Mongolia 2018

Household Information Panel: HH

HH1. Cluster number: _ _ _

HH2. Household number: _ _

HH3. Interviewer's name and number:

HH4. Supervisor's name and number:

HH5. Interview date (year/month/day):

HH6. Location:

HH7. Region:

HH8. Is the household selected for questionnaire for men?

HH9. Is the household selected for water quality testing?

HH10. Is the household selected for blank testing?

Check that the respondent is a knowledgeable member of the household and at least 18 years old before proceeding. You may only interview a child age 15-17 if there is no adult member of the household or all adult members are incapacitated. You may not interview a child under age 15

HH11. Record the time.

HH12. Hello. My name is (your name). I am working with the National statistics office. We are conducting a survey on the situation of children, families and households. I would like to talk with you regarding these issues. This interview will take about 20 minutes. We might then interview other members of your household. The information you provide to us will remain confidential as per clause 4 of article 5 of the law of Mongolia on personal secrets and clause 3 of article 22 of the law on statistics. This information will only be used anonymously for analysis of the survey results. If you don?t want to answer a question or if you want to stop the interview, just let me know. Can we start the interview now?

HH46. Result of household questionnaire interview:
Discuss any result not completed with supervisor.
HH47. Name and line number of the respondent to household questionnaire interview:

To be filled after the Household Questionnaire is completed
Total number

HH48. Household members: __ __


HH49. Women age 15-49: __ __

HH50. If household is selected for questionnaire for men (Men age 15-49): __ __

HH51. Children under age 5: __ __

HH52. Children age 5-17: __ __

To be filled after all the questionnaires are completed
Completed number

HH53. Women age 15-49: __ __

HH54. If household is selected for questionnaire for men (Men age 15-49): __ __

HH55. Children under age 5: __ __

HH56. Children age 5-17

List Of Household Members: HL

List the names of all members of the household in Column HL2. Then fill in the Columns HL2-HL4 for each member, ask if there are any others, who live in the household: Are there any others, such as a baby or someone who is not a family member (a housekeeper or a friend etc, but who lives here, even if they are not at home now). Then ask Questions HL5-HL20 for each member of the household. If an additional questionnaire form was used, please note: ____

HL1. Line number: _ _

HL2. First, please tell me the name of each person who usually lives here, starting with the head of the household.
Probe for additional household members.
HL3. What is the relationship of (name) to (name of the head of household)?

HL4. Is (name) male or female?

HL5. What is (name)'s date of birth?

HL6. How old is (name)?
Record in completed years.
If age is 95 or above, record "95".
HL8. Record line number if woman and age 15-49: _ _

HL9. Record line number if man, age 15-49 and HH8 is yes: _ _

HL10. Record line number if age 0-4: _ _

HL11. Age 0-17?

HL12. Is (name)"s natural mother alive?

HL13. Does (name)'s natural mother live in this household?

HL14. Record the line number of mother and go to HL16: _ _

HL15. Where does (name)'s natural mother live?

HL16. Is (name)'s natural father alive?

HL17. Does (name)'s natural father live in this household?

HL18. Record the line number of father and go to HL20: _ _

HL19. Where does (name)'s natural father live?

HL20. Copy the line number of mother from HL14. If blank, ask: Who is the primary caretaker of (name)?
If "No one" for a child age 15-17, record "90".
Codes for HL3. Relationship to head of household

Household members' education 1: ED

ED1. Line number: _ _

ED2. Name and age
Copy names and ages of all members of the household from HL2 and HL6 to below and to next page of the module.
ED3. Aged 2 or over?

ED4. Has (name) ever attended school or any early childhood education programme?

ED5. What is the highest level and grade or year of school (name) has ever attended?

ED6. Did (name) ever complete that (grade/year)?

ED6A. Did (name) complete that education level?

ED7. Age 2-24?

ED8. Check ED4: Ever attended school or ECE?
Household members' education 2: ED

ED1. Line number _ _

ED2. Name and age

ED9. At any time during the current (2018/19) school year did (name) attend school or any early childhood education programme?

ED10. During current (2018/19) school year, which level and grade or course is (name) attending?

ED11. Is (he/she) attending a public school?
If ?Yes?, record "1". If ?No?, probe to code who controls and manages the school.
ED15. At any time during the previous (2017/18) school year did (name) attend school or any early childhood education programme?

ED16. During previous (2017/18) school year, which level and grade or year did (name) attend?

Household Characteristics: HC

HC2. To what ethnic group does (name of the head of the household from HL2) belong?

HC1A. Does (name of the head of household from HL2) hold any religion?
If "Yes", then ask: What is (name of the head of household from HL2)'s religion?

HC1C. Type of accommodation of the household. Record observation. If necessary, ask and clarify.
HC1D. How many walls does your ger have? _ _

HC1E. What is the material of the floor of your ger?

HC1F. Is the roof of your ger single or multiple layered?

HC1G. Are exterior cover of your ger single or multiple layered?

HC1H. How many square meters does your accommodation have?
Include kitchen, corridor and bathrooms.
HC1I. How many rooms does your accommodation have? Include living room, bedroom, children?s room and office room
Do not include kitchen, corridor or bathrooms.
HC3. How many rooms do members of this household usually use for sleeping?

HC4. What is the main material of the floor of your accommodation?

HC4A. Do you have floor insultation?
If 'Yes', ask: "what material did you use for insulation?"

HC5. Main material of roof.
Record observation.
HC5A. Do you have roof insultation?
If 'Yes', ask: "What material did you use for insulation?"

HC6. Main material of the exterior walls.
Record observation.
HC6A. Do you have wall insultation?
If 'Yes', ask: "What material did you use for insulation?"

HC6B. Check HC1C: Whether the household dwelling is apartment, condominium or public accommodation, dormitory?
HC6C. Do you erect a pandal/barn at the doorsteps of your accommodation in winter?

HC7. Does your household have:

A. A fixed telephone line?

B. A radio?

C. A couch?

D. A wardrobe?

E. A metal bed?

F. A double size bed?

HC8. Does your household have electricity?
If 'yes', then ask: Where do you get it?
HC9. Does your household have:

A. A television?

B. A refrigerator?

C. A freezer?

D. A vacuum cleaner?

E. A microwave oven?

F. An oven?

G. An iron?

H. A mixer/combine?

I. An electric cooker?

J. A coffee maker?

K. A rice cooker?

L. A bread maker?

M. A semi-automatic washing machine?

N. A fully automatic washing machine?

O. An air purifier?

P. An air humidifier?

Q. A video camera, photo camera?

HC10A. Does anyone in your household own a wristwatch?

HC10. Does your household own:

B. A bicycle?

C. A motorcycle or scooter?

D. An animal drawn cart?

E. A medium or large size Jeep?

F. A sedan car?

G. A truck?

H. A microbus?

I. A tractor?

HC11. Does any member of your household have a computer, laptop or a tablet?

HC12. Does any member of your household have a mobile phone?
If 'yes', then ask: Is it smartphone?
HC13. Does your household have access to internet at home?

HC14. Do you or someone living in this household own this dwelling?
If "No", then ask: Do you rent this dwelling from someone not living in this household?

HC15. Does your household own any land that can be used for agriculture?

HC16. What is the total size of the agricultural land owned by your household?

HC17. Does this household own any livestock, herds, other farm animals, or poultry?

HC18. How many of the following animals does this household have?
If the answer is 'none', record '0000' for that animal. If more than 9995, record "9995", if the respondent does not know, circle '9998'.

A. Cow?

B. Camel?

C. Horse?

D. Goat?

E. Sheep?

F. Chickens?

G. Pigs?

X. Other (specify) ____

HC19. Does any member of this household have a bank account?

Household Energy Use: EU

EU1. In your household, what type of cookstove is mainly used for cooking?

EU4. What type of fuel or energy source is used in this cookstove?
If more than one, record the type of fuel (energy source) mainly used.
EU5. Is the cooking usually done in the house, in a separate building, or outdoors?
If in main house, probe to determine if cooking is done in a separate room.
EU6. What does your household mainly use for space heating when needed?

EU8. What type of fuel and energy source is used in this heater?
If more than one, record the type of fuel (energy source) mainly used.
EU9. What does your household mainly use to light the household?

Water and sanitation: WS

WS1. What is the main source of drinking water used by members of your household?
If unclear, probe to identify the place from which members of this household most often collect drinking water (collection point).

WS2. What is the main source of water used by members of your household for other purposes such as cooking and handwashing?
If respondent is not clear, ask the exact place where they get domestic water from a household member, who usually fetches water.

WS3. Where is that water source located?

WS4. How long does it take for members of your household to go there, get water, and come back?

WS5. Who usually goes to this source to collect the water for your household?
Record the name of the person and copy the line number of this person from the list of household members module.

WS6. Since last (day of the week), how many times has this person collected water?

WS7. In the last month, has there been any time when your household did not have sufficient quantities of drinking water?

WS8. What was the main reason that you were unable to access water in sufficient quantities when needed?

WS11. What kind of toilet facility do members of your household usually use?
If "Flush" or "Pour flush", probe: Where does it flush to?
If "Pit laterine", probe: Is your toilet ventilated improved pit latrine?
If not possible to determine, ask permission to observe the facility.
WS12. Has your toilet ever been emptied or buried?
If "yes", probe: Within the last 5 years or more?
WS13. The last time it was emptied, where were the contents emptied to?
Probe: Was it removed by a service provider?
WS14. Where is this toilet facility located?

WS15. Do you share this facility with others who are not members of your household?

WS16. Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public?

WS17. How many households in total use this toilet facility, including your own household?

Handwashing: HW

HW1. We would like to learn about where members of this household wash their hands.
Can you please show me where members of your household most often wash their hands?
Record result and observation.

HW2. Observe presence of water at the place for handwashing.
Verify by checking the tap/pump, or basin, bucket, water container or similar objects for presence of water.
HW3. Is soap or sanitizer present at the place for handwashing?

HW4. Where do you or other members of your household most often wash your hands?

HW5. Do you have any soap or sanitizer in your house for washing hands?

HW6. Can you please show it to me?

HW7. Record your observation.
Record all that apply.
Salt Iodisation: SA

SA1. We would like to determine iodine content in salt your household uses for cooking. May I have a small amount of salt your household uses for cooking?
Add to the salt two drops of solution in a bottle with white cap supplied in the test kit with black cap (iodate) and observe the darkest reaction within 30 seconds. Compare it to the color chart and record the result code (1, 2 or 3) that corresponds with the test result.
SA2. The salt did not react to my test, so I would like to perform more tests. Could you please give me a little more of the same salt?
On a fresh sample of salt, add 5 drops of recheck solution in a bottle with red cap supplied with the test kit and then add 2 drops of test solution on the same spot and compare to the colour chart. Observe the darkest reaction within 30 seconds. Compare with the colour chart and record result code (1, 2 or 3) that corresponds to the test outcome.

SA3. Take a fresh sample of salt using solution in a bottle with white cap supplied with the test kit with a dark blue cap (iodide).
Add 2 drops of test solution, observe the darkest reaction within 30 seconds. Compare it with the colour chart and record the result code (1, 2 or 3) that corresponds to the test outcome.

SA4. Recheck on a fresh sample of salt using recheck solution supplied the test kit with a dark blue cap.
Add 5 drops of recheck solution in a bottle with red cap supplied with the test kit and add 2 drops of test solution on the same spot. Check if the color turns dark within 30 seconds. compare to the colour chart and record the result code (1, 2 or 3) that corresponds to the test outcome.

HH13. Record the time.

HH14. Language of the Questionnaire.

HH15. Language of the Interview.

HH16. Native language of the Respondent.

HH17. Was a translator used for any parts of this questionnaire?

HH18. Check HL6 in the "List of household members" and indicate the total number of children age 5-17 years:
HH19. List each of the children age 5-17 years below in the order they appear in the list of household members. Do not include other household members outside of the age range 5-17 years. Record the line number, name, sex, and age for each child.

HH20. Rank number: _

HH21. Line number from HL1: _ _

HH22. Name from HL2: ____

HH23. Sex from HL4

HH24. Age from HL6: _ _

HH25. Check the last digit of the household number (HH2) from the household information panel. This is the number of the row you should go to in the table below.
Check the total number of children age 5-17 years in HH18 above. This is the number of the column you should go to in the table below.
Find the box where the row and the column meet and record the number that appears in the box. This is the rank number (HH20) of the selected child.

HH26. Record the rank number (HH20), line number (HH21), name (HH22) and age (HH24) of the selected child.

HH27. (When HH18=1 or when there is a single child age 5-17 in the household): Record the rank number as "1"and record the line number (HL1), the name (HL2) and age (HL6) of this child from the list of household members.

HH28. Issue a questionnaire for children age 5-17 to be administered to the mother/caretaker of this child.

HH29. Check HL8 in the list of household members: Are there any women age 15-49?
HH30. Issue a separate questionnaire for individual women for each woman age 15-49 years.

HH31. Check HL6 and HL8 in the list of household members: Are there any girls age 15-17?
HH32. Check HL20 in the list of household members: Is consent required for interviewing at least one girl age 15-17?
HH33. As part of the survey we are also interviewing women age 15-49. We ask each person we interview for permission. A female interviewer conducts these interviews.
For girls age 15-17 we must also get permission from an adult to interview them. As mentioned before, all the information we obtain will remain strictly confidential and anonymous.
May we interview (name(s) of female member(s) age 15-17) later?

HH34. Check HH8 in the household information panel: Is the household selected for Questionnaire for Men?
HH35. Check HL9 in the "List of household members": Are there any men age 15-49?

HH36. Issue a separate questionnaire for individual men for each man age 15-49 years.

HH37. Check HL6 and HL8 in the list of household members: Are there any boys age 15-17?

HH38. Check HL20 in the "List of household members": Is consent required for interviewing at least one boy age 15-17?

HH39. As part of the survey we are also interviewing men age 15-49. We ask each person we interview for permission. A male interviewer conducts these interviews.
For boys age 15-17 we must also get permission from an adult to interview them. As mentioned before, all the information we obtain will remain strictly confidential and anonymous.
May we interview (name(s) of male member(s) age 15-17) later?

HH40. Check HL10 in the "List of household members": Are there any children age 0-4?

HH41. Issue a separate questionnaire for children under five for each child age 0-4 years.

HH42. Check HH9 in the household information panel: Is the household selected for water quality testing questionnaire?

HH43. Issue a separate water quality testing questionnaire for this household

HH44. As part of the survey we are also looking at the quality of drinking water. We would like to do a simple test of your drinking water. A colleague will come and collect the water samples. May we do such a test?
If the respondent requests to learn the results, explain that results will not be shared with individual households but will be made available to local authorities.

HH45. Now return to the household information panel and,
Record "01" in question HH46 (Result of the Household Questionnaire interview). Record the name and the line number (from the list of household members) of the respondent to the household questionnaire interview in HH47. Fill the questions HH48 ? HH52. Thank the respondent for his/her cooperation and then proceed with the administration of the remaining individual questionnaire(s) in this household.
If there is no individual questionnaire and no water quality testing questionnaire to be completed in this household thank the respondent for his/her cooperation and move to the next household you have been assigned by your supervisor.

Interviewer Note

Supervisor Note