2017 Lao Social Indicator Survey (LSIS II)

5-17 Child information panel: FS

FS1. Cluster number: _ _ _

FS2. Household number: _ _

FS3. Child's name and line number:

FS4. Mother's/caretaker's name and line number:

FS5. Interviewer's name and number:

FS6. Supervisor's name and number:

FS7. Day/month/year of interview

FS8. Record the time

Check respondent's age in HL6 in list of household members, household questionnaire:
If age 15-17, verify that adult consent for interview is obtained (HH33 or HH39) or not necessary (HL20=90). If consent is needed and not obtained, the interview must not commence and '06' should be recorded in FS17. The respondent must be at least 15 years old. In the very few cases where a child age 15-17 has no mother or caretaker identified in the household (HL20=90), the respondent will be the child him/herself.

FS9. Check completed questionnaires in this household: Have you or another member of your team interviewed this respondent for another questionnaire?

FS10A. Hello, my name is (your name). We are from Lao Statistics Bureau/Ministry of Health. We are conducting a survey about the situation of children, families and households. I would like to talk to you about (child's name from FS3)'s health and well-being. This interview will take about 30 minutes. All the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?

FS10B. Now I would like to talk to you about (child's name from FS3)'s health and well-being in more detail. This interview will take about 30 minutes. Again, all the information we obtain will remain strictly confidential and anonymous. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?


FS17. Result of interview for child age 5-17 years
Codes refer to the respondent. Discuss any result not completed with Supervisor.
Child's background: CB

CB1. Check the respondent's line number (FS4) in 5-17 child information panel and the respondent to the household questionnaire (HH47):

CB2. In what month and year was (name) born?
Month and year must be recorded.
CB3. How old is (name)?
Probe: How old was (name) at (his/her) last birthday? Record age in completed years. If responses to CB2 and CB3 are inconsistent, probe further and correct.
CB4. Has (name) ever attended school or any early childhood education programme?

CB5. What is the highest level and grade or year of school (name) has ever attended? (to include the code of education level)
Primary 11 - 15Lower Sec. 21 - 24Upper Sec. 31 - 33
Post Sec. non tertiary 41 - 43

CB6. Did (he/she) ever complete that (grade/year)?

CB7. At any time during 2016-17 school year did (name) attend school or any early childhood education programme?

CB8. During 2016-17 school year, which level and grade or year is (name) attending?
Primary 11 - 15Lower Sec. 21 - 24Upper Sec. 31 - 33
Post Sec. non tertiary 41 - 43

CB9. At any time during the 2015-16 school year did (name) attend school or any early childhood education programme?

CB10. During that 2015-16 school year, which level and grade or year did (name) attend?
Primary 11 - 15Lower Sec. 21 - 24Upper Sec. 31 - 33
Post Sec. non tertiary 41 - 43

CB11. Is (name) covered by any health insurance?

CB12. What type of health insurance is (name) covered by?
Record all mentioned.
Child Labour: CL

CL1. Now I would like to ask about any work (name) may do.
Since last (day of the week), did (name) do any of the following activities, even for only one hour?

A. Did (name) do any work or help on (his/her) own or the household's plot, farm, food garden or looked after animals? For example, growing farm produce, harvesting, or feeding, grazing or milking animals?

B. Did (name) help in a family business or a relative's business with or without pay, or run (his/her) own business?

C. Did (name) produce or sell articles, handicrafts, clothes, food or agricultural products?

X. Since last (day of the week), did (name) engage in any other activity in return for income in cash or in kind, even for only one hour?

CL2. Check CL1, [A]-[X]:

CL3. Since last (day of the week) about how many hours did (name) engage in (this activity/these activities), in total?

CL4. (Does the activity/Do these activities) require carrying heavy loads?

CL5. (Does the activity/Do these activities) require working with dangerous tools such as knives and similar or operating heavy machinery?

CL6. How would you describe the work environment of (name)?

A. Is (he/she) exposed to dust, fumes or gas?

B. Is (he/she) exposed to extreme cold, heat or humidity?

C. Is (he/she) exposed to loud noise or vibration?

D. Is (he/she) required to work at heights?

E. Is (he/she) required to work with chemicals, such as pesticides, glues and similar, or explosives?

X. Is (name) exposed to other things, processes or conditions bad for (his/her) health or safety?

CL7. Since last (day of the week), did (name) fetch water for household use?

CL8. In total, how many hours did (name) spend on fetching water for household use, since last (day of the week)?
If less than one hour, record '00'.
CL9. Since last (day of the week), did (name) collect firewood for household use?

CL10. In total, how many hours did (name) spend on collecting firewood for household use, since last (day of the week)?
If less than one hour, record '00'.
CL11. Since last (day of the week), did (name) do any of the following for this household?

A. Shopping for the household?

B. Cooking?

C. Washing dishes or cleaning around the house?

D. Washing clothes?

E. Caring for children?

F. Caring for someone old or sick?

X. Other household tasks?

CL12. Check CL11, [A]-[X]:
CL13. Since last (day of the week), about how many hours did (name) engage in (this activity/these activities), in total?
If less than one hour, record '00'
Child discipline: FCD

FCD1. Check CB3: Child's age?

FCD2. Now I'd like to talk to you about something else.
Adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used. Please tell me if you or any other adult in your household has used this method with (name) in the past month.

A. Took away privileges, forbade something (name) liked or did not allow (him/her) to leave the house.

B. Explained why (name)'s behaviour was wrong.

C. Shook (him/her).

D. Shouted, yelled at or screamed at (him/her).

E. Gave (him/her) something else to do.

F. Spanked, hit or slapped (him/her) on the bottom with bare hand.

G. Hit (him/her) on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.

H. Called (him/her) dumb, lazy or another name like that.

I. Hit or slapped (him/her) on the face, head or ears.

J. Hit or slapped (him/her) on the hand, arm, or leg.

K. Beat (him/her) up, that is hit him/her over and over as hard as one could.

FCD3. Check FS4: Is this respondent the mother or caretaker of any other children under age 5?

FCD4. Check FS4: Has this respondent already responded to the following question (UCD5) for another child?

FCD5. Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?

Parental involvement: PR

PR1. Check CB3: Child's age?

PR3. Excluding school text books and holy books, how many books do you have for (name) to read at home?

PR4. Check CB7: Did the child attend any school?
Check ED9 in the education module in the household questionnaire for child if CB7 was not asked.
PR5. Does (name) ever have homework?

PR6. Does anyone help (name) with homework?

PR7. Does (name)'s school have a school governing body in which parents can participate such as parent teacher association or Board of Trustees?

PR8. In the last 12 months, have you or any other adult from your household attended a meeting called by this school governing body?

PR9. During any of these meetings, was any of the following discussed:

A. A plan for addressing key education issues faced by (name)'s school?

B. School budget or use of funds received by (name)'s school?

PR10. In the last 12 months, have you or any other adult from your household received a school or student report card for (name)?

PR11. In the last 12 months, have you or any adult from your household gone to (name)'s school for any of the following reasons?

A. A school celebration or a sport event?

B. To discuss (name)'s progress with (his/her) teachers?

PR12. In the last 12 months, has (name)'s school been closed on a school day due to any of the following reasons:

A. Natural disasters, such as flood, cyclone, epidemics or similar?

B. Man-made disasters, such as fire, building collapse, riots or similar?

X. Other?

PR13. In the last 12 months, was (name) unable to attend class due to (his/her) teacher being absent?

PR14. Check PR13: 'Yes' recorded?

PR15. When teacher absence happened did you or any other adult member of your household contact any school officials or school governing body representatives?

FS11. Record the time.

FS12. Language of the Questionnaire.

FS13. Language of the Interview.

FS14. Native language of the Respondent.

FS15. Was a translator used for any parts of this questionnaire?

FS16. Thank the respondent and the child for her/his cooperation.

Interviewer's observations

Supervisor's observations