaire instructions view entire document:  text  image

Question No. 5: What type of physical or mental impediment do you have? (Mark the most serious)

This question is asked with the object of understanding the population that suffers from some type of physical or mental impediment.
Carry out this question if in the list of occupants the name of a person has been marked in the circle from question 4, or was not marked in circle 7 "none".

[p. 71]

Consider as
Blindness: a person who has no vision or sees very little (visual weaknesses) an impediment that cannot be normalized with the use of glasses, treatments or other optical aids. Include persons who are blind from birth, blind by sickness like glaucoma, "toxoplasmosis", and diverse infections, and those blind by accident (hit in the eye, diverse injuries, etc.).

[To the right of the text is a picture of an eye doctor and patient.]

Deafness: a person who does not hear or talk and communicates through signs but with normal intelligence.

Mental Retardation: a person who has a below normal intellectual capacity. The characteristics are shown through a low performance in school, problems with adaptation and behavior, and retardation in mental and social development. A typical case is a "mongoloid" [Down's syndrome] person.

Cerebral Paralysis: a person who when being born or during the first three years of life suffered a cerebral lesion or injury that does not permit them to move in a normal form and having stiff muscles and uncoordinated movements. Generally, they have aural, visual, and mental problems with language and suffer convulsions.

Physical disability: a person who because of an accident, disease, cerebral brain hemorrhage, or amputation has difficulty doing with skill activities of daily life or moving independently. Also those who have malformations that limit them physically or those who were born lacking any extremity.

Other: Mark this box in the case of a person who is autistic, suffers from dementia or presents irregularities in development (its is applied also to children in which when their age is considered, do not crawl, walk or speak when it is expected that they do it and do not have a definite diagnosis that would permit them to be put in any of the other categories listed above). Or that is, include a person who does not have any type of impediment described in the categories listed above. (Circles 1 to 5).

None: Mark this circle when the person declared in the list of occupants to not have a physical or mental impediment.


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Panama 2010 — source variable PA2010A_DISAB — Disability
Questionnaire form view entire document:  text  image

[Questions 1 - 9 were asked of all individuals.]

Ask this question if, on the list of occupants of the dwelling (Chapter IV), the name of the person who has the circle number 1 marked (Yes) in question 4 (disability). In the case to the contrary, mark circle 8, None.

7. What type of physical or mental disability do you have?

[] 1 Blindness
[] 2 Deafness
[] 3 Mental retardation
[] 4 Cerebral paralysis
[] 5 Physical deficiency
[] 6 Mental problems
[] 7 Other (Specify)
[] 8 None.

Questionnaire instructions view entire document:  text  image

[For persons of all ages]
[Questions 1 to 12a]


Question No. 7: What type of physical or mental impediment do you have? (Mark the most serious)
[For persons who stated they have any mental or physical disability in question 4.]
This question is asked in order to capture the population that suffers from some type of physical or mental impediment, which prevents them to function normally.
[p. 142]
Disability: Any restriction or lack (due to impairment) of ability to perform an activity in a way or within a range considered as normal for a human being.
Ask this question, if in the list of occupants (Chapter IV), the name of a person has been marked with circle 1 in question 4, otherwise mark circle 8 "None".
Consider [as a physical or mental impediment] the following:

Blindness: The person who completely lacks vision or see very little (visually impaired), an impairment that cannot be normalized using lenses, treatments and other optical aids. Include people who are blind from birth, or who suffer from diseases such as glaucoma, toxoplasmosis, and infections caused by various accidents (hit in the eye, various injuries, among others).

[There is a picture to the left of the text.]
Deafness: The person who cannot hear nor talk, even with the help of hearing aids, and who communicates through signs but with normal intelligence.

[There is a picture to the right of the text.]
Mental retardation: A person with intellectual capacity below normal. This is evidenced by a poor school performance, adaptive and behavioral problems, and delayed mental and social development. A typical case is a "mongoloid" (Down's syndrome).

[There is a picture to the right of the text.]
Cerebral Paralysis: The persons who at birth or during the first three years of life suffered an injury or brain damage that prevent them from moving normally, having stiff muscles or coordinating movements. They usually have problems with hearing or vision, mental or speech problems, or have convulsions.

[There is a picture to the right of the text.]
Physical disability: Person who has difficulty performing skillfully activities, activities of daily living or move independently because of an accident, illness, stroke or amputation. Also, those persons having malformations that physically limit them or, those who were born lacking a limb.

[There is a picture to the right of the text.]
[p. 143]
Mental problems (mental disorder): this refers to person with impaired general and specific mental functions that are originated in organic mental disorders, autism, schizophrenia, psychosis, personality disorders, Alzheimer, Parkinson's disease, among others; and people with all types of dementia; any deficiency that prevents them from carrying out activities of daily living, socializing with other people, among others. This person has difficulties interacting with others (family, friends and strangers), because she has mental or nervous problems.
Other: Mark this box if the person has developmental disorders, it also applies to children who, according to their age, do not crawl, do not walk or do not speak when that is expected and do not have a definite diagnosis that would allow them to be placed in one of the above categories. That is, include the person who does not have any kind of disability described in the above categories (circles 1-6).
None: Mark this circle when the person in the list of occupants stated to not have any physical or mental disability, circle 2 of Chapter IV of the list of occupants. Remember in this case, not to ask the question.

Example: The head of the house said that his son Arturo, age 9, was born blind.
[Below the text, there is a sample image of the form.]

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Paraguay 1992 — source variable PY1992A_OTHDIS — Other disabilities
Questionnaire form view entire document:  text  image
Section IV. Population information


5. Do you have any physical or mental disability?

Mark more than one response if appropriate
(Blind = doesn't see)
(Deaf = doesn't hear)
(Mute = doesn't speak)
(Paralyzed = doesn't walk)

[] 1 Yes

[] 1 Blind
[] 2 Deaf
[] 3 Mute
[] 4 Paralyzed
____ Other

[] 6 No

Questionnaire instructions view entire document:  text  image

Question 5: Does he/she have any physical or mental impediment?

5. Does he/she have any physical or mental impediment?
Mark more than one answer if it corresponds.
(Only blind=does not see)
(Deaf=does not hear)
(Mute=does not speak)
(Paralyzed=does not walk)

[] 1 Yes

[] 1 Blind
[] 2 Deaf
[] 3 Mute
[x] 4 Paralyzed
Other ____


No []


This question had as its objective the number of disabled persons in the population.

This question is difficult and we request special attention and care on the part of the enumerators.

You should not omit any person, whatever his/her age or sex.

This question can have various answer for one persons. This means that one person can be deaf, mute, and have difficulty for walking, in which case you should mark all of the disabilities.

A disability, as the name indicates, impedes that a person fulfill a function, such as speech, walking, listening, communicating his/her ideas, take care of him/herself, work independently without help, etc.

After asking the question, you should wait a moment, it can be that it is difficult to decide whether or not to tell about a defect of a relative. If the enumerator observes a person with a disability in the home, he/she should note the information when he/she is sure of the information for this person, without needing to ask the question.

[page] 26

This question has 4 pre-established specified answers and an open option: Others. The pre-established answers are:

1. Blind. Person who cannot see, whether since birth or because he/she lost his/her sight due to illness or accident. Do not include persons who can see, but with difficulty.
2. Deaf. Person who is totally deaf, since birth or due to illness or accident. Do not include persons who hear with difficulty.
3. Mute. Person who cannot speak, since birth or due to illness or accident. Do not include persons who speak with difficulty.
4. Paralyzed. All person who has difficulty, cannot move arms and/or legs, needs help for many of his/her normal activities.
5. Other. If the person presents an impediment that is not established above, you should mark this box. The options are the following:
a. Mental retardation. Person who habitually does not learn what is taught, does not understand what is said to him/her, does not speak well. This includes mongoloid persons.
b. Does not hear well: Persons who, without being deaf, have serious hearing problems that make it difficult to study and/or work.
c. Behavior: Persons who have visible behavior problems that does not permit him/her to study and/or work. They are persons who are normally categorized as crazy or trarova [local term that is synonymous with crazy].
d. Physical Deficiency: All persons who have some physical impediment that, without being paralyzed, such as minor paralysis, deformed arms and/or legs, hydrocephalus (large head).
e. Other impediments: If the impediment found cannot be classified in one of the above groups, you should specify it.

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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_RETARD — Mental retardation
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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Peru 2017 — source variable PE2017A_DISCOMM — Disability in relating to others based on thoughts, feelings, emotions, or behaviors
Questionnaire form view entire document:  text  image
Section V. Characteristics of the population

9. The following are some questions to find out if you have any permanent difficulty or limitation that prevents you from carrying out your daily activities normally. Do you have any permanent difficulty or limitation for:

(Read each alternative and fill in only one oval)

[] 1 Seeing, even when wearing glasses?
[] 2 Hearing, even with hearing aids?
[] 3 Speaking or communicating, even using sign language or other language?
[] 4 Moving or walking to use arms and/or legs?
[] 5 Understanding or learning (concentrating and remembering)?
[] 6 Relating to others based on thoughts, feelings, emotions, or behaviors?
[] 7 None
Questionnaire instructions view entire document:  text  image
For all persons
[Questions 1 to 10 are asked of all persons]

Question 9: Permanent difficulty or limitation

The following are some questions to find out if you have any permanent difficulty or limitation that prevents you from carrying out your daily activities normally, do you have any permanent difficulty or limitation for:

  • If, when reading each option to the respondent, he/she answers affirmatively, then fill in the corresponding oval.
  • Option 7, "none", should not be read. Fill it in only when the respondent answers that he/she does not have any permanent limitation or difficulty.


Disability: When a person has some permanent difficulty that limits him/her in one or more of the essential activities of daily living in the manner and amount expected for their age.

Seeing, even when wearing glasses: When the person has any sensory limitation as a result of the lack or dysfunction of the organ of vision, which totally or partially restricts the perception of light and images.

Hearing, even with hearing aids: When the person has some limitation in the sense of hearing (ear), which totally or partially restricts the detection and discrimination of sounds, their localization and the differentiation of speech from other sounds.

Speaking or communicating, even using sign language or other language: When the person presents some limitation in voice and speech, or in other way that prevents him/her from communicating with others and performing daily activities.

Sign language: Sign language, or signed language, is a natural language of gesture-spatial expression and visual perception (or even tactile perception by certain people with deaf/blindness).

Moving or walking to use arms and/or legs: When the person presents some motor limitation, to grip or hold objects or to stretch the arms; in the displacement or movement to walk, move from one place to another, use stairs, bend or kneel.

Understanding or learning (concentrating and remembering): When the person has limitations to develop activities of intellectual nature, i.e., the difficulty he/she has in comprehending, retaining, understanding, analyzing and transmitting ideas. Example: people with mental retardation, brain injury, meningitis with seizures.

Relating to others based on thoughts, feelings, emotions, or behaviors: When the person presents some psychic limitation, referred to mental disorders (addictive, psychotic, anxiety and personality disorders) that make it difficult or permanently prevent him/her from relating to others based on thoughts, feelings, emotions or behaviors.


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Philippines 1990 — source variable PH1990A_DISAB — Disability
Questionnaire form view entire document:  text  image

Disability

P11. Does [respondent] have any physical or mental disability?

Encircle code

1 Yes
2 No, skip to P13.


P12. What type of disability does [respondent] have?

___ Enter appropriate code listed below.
If others, specify.

1 Blindness
2 Deafness
3 Muteness
4 Deafness/Muteness
5 Speech Impairment
6 Mental Illness
7 Mental Retardation
8 Orthopedic Handicap
9 Multiple Disability
0 Others, specify

Questionnaire instructions view entire document:  text  image

P11 and P12 Disability

Disability refers to any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being. Data on disability will enable planners to prepare plans for rehabilitation, education development and preventive programs.

P11 - Does ____ have any physical and mental disability?

Ask the question in P11, "Does ____ have any physical or mental disability?" for all persons. If the answer is Yes, encircle 1 in P11 and ask the question in P12, "What type of disability does ____ have?". Otherwise, encircle 2 in P11 and enter a dash (-) in P12.

P12 - What type of disability does ______ have?

A person is considered physically or mentally disabled if he has any of the following impairments:

1 Blindness - if one eye or both eyes are reported totally blind and have no vision.

2 Deafness - if one ear or both ears are reported the incapable of hearing sounds or noises. A person can be completely deaf or partially deaf. Completely deaf persons do not hear sounds or noises at all. Partly deaf persons can hear or respond to loud noises only, but not to soft or low noises. Persons who are partly deaf hear a little when people speak to them.

3 Muteness - if the person is unable to speak or utter words.

4 Deafness and Muteness - if the person is reported to be both deaf and mute.

5 Speech Impairment - if the person can speak but not sufficiently clear to be understood. This also includes those people who can only make meaningless sounds.

6 Mental Illness - if the person suffers from schizophrenia, manic depressive illness, psychosis, or severe depression characterized by strange behavior.

7 Mental Retardation if the person has disorders/damage of the brain resulting in mental retardation.

8 Orthopedic handicap - if the person suffers from bone deformities or has the following impairments:

- absence or deformity of one or both hands or arms
- absence or deformity of one or both feet or legs
- fractures
- severe scoliosis kyphosis third degree burns, etc.


9 Multiple Disability - if the person is reported to have a combination of two or more disabilities.

0 Others - if the answer does not fall in any of the pre-coded answers, write the answer as stated by the respondent on the space provided. Examples: cancer, leprosy, paralysis, cerebral palsy, cross-eyed, etc.


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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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Portugal 2001 — source variable PT2001A_DISAB — Disability
Questionnaire form view entire document:  text  image

[Questions 3.1-21 were asked of persons who consider this living quarter their usual place of residence, according to question 3]


8. Do you have any disability?

[] 1 No - Go to 9
[] Yes, indicate type:

[] 2 Hearing
[] 3 Visual
[] 4 Physical
[] 5 Mental
[] 6 Cerebral palsy
[] 7 Other


Question 8 - Do have any disability?

Physiological or anatomic function. This question only applies to persons with a permanent disability. If you have a temporary disability (for example, if you use crutches or a wheel chair because you broke your leg or if you suffer from a partial detachment of the retina which forces you to wear an eye patch), the answer is "No".

Hearing - Complete or significant loss of hearing. This includes individuals with a complete or significant loss of the ability to hear a conversation spoken in a normal voice and who have to resort to sight to communicate; this also includes individuals who, under the above conditions, can hear with the help of a hearing aid.

Visual - Complete or significant loss of sight. This includes persons who are unable to or experience extreme difficulty in performing tasks requiring distance or peripheral vision or in performing fine detail tasks such as reading, writing, distinguishing TV images at a distance of 2 meters, see the time on a wristwatch or recognize faces, even when wearing glasses or contact lenses. Not included are individuals who, wearing glasses or contact lenses, are capable of performing the above tasks.

Physical - Disability characterized by the difficulty or impossibility of performing activities requiring control of movement or the ability to manipulate objects. Included in this group are individuals who find it impossible or extremely difficult to walk or handle objects without the aid of an assistant device (for example, a wheel chair, walker, crutches, prostheses and orthoses for the members or trunk). Included in this group are individuals in the conditions referred to above and who suffer from, for example, ankylosing spondylitis, spina bifida, poliomyelitis, multiple sclerosis, muscular dystrophy, paramyloidosis (Wohlvill-Corino Andrade syndrome), cranio-encephalic trauma.

Mental - Intellectual and psychological disability. Included in this group are persons suffering from mild, moderate or severe mental retardation or other development problems characterized by a significantly lower-than average intellectual ability, such as autism or Down's syndrome (mongolism). It does not include psychotic or serious, degenerative diseases coming under the general classification of psychiatric disorders.

Cerebral palsy - Brain damage causing paralysis and affecting movement and posture. Individuals with cerebral palsy display limited, uncoordinated and uncontrolled movements, difficulty in maintaining their balance, problems of co-ordination and speech. Individuals suffering from cerebral palsy should be mentioned in this group and not in the group for motor impairment.

Other - Disabilities not included in any of those mentioned above. By way of example, persons suffering from kidney failure, hemophilia, lupus, aphasia, dyslexia, mute, speech disorders, ostomates, deaf -blind.

If you have more than one disability, state the main one, that is, the one causing you the greatest degree of incapacity.

Questionnaire instructions view entire document:  text  image

Question 8 - Do you have any disability

Disability means any loss or change in a structure or in a psychological, physiological or anatomic function.

This question only applies to persons with a permanent disability. If you have a temporary disability (for example, if you use crutches or a wheel chair because you broke your leg or if you suffer from a partial detachment of the retina which forces you to wear an eye patch), the answer is "No".

Hearing - Complete or significant loss of hearing. This includes individuals with a complete or significant loss of the ability to hear a conversation spoken in a normal voice and who have to resort to sight to communicate; this also includes individuals who, under the above conditions, can hear with the help of a hearing aid.

Visual - Complete or significant loss of sight. This includes persons who are unable to or experience extreme difficulty in performing tasks requiring distance or peripheral vision or in performing fine detail tasks such as reading, writing, distinguishing TV images at a distance of 2 metres, see the time on a wristwatch or recognize faces, even when wearing glasses or contact lenses. Not included are individuals who, wearing glasses or contact lenses are capable of performing the above tasks.

Physical - Disability characterized by the difficulty or impossibility of performing activities requiring control of movement or the ability to manipulate objects. Included in this group are individuals who find it impossible or extremely difficult to walk or handle objects without the aid of an assistant device (for example, a wheel chair, walker, crutches, prostheses and outhouses for the members or trunk). Included in this group are individuals in the conditions referred to above and who suffer from, for example, enclosing sodalities, spinal bifida, poliomyelitis, multiple sclerosis, muscular dystrophy, paramyloidosis (Wohlvill-Corino Andrade syndrome), cranio-encephalic trauma.

Mental - Intellectual and psychological disability. Included in this group are persons suffering from mild, moderate or severe mental retardation or other development problems characterized by a significantly lower-than average intellectual ability, such as autism or Down is syndrome (mongolism). It does not include psychotic or serious, degenerative diseases coming under the general classification of psychiatric disorders.

Cerebral palsy - Brain damage causing paralysis and affecting movement and posture. Individuals with cerebral palsy display limited, uncoordinated and uncontrolled movements, difficulty in maintaining their balance, problems of co-ordination and speech. Individuals suffering from cerebral palsy should be mentioned in this group and not in the group for motor impairment.

Other - Disabilities not included in any of those mentioned above. By way of example, persons suffering from kidney failure, hemophilia, lupus, aphasia, dyslexia, mutism, speech disorders, ostomates, deaf -blind.
If you have more than one disability, state the main one, that is, the one causing you the greatest degree of incapacity.

Note: if the answer is No, you must go to question 9.


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Puerto Rico 2015 — source variable PR2015A_DIFFREM — Cognitive difficulty
Questionnaire form view entire document:  text  image
G Answer question 18a-c if this person is 5 years old or over. Otherwise, skip to the questions for person 2 on page 12.

18.

a. Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?
[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Questions 7-48 are a continuation of the questions for each person. Questions 7-48 are a continuation of the questions for each person. (Questions 1-6 appear on pages 2, 3, and 4 of the questionnaire.)

Answer person questions 18a through 18c if this person is 5 years old or over.

18a-18c. Mark the "yes" or "no" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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Puerto Rico 2020 — source variable PR2020A_DIFFREM — Cognitive difficulty
Questionnaire form view entire document:  text  image
19a. Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Person questions 19

Answer question 19a-c if this person is 5 years old or over. Otherwise skip to the questions for Person 2 on page 19.

P19. Mark the "yes" or "no" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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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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Rwanda 2012 — source variable RW2012A_DISAB1 — Type of first major disability
Questionnaire form view entire document:  text  image
Section P: Characteristics of population

[Questions 7-13 were asked of all usual residents.]

12. Does the respondent have any difficulty or problem as listed below? If yes, what were the causes?

[Respondent can answer up to 5 disability/ cause pairs.]

Type of disability _
Cause of disability _

If none, write 0 in "Types of disability" and go to Question 13.
Types of disability
1. Seeing
2. Hearing
3. Speaking
4. Walking/ Climbing
5. Learning/ Concentrating
6. Other____
Causes of disability
1. Congenital
2. Disease/ Illness
3. Injury/ Accident
4. War/ Mines
5. Genocide
6. Now known
7. Other ____

[Table omitted.]

Questionnaire instructions view entire document:  text  image
P12: Type and cause of major disability
Ask: Does [the person] have any difficulty or problem as listed below? If yes, what were the causes?

A person is called disabled if during birth or after birth his/her body part or his/her mental is damaged, lack of body part or congenital malformation and fails to do activities that other persons who have no such problems could do.

The possible disabilities and their causes are follows:

Type of disability [D]
1 - Seeing
2 - Hearing
3 - Speaking
4 - Walking/Climbing
5 - Learning/Concentrating
6 - Other
Causes [C]
1 - Congenital
2 - Disease/Illness
3 - Injury/Accident
4 - War/Mines
5 - Genocide
6 - Not known
7 - Other

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Rwanda 2012 — source variable RW2012A_DISAB2 — Type of second major disability
Questionnaire form view entire document:  text  image
Section P: Characteristics of population

[Questions 7-13 were asked of all usual residents.]

12. Does the respondent have any difficulty or problem as listed below? If yes, what were the causes?

[Respondent can answer up to 5 disability/ cause pairs.]

Type of disability _
Cause of disability _

If none, write 0 in "Types of disability" and go to Question 13.
Types of disability
1. Seeing
2. Hearing
3. Speaking
4. Walking/ Climbing
5. Learning/ Concentrating
6. Other____
Causes of disability
1. Congenital
2. Disease/ Illness
3. Injury/ Accident
4. War/ Mines
5. Genocide
6. Now known
7. Other ____

[Table omitted.]

Questionnaire instructions view entire document:  text  image
P12: Type and cause of major disability
Ask: Does [the person] have any difficulty or problem as listed below? If yes, what were the causes?

A person is called disabled if during birth or after birth his/her body part or his/her mental is damaged, lack of body part or congenital malformation and fails to do activities that other persons who have no such problems could do.

The possible disabilities and their causes are follows:

Type of disability [D]
1 - Seeing
2 - Hearing
3 - Speaking
4 - Walking/Climbing
5 - Learning/Concentrating
6 - Other
Causes [C]
1 - Congenital
2 - Disease/Illness
3 - Injury/Accident
4 - War/Mines
5 - Genocide
6 - Not known
7 - Other

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Saint Lucia 1991 — source variable LC1991A_DIS8 — Disability: mental retardation
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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Saint Lucia 1991 — source variable LC1991A_DIS7 — Disability: slowness at learning
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 2013 — source variable SN2013A_DISMNTL — Difficulty remembering or concentrating
Questionnaire form view entire document:  text  image
B. Individual characteristics

The entire population
[Questions B16 through B28 were asked of all resident persons.]

Population aged 1 year or older.
[Question B21 through B26 were asked of all resident persons age 1 or older.]

B21-B26. The following questions pertain to difficulties which you may have in carrying out certain activities due to a health problem.

Enter the corresponding codes to the answer given (see the bottom of the page)
B24. Does [the respondent] have any difficulties remembering or concentrating?
[] 0. No, no difficulties
[] 1. Yes, some difficulties,
[] 2. Yes, many difficulties
[] 3. not at all capable
Questionnaire instructions view entire document:  text  image
4.2. Part B: individual characteristics

B21/26: set of short questions on disability recommended for the censuses (population aged 1 year and over)
The questions about disability issues have been greatly altered in relation to what previous censuses proposed. It is about Senegal aligning itself with the progress made in this area. The United Nations, through their experts on global statistics, created in the 2000s a group of experts, the Washington group, which developed a series of short questions for censuses and surveys according to the Basic Principles of Official Statistics. These questions identify the majority of those most at risk in the general population who have limited or restricted participation in public life. It is not a question of identifying the handicap or the cause of disability, the question is to identify the limitations of the respondent (and/or one of his or her family members) to have/potentially have difficulty in performing actions linked to their lifestyle and related functions: seeing, hearing, walking, having cognitive faculty, taking care of themselves, and communicating. These are the areas the questions included in the census questionnaire concern.
The questions to ask relate to the difficulties that the respondent or a family member may have in fulfilling certain tasks in a sustainable manner (6 months or more, in a recurring manner):

1) Do you have difficulty seeing, even if you wear glasses?
- The answer of a person who wears glasses and has no difficulties will then be codified by choice 0 on the PDA.
- On the other hand, the answer of someone who wears glasses and who still has difficulties in seeing must be codified in 1 or 2 depending on the degree of difficulty in seeing.
2) Do you have difficulty hearing even with a hearing aid?
- In the same vein: the response of a person with a hearing aid (it is a device in the ear) but who would still have difficulty hearing would be codified in 1 or 2 depending on the degree of difficulty.
3) Do you have difficulty walking or climbing stairs?
4) Do you have trouble remembering or concentrating?
5) Do you have any difficulties (in taking care of yourself) in performing activities like washing yourself or dressing yourself?
[p. 41]
6) Using your usual (common) language, do you have difficulty communicating, (for example, to understand or make yourself understood by others)?

Each question has four response categories:

0 No, no difficulty,
1 Yes, some difficulties,
2 Yes, lots of difficulties,
3 Not at all able to do it.

The severity scale is used in the response categories to identify the full range of functional domains ranging from the most benign to the most severe form. This is very important because we will have a full range of the respondent's capabilities.
NB: This question concerns the population aged at least 1 year.
On the PDA, you will choose the answer on a drop-down list.


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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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Sierra Leone 2015 — source variable SL2015A_DISAB — Disabled
Questionnaire form view entire document:  text  image
All persons [Questions P01-P20]

[Section II was answered for all persons who selected living in occupied housing units in question I15]

Disability [Questions P15-P19]

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

If 2 or 3 go to P20

[] 1. Yes
[] 2. No
[] 3. Don't Know
Questionnaire instructions view entire document:  text  image
Section 2: Population characteristics

Columns (P01) to (P20) -- These should provide particulars of all persons who slept in the household on census night. The questions therefore apply to all persons irrespective of age or sex, except P13 which applies to persons 5 years and above.

Columns (P15 to P19) disability
120. It is absolutely important that this information is collected as accurately as possible. These questions apply to everybody in the household. You must be particularly careful to distinguish between actual disability and other forms of illnesses.

121. 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 will give you an opportunity to determine whether the person(s) is/are disabled according to the specifications below.

122. Somebody is disabled if he/she is blind, crippled, deaf, dumb, mentally retarded, lost limb(s), speech impaired, is an albino, etc.

P15 -- Person disabled?
123. Ask, 'Does (name) suffer from any form of disability?' If the answer is 'Yes' ask the second question relating to the main type of disability in (P16) and the second type if any in P17. Before you make any entry be sure that you are satisfied that the type of disability falls within the prescribed categories.


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Sierra Leone 2015 — source variable SL2015A_MNDISAB — Main disability
Questionnaire form view entire document:  text  image
All persons [Questions P01-P20]

[Section II was answered for all persons who selected living in occupied housing units in question I15]

Disability [Questions P15-P19]

P16. Main type of disability

Answered only if the respondent answered yes to having a disability in P15.

[] 00 None
[] 01 Physical disability (Polio)
[] 02 Physical disability (Amputee)
[] 03 Blind or visually impaired
[] 04 Partially sighted
[] 05 Deaf
[] 06 Partially deaf
[] 07 Speech difficulties
[] 08 Mute/Dumb
[] 09 Mental difficulties
[] 10 Spinal injury/disability
[] 11 Psychiatric disability
[] 12 Epileptic
[] 13 Rheumatism
[] 14 Albinism
[] 15 Kyphoscoliosis (Hunch Back)
[] 16 Other
Questionnaire instructions view entire document:  text  image
Section 2: Population characteristics

Columns (P01) to (P20) -- These should provide particulars of all persons who slept in the household on census night. The questions therefore apply to all persons irrespective of age or sex, except P13 which applies to persons 5 years and above.

P16 and P17 - Type of disability
124. Ask for the type of disability and record the appropriate code (refer to the code list). For example, 'Physical disability (Polio) is 01; 'Physical disability (Amputee) ' is 02, etc.

125. Some people may have more than one disability. In such cases, record the most serious one as main in P16and the other as 2nd in P17.


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Sierra Leone 2015 — source variable SL2015A_SCDISAB — Second disability
Questionnaire form view entire document:  text  image
All persons [Questions P01-P20]

[Section II was answered for all persons who selected living in occupied housing units in question I15]

Disability [Questions P15-P19]

P17. Second type of disability

Answered only if the respondent answered yes to having a disability in P15.

[] 00 None
[] 01 Physical disability (Polio)
[] 02 Physical disability (Amputee)
[] 03 Blind or visually impaired
[] 04 Partially sighted
[] 05 Deaf
[] 06 Partially deaf
[] 07 Speech difficulties
[] 08 Mute/Dumb
[] 09 Mental difficulties
[] 10 Spinal injury/disability
[] 11 Psychiatric disability
[] 12 Epileptic
[] 13 Rheumatism
[] 14 Albinism
[] 15 Kyphoscoliosis (Hunch Back)
[] 16 Other
Questionnaire instructions view entire document:  text  image
Section 2: Population characteristics

Columns (P01) to (P20) -- These should provide particulars of all persons who slept in the household on census night. The questions therefore apply to all persons irrespective of age or sex, except P13 which applies to persons 5 years and above.

P16 and P17 - Type of disability
124. Ask for the type of disability and record the appropriate code (refer to the code list). For example, 'Physical disability (Polio) is 01; 'Physical disability (Amputee) ' is 02, etc.

125. Some people may have more than one disability. In such cases, record the most serious one as main in P16and the other as 2nd in P17.


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South Africa 1996 — source variable ZA1996A_MENTAL — Mental disability
Questionnaire form view entire document:  text  image
Section A:

To be completed for each person in the household in a separate column. Remember to include babies. Please include yourself.


13. Does (the person) have a serious sight, hearing, physical or mental disability?

[] 1 = Yes
[] 2 = No
(If "Yes") Circle all applicable disabilities for the person.

[] 1 = Sight (serious eye defects)
[] 2 = Hearing/speech
[] 3 = Physical disability (e.g. paralysis)
[] 4 = Mental disability


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South Africa 2001 — source variable ZA2001A_DISMENT — Disability - intellectual
Questionnaire form view entire document:  text  image

Section A: Information for persons in the household -- ask of everyone
[Section A of this form, each question has 10 answer rows for writing individual answers for up to 10 individuals in the household. Only the first is shown here, which is exactly the same as the other nine.]


P-13. Disability

Does (the person) have any serious disability that prevents his/her full participation in life activities (such as education, work, social life)? Mark any that apply. Dot the appropriate boxes.
[] 0 = None
[] 1 = Sight (blind/severe visual limitation)
[] 2 = Hearing (deaf, profoundly hard of hearing)
[] 3 = Communication (speech impairment)
[] 4 = Physical (e.g. needs wheelchair, crutches or prosthesis; limb, hand usage limitations)
[] 5 = Intellectual (serious difficulties in learning)
[] 6 = Emotional (behavioural, psychological)

Questionnaire instructions view entire document:  text  image

Question P-13 -- Disability

"Does (the person) have any serious disability that prevents his/her full participation in life activities (such as education, work, social life)?"

Disability is a limitation or lack of ability that prevents a person from performing an activity within the range considered normal, or from behaving in a manner considered normal.

Read out the categories and dot the appropriate boxes. For this question you may have to dot more than one box. Encourage the respondent to name all serious disabilities a person has, e.g. if deaf and wheelchair-bound, dot 2 and 4.

Note that if 1 bad sight is corrected with glasses or 2 bad hearing with a hearing aid, it is not considered a disability for the census.

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South Africa 2007 — source variable ZA2007A_DISABI — Disability: intellectual
Questionnaire form view entire document:  text  image

P-22 Disability type
What type(s) of disability does (the person) have?
[Question P-22 was asked of persons who had some kind of disability, per question P-21.]
Mark any that apply with an X.
Multiple disabilities are indicated by marking more than one selection.
Read out:
[] 1 Sight (blind/severe visual limitation
[] 2 Hearing (deaf, profoundly hard of hearing)
[] 3 Communication (speech impairment)
[] 4 Physical (needs wheelchair, crutches, etc.)
[] 5 Intellectual (serious difficulties in learning)
[] 6 Emotional (behavioural, psychological)

Questionnaire instructions view entire document:  text  image

(P-22) Disability type: What type/s of disability does (the person) have?
Ask only if "Yes, code 1" to P-21. Read out the options and then mark the appropriate option. If the respondent identifies more than one disability, mark all mentioned with an X.

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South Africa 2016 — source variable ZA2016A_DISREM — Difficulty remembering
Questionnaire form view entire document:  text  image
3. Person information

[3.7] Household members

[3.7.3] General health and functioning
Now, I am going to ask you health-related questions.

[3.7.3.6] Does the respondent have difficulty remembering or concentrating?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Cannot do at all
[] 5 Do not know

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South Sudan 2008 — source variable SS2008A_DIFFMENT — Mental difficulty
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_DIFFMENT — Mental difficulty
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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Suriname 2012 — source variable SR2012A_DISMNTL — Difficulty remembering
Questionnaire form view entire document:  text  image
Personal module

All persons (health)
[Questions P21a to P23 were asked of all persons about their health.]

P21a. Does this person experience difficulty / problems (with):

N.B.: The person has had (or is expected to have) the complaint(s) for at least 6 months.

Enter one of the following codes in each cell:

[] Tick this box if A to G = 1, 5, 7 or 9, and proceed to P22.
D. Remembering and concentrating
[] 1 No difficulty / problems
[] 2 Some difficulty
[] 3 Much difficulty
[] 4 Not able to do this at all
[] 5 Doesn't apply, considering age
[] 7 Don't know
[] 9 No response

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Tanzania 2012 — source variable TZ2012A_DISMEM — Difficulty remembering
Questionnaire form view entire document:  text  image
B. All persons
[Questions 1-19 were asked of all persons.]

Disability

10. Remembering

Does [the respondent] have difficulty remembering or concentrating?

[] 1 No difficulty
[] 2 Some difficulty
[] 3 A lot of difficulty
[] 4 Unable to remember
[] 5 Not applicable
Questionnaire instructions view entire document:  text  image
Questions 6 to 11 aim to get information on the disability status of people in the communities.
Is [the respondent] an albino, or has difficulty seeing, hearing, walking or climbing stairs, remembering or concentrating, caring for him/herself such as washing or dressing, has a cleft palate, has spinal befida, has spinal cord injuries, mental illness, or psoriasis?

Questions description
These questions aim to obtain information about disability status in the communities.
Answers on these questions will enable the nation understand how many people have disabilities and types of disabilities, and thus allow the nation develop sustainable programs for this special group in the community.

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Thailand 1990 — source variable TH1990A_DISABLE — Disability
Questionnaire form view entire document:  text  image

L27. Disability
Is (name) disable?
[] 0 Not disabled
[] 1 Blind
[] 2 Deaf
[] 3 Dumb
[] 4 Armless, legless
[] 5 Mentally retarded
[] 6 Insanity
[] 7 Paralyzed
[] 8 Others (specify) ____

Questionnaire instructions view entire document:  text  image

Column 27: Disability
[Ask everyone]

Ask: "Is ....... (name) ....... disabled?"
[] 0 Not disabled
[] 1 Blind (both eyes)
[] 2 Deaf (both ears)
[] 3 Mute
[] 4 Lost arms or legs
[] 5 Intellectually disabled
[] 6 Mentally handicapped
[] 7 Paralyzed
[] 8 Other (specify)
[] 9 Do not know


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Trinidad and Tobago 2000 — source variable TT2000A_DISLEARN — Learning disability (intellectual difficulties, retardation)
Questionnaire form view entire document:  text  image
Section 3. Disability - For all persons

13. Type of disability

Does (N) [the respondent] have any difficulties in?

[] 01. Seeing (S.) (even with glasses if worn)
[] 02. Hearing (H.) (even with hearing aid if used)
[] 03. Speaking (SP.) (talking)
[] 04. Moving/Mobility (M./M.) (walking, standing, climbing stairs)
[] 05. Body Movements (B.M.) (reaching, crouching, kneeling)
[] 06. Gripping (G.)
[] 07. Learning (L.)
[] 08. Behavioral (B.)
[] 77. Other (O.) (specify) _______
[] 99. Not stated
Questionnaire instructions view entire document:  text  image
Section 3 - Disability

The main objective of this section is to obtain information on the prevalence of certain types of disabilities among the population. This information can be utilized for monitoring and evaluating national programmes and services concerning the equalization of opportunity, rehabilitation and the prevention of disabilities.

Further, the information would assist in identifying the special needs of persons with disabilities, such as access to buildings, educational reform, training enhancement and employment opportunities.

Question 12 - Longstanding disability

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

For the purpose of the census, a disability is only a disability if it has a long lasting continuing consequence, that is, it is a disability provided it has lasted for at least six months or is expected to last for more than six months. Temporary conditions such as broken legs and other illnesses even though they may have restricted one's activities are not to be included.

This question is to be asked about every member of the family, regardless of age or current activity status.

[p.36]

The response positions for this question are:

1. Yes
2. No
3. Not stated

If the response is 1 go to question 13.

If 2 or 9 skip to question 14.

Question 13 - Type of disability

Multiple responses can be ticked.

01. Seeing (even with glasses if worn)
02. Hearing (even with hearing aids if used)
03. Speaking (talking)
04. Moving/mobility (climbing stairs, walking, standing)
05. Body movements (reaching, crouching, kneeling)
06. Gripping (using fingers to grip or handle objects)
07. Learning (intellectual difficulties, retardation)
08. Behavioral (psychological, emotional problem)
77. Other (bathing, dressing, eating etc.)

If the other category is ticked, please specify


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Trinidad and Tobago 2011 — source variable TT2011A_DISMEM — Disability in remembering or concentrating (learning)
Questionnaire form view entire document:  text  image
Section 3: Disability - For all persons

13(b). Disability status

Does the long standing disability prevent (N) [the respondent] from doing any of the following?
[Respondents indicate both the activity and its level of difficulty]

[] 01 Seeing even if wearing glasses?
[] 02 Hearing even if using hearing aid?
[] 03 Walking, climbing steps? (Moving/being mobile)
[] 04 Remembering or concentrating? (Learning)
[] 05 Gripping?
[] 06 Speaking and understanding because of a physical, mental or emotional health condition?

Level:
[] a. Yes - some difficulty
[] b. Yes - a lot of difficulty
[] c. Cannot do at all
Interviewer: Multiple responses can be shaded.
Questionnaire instructions view entire document:  text  image
Section 3 - Disability

3.1. Disability

Persons with disabilities are defined here as those persons who are at greater risk than the general population for experiencing restrictions in performing specific tasks or participating in role activities.

[p.12]

Data about impairments (problems at the level of organs and anatomical structures) is different from data about activity limitations (limitations on the capacity of a person to act or behave in a desired manner, because of a health condition), which again is different from data about participation restrictions (limitations in what a person does that result from an interaction between impairments or activity limitations and barriers created by the person's environment).

Short-term disabilities due to temporary conditions such as broken legs and illness are excluded. Only disabilities lasting for at least six months or expected to last for more than six (6) months are to be included.

The following categories focus on whether the individual has any impairments:

(i) Seeing even if wearing glasses
(ii) Hearing even if using hearing aid
(iii) Walking or climbing stairs (Moving /being mobile)
(iv) Remembering or concentrating
(v) Gripping
(vi) Speaking and understanding because of a physical, mental or emotional health condition

Participation restrictions are problems an individual may experience in involvement in life situations. A participation restriction can be determined by comparing an individual's normal and regular involvement in activities with that expected of an individual without a disability.

The following categories focus on whether the individual has any participation/activity limitations:

(i) Taking care of himself/herself
(ii) Getting around within the home
(iii) Going outside the home
(iv) Working at a job or business.
(v) Undertaking educational activities
(vi) Participating in social activities

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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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Turkey 2000 — source variable TR2000A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image

20. Do you have any physical or mental disability?
[] 1 Yes
[] 2 No (Go to question 22)


21. What kind of disability do you have?

[Question 21 was asked of persons who had physical or mental disability, per question 20.]

(More than one choice may be marked.)

[] 1 Disability of seeing
[] 2 Disability of hearing
[] 3 Disability of speaking
[] 4 Physical/orthopedic disability
[] 5 Mental disability
[] 6 Other

Questionnaire instructions view entire document:  text  image

Question 20. Do you have any physical or mental handicap (disability)?


Attention! To categorize someone as handicapped, care must be taken to conform to the definition of disability provided below.

Handicapped (disabled):
Resulting from any illness or accident originating at birth or thereafter,

Being unable to adapt to the normal requirements of living, due to some degree of physical, mental, psychological, emotional and social loss of capacity,

An individual requiring training, protection, care, rehabilitation, counseling and support services.


While those handicapped (disabled) temporarily on a short-term basis due to a broken leg or some other such disorder are not to be covered by this question, those handicapped (disabled) for more than six months are to be considered.

In this question, an "X" is to be entered into the "Has" box for those with a physical or mental handicap, and into the "None" box for those without such a handicap. If the answer is "Has", one is to continue from question 21, whereas if the answer is "None", one should skip over to question 22.


Question 21. What kind of handicap (disability) do you have?

(More than one option may be marked)


This [question] seeks to reveal the type of disability that the person being administered the census is suffering from. An "X" is to be marked for the option applicable to the person's type of disability.

In this question, the type of handicap individuals have is to be marked keeping the definitions below in mind:

Visually impaired: Refers to individuals who cannot see at all or have limited sight in one or both eyes, or have no eyes at all.

Hearing impaired: Inability or limited ability to hear in one or both ears, or under some circumstances, only barely able to hear using a hearing aid.

Speech impaired: Refers to individuals who have experienced loss of the lower or upper jaw, of the tongue, palate, those with cleft or defective tongue, palate, lips, who while they may be able to hear cannot speak or who can in some circumstances [only] speak using a device held up to their larynx.

Physically/orthopedically handicapped: Refers to individuals with a deficiency, redundancy, or abnormality visible in the body and in the organs. Those belonging to this group are characterized by a deficiency, disrepair or absence of arms, legs and feet, as well as to paralyzed people -- suffering from childhood paralysis or paralyzed later in life.

Mentally impaired: Refers to people whose learning and comprehension develop later or are slowed down, due to a mental deficiency (retardation). The mentally handicapped (retarded), may vary in the degree of their ability to be taught and to learn, ranging from mild, intermediate, difficult, and very difficult.

People with mental handicaps, may not be able to adjust to their environment, may suffer from difficulties in establishing social relationships, and depending on the severity of their mental handicap (mentally retardation), and may not be able to handle their daily routine needs without the help of others.

If the person suffers from a type of handicap not encompassed by the options provided above, the option of "Other" is to be marked.

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Uganda 1991 — source variable UG1991A_DISAB — Nature of disability
Questionnaire form view entire document:  text  image

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.)

Questionnaire instructions view entire document:  text  image

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
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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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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Uganda 2014 — source variable UG2014A_DISMEM — Disability remembering
Questionnaire form view entire document:  text  image
Section 1: Particulars of household members

For all persons

P17 Does [the respondent] have difficulty in remembering or concentrating? (Refer to code list P14-P17)

[] 1 No - no difficulty
[] 2 Yes - some difficulty
[] 3 Yes - a lot of difficulty
[] 4 Cannot do at all
[] 7 Not applicable
[] 8 Don't know

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United States 2010 — source variable US2010A_DIFFREM — Cognitive difficulty
Questionnaire form view entire document:  text  image

18. a) Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?
[] Yes
[] No


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United States 2015 — source variable US2015A_DIFFREM — Cognitive difficulty
Questionnaire form view entire document:  text  image
[G] - Answer question 18a-c if this person is 5 years old or over. Otherwise, skip to the questions for person 2 on page 12.

18.

a) Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Answer person questions 18a through 18c if this person is 5 years old or over.

18a-18c. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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United States 2020 — source variable US2020A_DIFFREM — Cognitive difficulty
Questionnaire form view entire document:  text  image
19a. Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?

[] Yes
[] No
Questionnaire instructions view entire document:  text  image
Person questions 19

Answer question 19a-c if this person is 5 years old or over. Otherwise skip to the questions for Person 2 on page 19.

P19. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.


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Uruguay 2006 — source variable UY2006A_DISLEARN — Learning disability
Questionnaire form view entire document:  text  image

MS6b. Do you have permanent mental limitations that make learning difficult?
[] 1 Yes
[] 2 No

Questionnaire instructions view entire document:  text  image

MS6b. Do you have permanent mental limitations that make learning difficult?

This refers to people with difficulty (according to age) to learn, memorize, understand, reproduce, and execute indications of different nature.

Examples of question MS6b:
  • Juan turned 10 years old and has a [mental] delay, he goes to the common school but receives particular psycho-pedagogical support. This corresponds to option "1".


[p. 7]

  • Jose is 11 years old, in his third year of school and has difficulties reading and writing. This corresponds to option "2".


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Uruguay 2011 — source variable UY2011A_DISDEV — Permanent difficulty understanding or learning
Questionnaire form view entire document:  text  image
Disabilities

The following questions deal with the permanent difficulties that the people can have with carrying out certain habitual activities due to a health problem.

43. Respond to the following questions:

Does [the respondent] have permanent difficulty with:

43.4 Understanding and/or learning (PerDi05)
(For people 6 years or older)

[] 1 Does not have any difficulty
[] 2 Yes, some difficulty
[] 3 Yes, much difficulty
[] 4 Yes, [the respondent] cannot do it
Questionnaire instructions view entire document:  text  image
8.9 Disabilities

The objective of this module is to know the number of people that have some permanent difficulty seeing, hearing, walking, or learning, as well as the level of severity.

Disability is any limitation of activity and restriction in participation coming from a deficiency that permanently affects a person and his or her ability to become involved in daily life within his or her physical and social environment.

  • Activity is the completion of a task or action by a person.
  • Limitation of activity refers to the difficulty that a person could have in carrying out or performing daily activities and that originates in a deficiency (for example: seeing, hearing, walking, learning, etc.).
  • Restriction of participation refers to the problems that a person can experience when involved in vital situations, originating in a deficiency.  For example with work, with learning, with recreation, etc.
  • Deficiency refers to problems with body functions or structures, such as a significant alteration or loss.

In order to consider that a person has a determined disability, the limitation of activity and the restriction of participation should be permanent and always originating from a deficiency, this referring to the field of health.  This means that limitations and restrictions originating from socioeconomic or cultural factors.

The deficiencies, that should be part of or express a state of health, can include abnormalities, defects, losses, or any other deviation of body structures.  They don't necessarily indicate that the individual has a sickness or should be considered sick.  For example, the loss of a leg is a deficiency but not a disorder or a sickness.

Important: The difficulty or limitation of activity must be current, in other words, it must be affecting the individual at the moment of the investigation, and permanent, that's to say long lasting in time, affecting and expected to affect for a period of time greater than a year.

[p. 111]

Consequently, the short-term difficulties due to temporary, or transitory conditions such as fractures or sicknesses (for example, he or she does not walk because the leg is fractured and in a cast, he or she does not speak because of a sharp hoarseness caused by a cold, etc.) are excluded.

The options of response for the questions of the module are the following.

  • Yes, some difficulty
  • Yes, much difficulty
  • Yes, he/she cannot do it (see, hear, walk, learn)
  • Doesn't have any difficulty

Does he/she have permanent difficulty with understanding and/or learning?

For people six years or older.

This refers to the people with difficulty learning, understanding, memorizing, reproducing, or executing operations or reading, writing, or calculating.

In case of an affirmative response, consult about the level of said difficulty and record the option that corresponds.


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Venezuela 1990 — source variable VE1990A_RETARD — Retardation
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.


Mental retardation:

The person has learning or behavioral difficulties when compared to people of the same age.


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Venezuela 2001 — source variable VE2001A_DISMENT — Mental disability
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

Questionnaire instructions view entire document:  text  image

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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Vietnam 2009 — source variable VN2009A_DISREM — Difficulty remembering or paying attention
Questionnaire form view entire document:  text  image

8. Check if the respondent was born before April, 2004 (5 years or older). [If yes, go to] Q9; otherwise, ask the next [person]
[Questions 9-16 were asked of persons age 5 or older]


11. Does [the respondent] have any difficulty:
If yes, how difficult is it? A little, very difficult, or unable.

a) Seeing (even if wearing glasses)?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

b) Hearing?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

c) Walking?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

d) Remembering or paying attention?

[] 1 No difficulty
[] 2 A little difficulty
[] 3 Very difficult
[] 4 Unable

Questionnaire instructions view entire document:  text  image

Question 11: Does [the respondent] have any difficulty when...?
This question aims at the collection of information on disabilities of the respondent. The question is divided into 4 sub-questions to ask the respondent of the four abilities of seeing (even if wearing glasses), hearing, walking, and remembering or attention concentration. Therefore the enumerator must ask each of the abilities individually (three dots in [...] will be replaced by each of the above-mentioned abilities when interviewing).

For example: firstly, the enumerator asks "Does [the respondent] have any difficulty when seeing, even if wearing glasses?" If the answer is "No", the enumerator marks (x) in the small box next to code "1" (no difficulty), and asks the second ability "Does [the respondent] have any difficulty hearing?" If the answer is "Yes", the enumerator asks the respondent, "How difficult is it: difficult, very difficult or unable?" Basing on the answer of the respondent in combination with looking at the respondent (if he/she is present), the enumerator marks (x) in the appropriate small box. After that, the enumerator will ask about the next ability. Continue as such until the last ability, "Remembering or attention concentration".

[Graphic example omitted]

Note: Generally, the determination of the level of disability of the above-mentioned abilities is done by the respondent him/herself. However, a person who is clearly disabled cannot be classified as "No difficulty" on the ability that the person faces the problem, even he/she has answered "No difficulty". For example: a man with a bad eye cannot be classified as "No difficulty", even he answered that "he views things normally". Similarly, if a leg of the respondent is truncated, then that man cannot be classified as "No difficulty" even he answered that "he walks normally", etc.

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Vietnam 2019 — source variable VN2019A_DISMNTL — Difficulty remembering or paying attention
Questionnaire form view entire document:  text  image
Part 1. Information on household members

The next questions are about difficulties a person faces when performing certain activities due to health reasons.

13. Does [the respondent] have any difficulty with:

(If yes: How difficult is it? difficult, very difficult or completely unable)
d) Remembering or paying attention?
[] 1 Not difficult
[] 2 Difficult
[] 3 Very difficult
[] 4 Unable
Questionnaire instructions view entire document:  text  image
Part V: Instructions on how to question and record information on the census form

Part 1: Information about members of the household
Part 1 of the Census form consists of 41 questions, numbered sequentially from Question 1 to Question 41.

The respondent is the head of the household or a person knowledgeable about members of the household. For information on employment and birth history of women, DTV needs to interview DTDT face-to-face and collect information. In addition, for other information about members of the household, if the head of the household or the information provider is not knowledgeable, DTV also needs to interview DTDT face-to-face and record the information.

Question 13: Does [the respondent] have any difficulty when [...]?
This question is intended to gather information about difficulties a person may encounter in performing certain activities due to health problems/long term health problems, including difficulties due to the effects of old age, but does not include difficulties due to the children being young or not yet proficient in taking care of themselves (help from adults).

DTV asks about the conditions and level of difficulty of each person and in turn according to each ability, including vision, hearing, walking up the stairs, memory, self-care, and communication. Therein:

-Vision, even with glasses: DTV asked about the conditions and level of difficulty of DTDT when seeing. In case people have difficulty and have to wear glasses, DTV asks if they still have difficulty when wearing glasses and if so, the level of difficulty.

-Hearing, even with a hearing aid: DTV asks about the conditions and level of difficulty of DTDT when hearing. In case people have difficulty and have to use a hearing aid, DTV asks if they still have difficulty when using a hearing aid and, if so, the level of difficulty.

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Zambia 1990 — source variable ZM1990A_MENTAL — Mental disability/retardation
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
Questionnaire instructions view entire document:  text  image
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.

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Zambia 2000 — source variable ZM2000A_DISDEV — Mentally retarded
Questionnaire form view entire document:  text  image
Special Group Population
15. Is any member of the household disabled in any way?
[] Yes (fill in Disability Supplement)
[] No
Questionnaire instructions view entire document:  text  image
5.4 Disability

You are about to start a rather sensitive topic. Prepare the respondent by telling him/her that you are now going to start asking questions on disability.
A person with a disability is defined as a person who is limited in the kind or amount of activities that he or she can do because of the ongoing difficulties due to a long term physical condition, mental condition or health problem. Short term disabilities due to temporary conditions such as broken legs and illness are excluded. Only disabilities lasting for more than six months should be included.

P15 Are You Disabled in any Way?
Find out whether this person is disabled and shade appropriately. If the respondent is not disabled, skip to P18.

P16 What is Your Disability?
Find out what disability the person has and shade appropriately. Also note that a person may have more than one disability. Shade all disabilities reported.

5.4.1 Types of Disability

a. Blind: Complete loss of sight.

b. Partially Sighted: Loss of one eye or poor sight but does not mean complete blindness.

c. Deaf: Complete loss of sense of hearing.

d. Hard of Hearing: Partial loss of sense of hearing, and not complete loss of sense of hearing.

e. Mentally Ill: Psychological disorder related to the individual's mental state or state of mind.

f. Ex-mental: Any person that has suffered from mental disorder before but is now rehabilitated/or medically treated/or is undergoing rehabilitation.
g. Mentally Retarded: Any individual that is either very slow to learn or has deficiency of mental intellect (slow in grasping things, difficulties in remembering things, very slow at responding).

h. Physically Handicapped: Any person with a physical abnormality relating to the loss of bodily limbs or any deformity in the bodily stature, eg, the epileptics and lepers.

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Zambia 2010 — source variable ZM2010A_DISTYPE — Type of disability
Questionnaire form view entire document:  text  image
P17. What is [the respondent's] disability?
Mark all those that apply

[] 1 Blind
[] 2 Partially sighted
[] 3 Deaf and dumb
[] 4 Deaf
[] 5 Hard of hearing
[] 6 Dumb
[] 7 Mental illness
[] 8 Intellectual
[] 9 Speech impairment
[] 10 Physically disabled
[] 11 Mentally retarded
[] 12 Other
Questionnaire instructions view entire document:  text  image
4.12 Disability

You are about to start a rather sensitive topic. Prepare the respondent by telling him/her that you are now going to start asking questions on disability.

A person with a disability is defined as a person who is limited in the kind or amount of activities that he or she can do because of the ongoing difficulties due to a long term physical condition, mental condition or health problem. Remember that people who have just become amputees should be included as disabled. Short term disabilities due to temporary conditions such as broken legs and illness are excluded.

P-17: What is [the respondent's] disability?

Find out whether this person has difficult in the following and shade appropriately. Also note that a person may have more than one disability. Shade all disabilities reported (multiple responses are allowed).

4.12.1 Type of disability

1. Blind: Complete loss of sight in both eyes.
2. Partially Sighted: Loss of one eye or poor sight but does not mean complete blindness.
3. Deaf and Dumb: Complete loss of sense of hearing and speech. The lack or loss of the ability to hear and speak.
4. Deaf: Complete loss of sense of hearing. The lack or loss of the ability to hear.
5. Hard of hearing: Partial loss of sense of hearing but not complete loss of sense of hearing e.g. the person who uses hearing aids.
6. Dumb: Complete lack of ability to speak.
7. Mental illness: A condition of mental illness with a substantial, adverse and long-term effect on one's ability to carry out normal day-to-day activities.
8. Intellectual: Intellectual disability is a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills. This disability originates before the age of 18.
9. Speech impairment: This is a condition of people who fail to produce meaningful sound words.
10. Physically Disabled: Any person with a physical abnormality relating to the loss of bodily limbs or any deformity in the bodily stature, e.g., the epileptics and leper.
11. Mentally Retarded: Any individual that is either very slow to learn or has defficiency of mental intellect (slow in grasping things, difficulties in remembering things, very slow at responding).
12. Other: Any other disability not mentioned above.

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Zimbabwe 2012 — source variable ZW2012A_DISMNTL — Difficulty learning
Questionnaire form view entire document:  text  image
14. Does (the respondent) have any of the following disabilities?

[Question was asked of all persons.]
g. Difficulty learning/ mental handicap
[] 1 Yes
[] 2 No
Questionnaire instructions view entire document:  text  image
Section B: For all Persons
Begin by saying, "I would like information on ALL people who stayed at this household on the census night. This information is on the names of the persons, their relationship to head of household, their age and sex, survivorship of their parents etc. It is important that you give me as accurate information as possible about each person".

Q14 Disability
The intention here is to capture data pertaining to disability of a moderate to severe nature. The question should be asked to all persons.
Definitions:

a) Impairment: is any loss or abnormality of psychological or anatomical structure or function. (It refers to organs/systems of the body).

b) Disability: refers to any restriction or lack of ability to perform an activity in a manner within the range considered normal for a human being (refers to the person and function).

c) Handicap: is a disadvantage for a given individual resulting from an impairment or disability that limits or prevents the fulfilment of a role that is normal (depending on age, sex, social and cultural factors) for that individual (limitations experienced by people with disabilities in their interactions with society.)

Example:

- Impairment: Paralysis of lower limbs after injury
- Disability: Inability to walk
- Handicap: Unable to get employment

Because there is no adequate transport, buildings are not accessible and potential employers do not wish to employ someone with a disability.

Impairment: Mild mental retardation
Disability: Difficulty learning
Handicap: Unable to attend school because teachers do not know how to work with children who are mentally retarded.

In Zimbabwe, the terms disability, impairment and handicap have been used interchangeably to refer to persons with disabilities. Reference has been made to children who are mentally handicapped, people who have visual impairment or people who are physically disabled. To the users, the meaning is only an exercise in semantics.

Classification of disability for Purposes of identification
Disability is difficult because it is not a well-defined condition. Different countries have used different definitions and census methodologies to come up with estimates of prevalence rates.
Developed countries have counted even those with minor disabilities as disabled while developing countries have only counted those that have moderate to severe conditions that need rehabilitation intervention. These are people whose conditions permanently prevent them from performing activities in a manner considered normal for human beings. A person may have minor impairment (e.g. amputation of two toes) but functions normally. Such a person is not considered disabled.

When identifying people with disabilities, the difficulties that they may have as a result of their conditions are classified as follows by World Health Organization:

a) Difficulty moving (physical disability)
b) Totally Blind
c) Difficulty seeing
d) Difficulty speaking
e) Deaf
f) Difficulty hearing
g) Difficulty learning/mental handicap
h) Chronic fits
i) Strange behavior/mental illness
j) Lack of feeling in hands or feet/leprosy
k) Albinism

For the 2012 Census, Zimbabwe will classify people with moderate to severe disabilities according to the same categories.

Explanation of Disabilities and Examples of Conditions That May Cause Disabilities

Condition:

g) Difficulty learning (mental handicap)

- Person not able to learn new activities as early as other people of his/her age;
- Ranges from mild to severe retardation;
- Development of sitting, crawling, etc. may be slow;
- May be slow to respond to what others say and to what happens around her/him;
- May not understand as well as others what she sees, hears, smells and tastes;
- May not be able to express his/her needs or feelings in a way other people understand;
- May not understand the abstract;
- May remember what she/he has been told only for a short time;
- May have difficulty controlling feelings (can just scream, cry or have sudden bursts of anger without any visible external triggers).
- Learning disability e.g. (moderate or severe) Downs syndrome, Microcephaly, hydrocephaly